Rohrbach Louise A, Grana Rachel, Vernberg Eric, Sussman Steve, Sun Ping
Institute for Health Promotion and Disease Prevention Research, University of Southern California, Alahambra, CA 91802, USA.
Psychiatry. 2009 Fall;72(3):222-37. doi: 10.1521/psyc.2009.72.3.222.
Little systematic research attention has been devoted to the impact of natural disasters on adolescent substance use. The present study examined relationships among exposure to Hurricane Rita, post-traumatic stress (PTS) symptoms, and changes in adolescent substance use from 13 months pre-disaster to seven and 19 months post-disaster. Subjects were 280 high school students in southwestern Louisiana who participated in a drug abuse prevention intervention trial prior to the hurricane. Two-thirds of participants were female and 68% were white. Students completed surveys at baseline (13 months pre-hurricane) and two follow-ups (seven and 19 months post-hurricane). Results indicated a positive bivariate relationship between PTS symptoms, assessed at 7 months post-hurricane, and increases in alcohol (p < .05) and marijuana use (p < .10) from baseline to the 7 months post-hurricane follow-up. When these associations were examined collectively with other hurricane-related predictors in multivariate regression models, PTS symptoms did not predict increases in substance use. However, objective exposure to the hurricane predicted increases in marijuana use, and post-hurricane negative life events predicted increases in all three types of substance use (ps < .10). These findings suggest that increased substance use may be one of the behaviors that adolescents exhibit in reaction to exposure to hurricanes.
很少有系统的研究关注自然灾害对青少年物质使用的影响。本研究考察了飓风丽塔暴露、创伤后应激(PTS)症状以及青少年在灾难前13个月至灾难后7个月和19个月期间物质使用变化之间的关系。研究对象是路易斯安那州西南部的280名高中生,他们在飓风来临前参加了一项药物滥用预防干预试验。三分之二的参与者为女性,68%为白人。学生们在基线(飓风前13个月)和两次随访(飓风后7个月和19个月)时完成了调查。结果表明,在飓风后7个月评估的PTS症状与从基线到飓风后7个月随访期间酒精使用增加(p <.05)和大麻使用增加(p <.10)之间存在正相关的双变量关系。当在多变量回归模型中与其他与飓风相关的预测因素一起综合考察这些关联时,PTS症状并不能预测物质使用的增加。然而,客观的飓风暴露预测了大麻使用的增加,飓风后的负面生活事件预测了所有三种物质使用的增加(p <.10)。这些发现表明,物质使用增加可能是青少年在遭受飓风暴露后表现出的行为之一。