Kettinger L A, Nair P, Schuler M E
Department of Pediatrics, University of Maryland School of Medicine, Baltimore 21201, USA.
Am J Drug Alcohol Abuse. 2000 Feb;26(1):1-11. doi: 10.1081/ada-100100586.
This study examined the amount of exposure to negative environmental risks and their association with parenting attitudes among a group of inner city substance-abusing women. Mothers (N = 198) were recruited at delivery and were part of a randomized longitudinal intervention study for substance-abusing women and their infants. When the infants were 18 months old, a cumulative environmental risk score was calculated for each mother based on nine factors: violence (both domestic and environmental), depression, homelessness, incarceration, number of children, life stress, psychiatric problems, and absence of significant other. Based on their cumulative scores, mothers were placed in a low (N = 106) or high environmental risk group (N = 92). Mothers in the high-risk group had fewer years of education and were younger when their first child was born. Multivariate analyses indicate that mothers in the high-risk group had significantly worse scores on parenting attitude scales. Given the current state of welfare reform, it is important to determine which factors besides maternal substance abuse place these mothers at risk for poor parenting.
本研究调查了一组市中心区药物滥用女性接触负面环境风险的程度及其与育儿态度的关联。母亲们(N = 198)在分娩时被招募,她们是一项针对药物滥用女性及其婴儿的随机纵向干预研究的一部分。当婴儿18个月大时,根据九个因素为每位母亲计算累积环境风险评分:暴力(包括家庭内暴力和环境暴力)、抑郁、无家可归、监禁、子女数量、生活压力、精神问题以及重要他人的缺失。根据累积得分,母亲们被分为低环境风险组(N = 106)或高环境风险组(N = 92)。高风险组的母亲受教育年限较少,且她们第一个孩子出生时年龄更小。多变量分析表明,高风险组母亲在育儿态度量表上的得分显著更低。鉴于当前福利改革的现状,确定除了母亲药物滥用之外还有哪些因素使这些母亲面临育儿不良的风险很重要。