Drug Use Trajectories and the Transition to Adulthood Among Maltreated Youth

受虐待青少年的吸毒轨迹和向成年的过渡

• 批准号: 8426116
• 负责人: HOWARD DUBOWITZ
• 金额: $ 59.57万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-02-15 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8426116
• 关键词: 4 year old; AIDS/HIV problem; Address; Adolescence; Adolescent; Adult; Age; Age Factors; Age of Onset; Alcohol or Other Drugs use; Area; Behavior; Buffers; Caregivers; Categories; Child; Child Abuse and Neglect; Child Behavior; Child Welfare; Childhood; Code; Data; Data Collection; Data Set; Decision Making; Development; Domestic Violence; Drug abuse; Drug usage; Emotional; Equation; Exposure to; Family; Fathers; Foundations; Funding; Goals; Growth; Health; Health Services; Healthcare; Influentials; Interview; Knowledge; Lead; Learning; Link; Literature; Longitudinal Studies; Modeling; Nature; Outcome; Parenting behavior; Parents; Participant; Patient Self-Report; Pattern; Pharmaceutical Preparations; Policies; Policy Maker; Prevention; Public Health; Public Policy; Publications; Publishing; Recommendation; Recording of previous events; Records; Reporting; Request for Applications; Research; Research Infrastructure; Risk; Risk Behaviors; Risk Factors; Sampling; Services; Structural Models; Structure; Substance Use Disorder; Sum; System; Testing; Time; Violence; Work; Youth; abuse neglect; adolescent drug use; child protective service; cohort; drug abuse prevention; emerging adult; experience; follow-up; foster care; high risk; informant; innovation; interest; intimate partner violence; maltreatment; maternal depression; neglect; parental involvement; peer; predictive modeling; prevention service; prospective; resilience; sex risk; young adult

DESCRIPTION (provided by applicant): The goal of this project is to contribute to the prevention of three interrelated, harmful and costly behaviors that peak in early adulthood: drug abuse, HIV/AIDS-related sexual risk behaviors and intimate partner violence (IPV). The project builds on the 20-year multisite prospective Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). LONGSCAN includes structured interviews with high-risk youth and their primary caregivers every two years from age 4 through 18 and regular review of Child Protective Services records with detailed coding of child and adolescent maltreatment (CM). The proposed study aims to add a wave of data collection when participants are between 22 and 25 years old. The specific aims are to: 1) examine the impact of CM and related risk factors on age of drug use onset, trajectories of use, and Substance Use Disorders (SUD); 2) test the independent and combined effects of CM, related risk factors, and drug use on HIV/AIDS-related sexual risk behavior and IPV; 3) test the independent and combined effects of CM, drug use, related risk factors, and mutable protective factors on early adult resilience across multiple domains; and 4) test innovative models of the long-term patterns of neglectful parenting and their impact on drug outcomes, sexual risk behavior and IPV. Neglect is by far the most prevalent form of CM and the most strongly associated with parental drug abuse of any CM type, yet also the most understudied regarding its long-term course and effects on drug use. Predictive models will include tests of potential moderation by three risk factors (violence exposure, maternal depression, and parental, family, and peer drug use) and three protective factors (maternal emotional support, positive father involvement, and caregiver stability). Hypotheses for each aim will be tested using general growth mixture models, structural equation models, latent class models, and tests of model invariance. By analyzing rich multi-informant data across 14 years of childhood and adolescence to predict the development of early adult SUD, sexual risk behavior, IPV, and resilience in a high-risk sample, the proposed project will substantially enhance the empirical foundation for the development of prevention, services, and policies targeting drug abuse and related health risk behaviors. This project will increase our knowledge of the development of three major public health problems following CM: drug abuse, sexual risk behavior, and IPV. By assessing maltreated and high-risk youth who have been followed since age four as they transition to adulthood, this study will identify key risk and protective factors, and the ages at which they are most influential. Results will inform prevention, treatment and policy.

描述(由申请者提供)：该项目的目标是帮助预防三种相互关联的、有害的和代价高昂的行为，这些行为在成年初期达到顶峰：药物滥用、与艾滋病毒/艾滋病相关的性危险行为和亲密伴侣暴力(IPV)。该项目建立在为期20年的多站点儿童虐待和忽视前瞻性纵向研究(LONGSCAN)的基础上。LONGSCAN包括从4岁到18岁每两年对高危青少年及其主要照顾者进行有组织的访谈，并定期审查儿童保护服务机构的记录，详细记录儿童和青少年虐待(CM)。这项拟议的研究旨在增加一波数据收集浪潮，参与者的年龄在22岁到25岁之间。具体目的是：1)考察CM和相关危险因素对药物使用开始年龄、使用轨迹和物质使用障碍(SUD)的影响；2)测试CM、相关风险因素和药物使用对HIV/AIDS相关的性风险行为和IPV的独立和综合影响；3)测试CM、药物使用、相关风险因素和可变的保护因素对多个领域的早期成人韧性的独立和综合影响；以及4)测试长期疏忽养育模式的创新模型及其对药物结局、性风险行为和IPV的影响。忽视是迄今为止最普遍的CM形式，也是任何CM类型中与父母药物滥用关系最密切的，但也是关于其长期过程和对药物使用的影响研究最少的。预测模型将包括三个风险因素(暴力暴露、母亲抑郁、父母、家庭和同伴使用药物)和三个保护性因素(母亲情感支持、积极的父亲参与和照顾者稳定性)对潜在缓和的测试。每个目标的假设将使用一般增长混合模型、结构方程模型、潜在类别模型和模型不变性测试来检验。通过分析14年来儿童和青春期丰富的多信息者数据来预测高危样本中成人早期性行为障碍、性风险行为、IPV和复原力的发展，拟议中的项目将大大增强针对药物滥用和相关健康风险行为的预防、服务和政策的制定的经验基础。这个项目将增加我们对CM之后三个主要公共卫生问题的发展的了解：药物滥用、性危险行为和IPV。这项研究通过评估从四岁开始就被跟踪的受虐待和高危青少年进入成年期，将确定关键的风险和保护因素，以及他们最具影响力的年龄。结果将为预防、治疗和政策提供信息。