University of Nebraska-Lincoln, Lincoln, NE 68588-0324, USA.
J Interpers Violence. 2013 Feb;28(3):474-93. doi: 10.1177/0886260512455517. Epub 2012 Aug 30.
Each year, thousands of female adolescents run away from home due to sexual abuse, yet they continue to be victims of sexual assault once on the street. To date, few studies have examined how various forms of victimization are related to different types of substance use. The purpose of this article is to investigate the relationship between street exposure, childhood abuse, and different forms of street victimization with alcohol and marijuana use among 137 homeless and runaway female adolescents. Results from path analysis revealed that child sexual abuse was positively linked to trading sex and sexual and physical victimization. In addition, those who have traded sex experienced greater physical victimization, and who have spent more time away from home, used alcohol more frequently. Moreover, trading sex and experiencing more types of sexual victimization were positively linked to more frequent marijuana usage. Age, age at first run, longest time away from home, sexual abuse, and trading sex had significant indirect effects on alcohol and/or marijuana use. Together, these factors accounted for 27% of the variance in alcohol use and 37% of the variance in marijuana use.
每年都有数千名少女因遭受性虐待而离家出走，但一旦流落街头，她们仍然是性侵犯的受害者。迄今为止，很少有研究探讨过各种形式的受害与不同类型的物质使用之间的关系。本文旨在调查街头暴露、儿童期虐待和不同形式的街头受害与 137 名无家可归和离家出走的女性青少年的酒精和大麻使用之间的关系。路径分析的结果表明，性虐待与性交易和性及身体受害存在正相关。此外，那些从事性交易的人经历了更多的身体受害，离家时间越长，越频繁地使用酒精。而且，性交易和经历更多类型的性受害与更频繁地使用大麻呈正相关。年龄、首次离家的年龄、离家时间最长、性虐待和性交易对酒精和/或大麻使用有显著的间接影响。这些因素共同解释了酒精使用变化的 27%和大麻使用变化的 37%。
