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Incarceration and adversity histories: Modeling life course pathways affecting behavioral health.
American Journal of Orthopsychiatry ( IF 2.3 ) Pub Date : 2020-01-01 , DOI: 10.1037/ort0000436
Christopher M Fleming 1 , Paula S Nurius 2
Affiliation  

A consequence of a growing incarceration rate is that an increasing number of children face having an incarcerated household member, a known contributor to diverse lifelong behavioral health risks such as substance use and mental health impairment. Few studies have explored how household incarceration uniquely contributes to these subsequent behavioral health concerns, nor mediational contributors to these associations, within a theoretical framework. Using state Behavioral Risk Factor Surveillance System survey data (n = 14,001), this study tests pathways of household incarceration and Adverse Childhood Experiences (ACEs) to mental health impairment and substance use in adulthood. Within a life course stress process perspective, this study uses structural equation modeling to examine mediational pathways through adulthood incarceration and indicators of adulthood adversity, low income, and supportive resources. In line with stress process theorizing, results indicate significant direct and indirect paths of ACEs through nearly all theorized mediators, and indirect pathways of household incarceration, through incarceration and low income, to adulthood mental health impairment and substance use. Implications of these findings address preventive and interventive leverage points to mitigate long-term consequences of household incarceration and other childhood adversities. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译:


监禁和逆境历史:模拟影响行为健康的生命历程路径。



监禁率不断上升的一个后果是,越来越多的儿童面临着家庭成员被监禁的情况,众所周知,家庭成员是造成各种终生行为健康风险(例如药物滥用和心理健康障碍)的原因之一。很少有研究在理论框架内探讨家庭监禁如何独特地导致这些随后的行为健康问题,也没有探讨这些关联的中介因素。本研究使用州行为风险因素监测系统调查数据(n = 14,001),测试了家庭监禁和不良童年经历(ACE)对成年后心理健康损害和药物滥用的影响。从生命历程压力过程的角度来看,本研究使用结构方程模型来研究成年期监禁的中介路径以及成年期逆境、低收入和支持资源的指标。与压力过程理论一致,结果表明 ACE 通过几乎所有理论中介因素存在显着的直接和间接路径,以及家庭监禁、监禁和低收入到成年心理健康损害和药物滥用的间接路径。这些发现的意义在于解决预防性和干预性的杠杆点,以减轻家庭监禁和其他童年逆境的长期后果。 (PsycINFO 数据库记录 (c) 2019 APA,保留所有权利)。
更新日期:2020-01-01
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