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同伴物质使用在青春期早期和青少年物质使用之间的中介作用:纵向关联和虐待的调节作用。

Peer substance use as a mediator between early pubertal timing and adolescent substance use: longitudinal associations and moderating effect of maltreatment.

机构信息

University of Southern California, School of Social Work, CA 90089, USA.

出版信息

Drug Alcohol Depend. 2012 Nov 1;126(1-2):95-101. doi: 10.1016/j.drugalcdep.2012.04.018. Epub 2012 May 18.

Abstract

BACKGROUND

Early pubertal timing has received considerable empirical support as a risk for adolescent substance use. However, few studies have examined the mediators linking these variables. Therefore, the aims of this study were (1) to examine peer substance use as a mediator between pubertal timing and adolescent substance use longitudinally and (2) to test gender and maltreatment experience as moderators of the mediational model.

METHODS

Data were obtained from time 1, 2, and 3 of a longitudinal study of maltreatment and development. At time 1 the sample was comprised of 303 maltreated and 151 comparison children aged 9-13 years (213 females and 241 males). Longitudinal mediation was tested using structural equation modeling and moderating effects were tested using multiple group analysis.

RESULTS

Peer substance use mediated the relationship between early pubertal timing and later adolescent substance use for the total sample. Moderation analyses indicated this significant indirect effect did not differ for males and females. However, it did differ for maltreated versus comparison adolescents with the mediational effect only remaining significant for the comparison group.

CONCLUSIONS

This is one of the first studies to examine peer substance use as a mediator of pubertal timing and adolescent substance use using a longitudinal design. Early maturing males are at equal risk to early maturing females for interacting with peers that may draw them into substance use. Additionally, the findings indicate that while peers are mediators for comparison adolescents a different mechanism may link early puberty to substance use for maltreated adolescents.

摘要

背景

青春期提前已经得到了大量实证研究的支持,是青少年物质使用的一个风险因素。然而,很少有研究探讨这些变量之间的中介因素。因此,本研究的目的是:(1)检验同伴物质使用作为青春期提前和青少年物质使用之间的纵向中介因素;(2)检验性别和虐待经历对中介模型的调节作用。

方法

数据来自于一项关于虐待和发展的纵向研究的时间 1、2 和 3。在时间 1,样本由 303 名受虐待和 151 名对照组儿童组成,年龄在 9-13 岁之间(213 名女性和 241 名男性)。使用结构方程模型检验纵向中介效应,使用多组分析检验调节效应。

结果

同伴物质使用中介了总样本中青春期提前和后期青少年物质使用之间的关系。调节分析表明,这种显著的间接效应在男性和女性之间没有差异。然而,对于受虐待和对照组青少年来说,这种间接效应存在差异,只有对照组的中介效应仍然显著。

结论

这是首次使用纵向设计检验同伴物质使用作为青春期提前和青少年物质使用中介因素的研究之一。早期成熟的男性与早期成熟的女性面临同样的风险,与可能使他们接触物质使用的同伴互动。此外,研究结果表明,虽然同伴对对照组青少年是一种中介因素,但对于受虐待的青少年来说,早期青春期与物质使用之间可能存在不同的机制。

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