Li Niu, Doran C. French, Yuyan Wang, Jianing Sun, Danhua Lin
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Growth curve models revealed that childhood sexual abuse was associated with a higher risk of past-month drinking (OR = 1.53, 95% CI 1.19–2.03, p < 0.001) and smoking (OR = 1.82, 95% CI 1.30–2.55, p < 0.001). Neglect was associated with a higher risk of past-month drinking (OR = 1.52, 95% CI 1.06–1.90, p < 0.05) and smoking (OR = 2.02, 95% CI 1.34–3.02, p < 0.001). None of the maltreatment forms predicted a faster increase in either drinking or smoking. These associations were found independent of personal, family, and contextual characteristics. School and neighborhood connection moderated the association between physical abuse and past-month drinking, such that physical abuse was associated with a greater risk of drinking only for youth who perceived low school or neighborhood connections. Findings demonstrate the importance of early experiences of childhood maltreatment for adolescent alcohol and tobacco use. 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引用次数: 0
摘要
在中国儿童和青少年中,童年虐待的发生率很高,但人们对童年虐待对烟酒使用轨迹的影响以及积极的学校和邻里环境如何调节这种关联却知之甚少。本研究旨在评估多种形式的儿童虐待与纵向烟酒使用轨迹之间的关联,并评估与学校和社区的感知联系是否可能缓和这些关联。这项纵向队列研究纳入了来自中国低收入农村地区的2594名青少年(9至13岁)。研究采用儿童创伤问卷调查法对受试者童年遭受虐待和忽视的情况进行评估。受试者在一年内的三个时间点报告了过去一个月的烟酒使用情况。成长曲线模型显示,童年性虐待与上月饮酒(OR = 1.53,95% CI 1.19-2.03,p < 0.001)和吸烟(OR = 1.82,95% CI 1.30-2.55,p < 0.001)的较高风险相关。忽视与上月饮酒(OR = 1.52,95% CI 1.06-1.90,p < 0.05)和吸烟(OR = 2.02,95% CI 1.34-3.02,p < 0.001)的风险较高有关。没有任何一种虐待形式能预测酗酒或吸烟人数的快速增长。这些关联不受个人、家庭和环境特征的影响。学校和邻里关系调节了身体虐待与上月酗酒之间的关系,因此只有认为学校或邻里关系较差的青少年才会认为身体虐待与酗酒风险增加有关。研究结果表明,儿童早期遭受虐待的经历对青少年酗酒和吸烟具有重要影响。加强受到身体虐待的青少年与学校和邻里的联系可能有助于保护他们避免酗酒。
Childhood maltreatment and alcohol and tobacco use trajectories in rural Chinese adolescents
There is a high prevalence of childhood maltreatment among Chinese children and adolescents, but little is known about its impact on alcohol and tobacco use trajectories and how positive school and neighborhood environments moderate the associations. The objective of this study was to assess the association between multiple forms of childhood maltreatment and longitudinal alcohol and tobacco use trajectories, and to assess the possibility that perceived connections to school and neighborhood moderate these associations. This longitudinal cohort study included 2594 adolescents (9 to 13 years) from a low-income rural area in China. Childhood exposure to abuse and neglect was assessed using the Childhood Trauma Questionnaire. Participants reported past-month alcohol and tobacco use at three time points over 1 year. Growth curve models revealed that childhood sexual abuse was associated with a higher risk of past-month drinking (OR = 1.53, 95% CI 1.19–2.03, p < 0.001) and smoking (OR = 1.82, 95% CI 1.30–2.55, p < 0.001). Neglect was associated with a higher risk of past-month drinking (OR = 1.52, 95% CI 1.06–1.90, p < 0.05) and smoking (OR = 2.02, 95% CI 1.34–3.02, p < 0.001). None of the maltreatment forms predicted a faster increase in either drinking or smoking. These associations were found independent of personal, family, and contextual characteristics. School and neighborhood connection moderated the association between physical abuse and past-month drinking, such that physical abuse was associated with a greater risk of drinking only for youth who perceived low school or neighborhood connections. Findings demonstrate the importance of early experiences of childhood maltreatment for adolescent alcohol and tobacco use. Enhancing school and neighborhood connectedness for physically abused youth may help protect them from alcohol use.
期刊介绍:
Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.