Ackard Diann M, Eisenberg Marla E, Neumark-Sztainer Dianne
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
J Pediatr. 2007 Nov;151(5):476-81. doi: 10.1016/j.jpeds.2007.04.034. Epub 2007 Jul 24.
To evaluate the long-term impact of adolescent dating violence (ADV) on behavioral and psychological health.
From a diverse sample of older adolescents who completed Project EAT in 1999 (wave 1) and 2004 (wave 2; mean age 20.4), 23 male and 102 female adolescents reporting ADV were compared with 671 male and 720 female adolescents reporting no ADV.
ADV was positively associated with cigarette smoking and suicide attempts for both sexes, binge-eating and suicidal ideation in male adolescents, and smoking marijuana and high depressive symptoms in female adolescents in analyses unadjusted for wave 1 outcomes. In analyses adjusted for wave 1, in female adolescents, ADV was significantly associated with smoking cigarettes, marijuana use, and high depressive symptoms and marginally associated with suicide attempts; in male adolescents, ADV was significantly associated with smoking cigarettes and marginally associated with binge-eating and suicidal ideation. ADV was significantly associated with an overall high-risk profile (presence > or = 3 health outcomes) for both sexes; results remained significant in female adolescents after adjusting for wave 1.
ADV is associated with greater likelihood of problematic health factors and increases nonspecific risk toward behavioral and psychological impairment in youth, particularly female adolescents.
评估青少年恋爱暴力(ADV)对行为和心理健康的长期影响。
从1999年(第1波)和2004年(第2波;平均年龄20.4岁)完成“健康饮食计划”(Project EAT)的不同年龄较大青少年样本中,将23名报告有恋爱暴力的男性青少年和102名报告有恋爱暴力的女性青少年与671名报告无恋爱暴力的男性青少年和720名报告无恋爱暴力的女性青少年进行比较。
在未根据第1波结果进行调整的分析中,恋爱暴力与男女双方的吸烟和自杀未遂、男性青少年的暴饮暴食和自杀意念、女性青少年的吸食大麻和高抑郁症状呈正相关。在根据第1波结果进行调整的分析中,在女性青少年中,恋爱暴力与吸烟、吸食大麻和高抑郁症状显著相关,与自杀未遂呈边缘相关;在男性青少年中,恋爱暴力与吸烟显著相关,与暴饮暴食和自杀意念呈边缘相关。恋爱暴力与男女双方的总体高风险状况(存在≥3种健康问题)显著相关;在根据第1波结果进行调整后,女性青少年的结果仍然显著。
恋爱暴力与出现健康问题因素的可能性增加相关,并增加了青少年行为和心理损害的非特异性风险,尤其是女性青少年。