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Pathways Linking Childhood Physical Abuse to Alcohol Misuse in Adolescent Boys and Girls: A Prospective Cohort Study From Rio de Janeiro, Brazil
Journal of Studies on Alcohol and Drugs ( IF 2.4 ) Pub Date : 2020-05-01 , DOI: 10.15288/jsad.2020.81.362
Claudia Leite de Moraes 1, 2 , Marcela De Freitas Ferreira 3 , Michael Eduardo Reichenheim 1 , Aline Gaudard E Silva 4 , Gloria Valeria da Véiga 4
Affiliation  

OBJECTIVE The purpose of this study was to identify if childhood physical abuse is a risk factor for adolescent alcohol misuse and the specific pathways linking childhood physical abuse and alcohol misuse in boys and girls. METHOD The study enrolled 785 students from the baseline and first wave of a prospective cohort study developed at six high schools in Rio de Janeiro, Brazil. The Childhood Trauma Questionnaire (CTQ), Conflict Tactics Scale-Form R (CTS-1), and Alcohol Use Disorders Identification Test (AUDIT) were used to identify childhood and adolescence physical abuse and alcohol misuse, respectively. Multigroup path analysis was performed to explore the postulated pathways between the exposures and outcomes. RESULTS Childhood physical abuse was a significant risk factor for alcohol misuse in adolescence for both sexes. Among girls, childhood physical abuse increased the risk of adolescent revictimization and school delay, which were mediators between childhood physical abuse and alcohol misuse. Among boys, childhood physical abuse has a direct effect on increasing the risk of alcohol misuse. School delay was also a mediator from more social determinants to alcohol misuse in both sexes, whereas not living with the mother in adolescence mediated such effects only among boys. CONCLUSIONS Childhood physical abuse increases the risk of alcohol misuse in adolescence through different pathways in boys and girls. Strategies aimed at reducing alcohol misuse and other mental health problems in adolescence should incorporate such specificities.

中文翻译:

将青少年的身体虐待与青少年男孩和女孩的酒精滥用联系起来的途径:巴西里约热内卢的一项前瞻性队列研究

目的本研究的目的是确定童年滥用身体是否是青少年滥用酒精的危险因素,以及男孩和女孩童年滥用身体与滥用酒精相关的具体途径。方法该研究招募了来自巴西里约热内卢六所中学的前瞻性队列研究的基线和第一波研究中的785名学生。儿童创伤问卷(CTQ),冲突战术量表-R(CTS-1)和酒精使用障碍识别测试(AUDIT)分别用于识别儿童和青少年的身体虐待和酒精滥用。进行多组路径分析以探讨暴露与结果之间的假定路径。结果童年时期的身体虐待是男女青少年期滥用酒精的重要危险因素。在女孩当中 儿童时期的身体虐待增加了青少年复仇和学校延误的风险,这是儿童时期的身体虐待与滥用酒精之间的中介。在男孩中,儿童时期的身体虐待对增加酗酒风险具有直接影响。上学延误也是从更多的社会决定因素到男女滥用酒精的中介,而青春期不与母亲同住仅在男孩中介导了这种影响。结论童年时期的身体虐待通过男孩和女孩的不同途径增加了青少年滥用酒精的风险。旨在减少青少年滥用酒精和其他心理健康问题的策略应纳入此类特殊性。这是儿童身体虐待和酗酒之间的调解人。在男孩中,儿童时期的身体虐待对增加滥用酒精的风险有直接影响。上学时间的延迟也是从更多的社会决定因素到男女滥用酒精的中介,而青春期不与母亲同住仅在男孩中介导了这种影响。结论童年时期的身体虐待通过男孩和女孩的不同途径增加了青少年滥用酒精的风险。旨在减少青少年滥用酒精和其他心理健康问题的策略应纳入此类特殊性。这是儿童身体虐待和酗酒之间的调解人。在男孩中,儿童时期的身体虐待对增加滥用酒精的风险有直接影响。上学时间的延迟也是从更多的社会决定因素到男女滥用酒精的中介,而青春期不与母亲同住仅在男孩中介导了这种影响。结论童年时期的身体虐待通过男孩和女孩的不同途径增加了青少年滥用酒精的风险。旨在减少青少年滥用酒精和其他心理健康问题的策略应纳入此类特殊性。而在青春期不与母亲同住则仅在男孩中间介导了这种影响。结论童年时期的身体虐待通过男孩和女孩的不同途径增加了青少年滥用酒精的风险。旨在减少青少年滥用酒精和其他心理健康问题的策略应纳入此类特殊性。而在青春期不与母亲同住则仅在男孩中间介导了这种影响。结论童年时期的身体虐待通过男孩和女孩的不同途径增加了青少年滥用酒精的风险。旨在减少青少年滥用酒精和其他心理健康问题的策略应纳入此类特殊性。
更新日期:2020-05-01
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