A daily calendar analysis of substance use and dating violence among high risk urban youth
A daily calendar analysis of substance use and dating violence among high risk urban youth
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DOI：
10.1016/j.drugalcdep.2012.11.006
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发表时间：
2013-06-01
影响因子：
4.2
通讯作者：
Walton, Maureen A.
中科院分区：
文献类型：
--
作者：
Epstein-Ngo, Quyen M.;Cunningham, Rebecca M.;Walton, Maureen A.
背景：青少年约会暴力（DV）是一个重要的公共卫生问题。本研究通过对处于危险中的城市青年的日常生活分析，探讨了身体DV的原因以及物质使用与青年DV之间的关联。患者（14-24岁）因暴力伤害到城市急诊室（艾德）就诊，并按比例选择过去6个月内药物使用筛查呈阳性的非暴力伤害青年对照样本（n = 599）参加了这项研究。多层次，多项回归进行了日常水平的物质使用数据从时间线跟踪（TLFB）的响应和物理DV数据，通过编码时间线跟踪-侵略模块响应前30天访问的艾德.Results：两个最常见的原因，物理约会侵略和受害，跨性别，是“嫉妒/谣言”或“愤怒/坏心情”。“多层次多项式回归模型，调整聚类内的个人参与者，表明在女性中，可卡因的使用和镇静剂/阿片类药物的使用与严重的约会受害和酒精的使用与严重的约会aggression.Conclusions：TLFB数据的使用提供了一个独特的机会，了解日常水平的因素与具体的DV事件更详细。这项研究提供了新的数据，家庭暴力的原因和日常物质使用和家庭暴力之间的关系，城市青年，酒精，可卡因，镇静剂/阿片类药物的使用与各种类型的家庭暴力。基于艾德的家庭暴力干预措施应针对青少年家庭暴力的原因，并减少他们使用药物。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
Background: Dating violence (DV) among youth is an important public health problem. This study examined reasons for physical DV and the association between substance use and youth DV using daily calendar-based analyses among at-risk urban youth.Methods: Patients (aged 14-24) presenting to an urban Emergency Department (ED) for a violent injury and a proportionally selected comparison sample of non-violently injured youth who screened positive for substance use in the past 6 months (n = 599) were enrolled in this study. Multi-level, multinomial regressions were conducted using daily-level substance use data from Time Line Follow Back (TLFB) responses and physical DV data that were obtained by coding Time Line Follow Back - Aggression Module responses for the 30 days prior to visiting the ED.Results: The two most commonly reported reasons for physical dating aggression and victimization, across sexes, were "jealousy/rumors" or "angry/bad mood." Multi-level multinomial regression models, adjusting for clustering within individual participants, showed that among females, cocaine use and sedative/opiate use were associated with severe dating victimization and alcohol use was associated with severe dating aggression.Conclusions: Use of TLFB data offers a unique opportunity to understand daily-level factors associated with specific incidents of DV in more detail. This study provides novel data regarding reasons for DV and the relationship between daily substance use and DV among urban youth, with alcohol, cocaine, and sedative/opiate use being associated with various types of DV. ED based DV interventions should be tailored to address youths' reasons for DV as well as reducing their substance use. (C) 2012 Elsevier Ireland Ltd. All rights reserved.