The mediating role of school connectedness in the associations between dating and sexual violence victimization and substance use among high school students.

The mediating role of school connectedness in the associations between dating and sexual violence victimization and substance use among high school students.
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学校联系在高中生约会与性暴力受害和物质使用之间的关联中的中介作用。

DOI:
10.1016/j.ypmed.2020.106197
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发表时间:
2020
影响因子:
5.1
通讯作者:
Orchowski,LindsayM
Orchowski,LindsayM
中科院分区:
医学2区
文献类型:
--
作者:
Mulla,MazheruddinM;Bogen,KatherineW;Orchowski,LindsayM

文献摘要

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约会和性暴力受害影响了很大一部分青少年,并导致一系列负面的健康和行为结果,包括酗酒和吸毒的增加。在某些情况下,受害的学生可能会感到不受学校社区中的同龄人和成人支持或疏远,从而使他们面临更高的负面健康结果风险。本研究采用前瞻性设计,试图通过在高中生样本 (N= 1752) 的基线 (T1) 和 2 个月随访 (T2) 中检查约会暴力 (DV) 和性暴力 (SV) 受害、学校连通性以及酒精和大麻使用之间的直接和间接关联来探索这种可能性。多元回归分析的结果支持了这些关联的假设中介模型;这两种形式的受害都与 T1 时的酗酒以及 T1 和 T2 时的大麻使用呈正相关,与学校联系呈负相关。此外,学校连通性与 T1 和 T2 的两种形式的物质使用呈负相关,并且部分介导了 DV 和 SV 受害对 T1 酗酒以及 T1 和 T2 大麻使用的影响。这些发现阐明了解决中间认知过程(例如对学校联系的看法)的重要性,以改善高中约会和性暴力受害者的健康和功能结果。
Dating and sexual violence victimization affect a significant portion of teenagers and result in a wide array of negative health and behavioral outcomes, including increased alcohol and drug use. In some cases, students who have been victimized may develop feelings of being unsupported by or disconnected from peers and adults in their school community, placing them at even higher risk for negative health outcomes. Using a prospective design, the present study sought to explore this possibility by examining the direct and indirect associations between dating violence (DV) and sexual violence (SV) victimization, school connectedness, and alcohol and marijuana use at baseline (T1) and 2-month follow-up (T2) in a sample of high school students (N= 1752). Results of multiple regression analyses supported a hypothesized mediation model of these associations; both forms of victimization were positively associated with heavy drinking at T1 and marijuana use at T1 and T2, and negatively associated with school connectedness. Furthermore, school connectedness was negatively associated with both forms of substance use at T1 and T2, and partially mediated the effects of DV and SV victimization on heavy drinking at T1, and marijuana use at T1 and T2. These findings elucidate the importance of addressing intermediary cognitive processes such as perceptions of school connectedness in order to improve health and functional outcomes among high school victims of dating and sexual violence.