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阐明受虐待青少年与未受虐待青少年在青春期提前、性活动和物质使用之间的关联机制。

Elucidating the mechanisms linking early pubertal timing, sexual activity, and substance use for maltreated versus nonmaltreated adolescents.

作者信息

Negriff Sonya, Brensilver Matthew, Trickett Penelope K

机构信息

School of Social Work, University of Southern California, Los Angeles, California.

Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.

出版信息

J Adolesc Health. 2015 Jun;56(6):625-31. doi: 10.1016/j.jadohealth.2015.02.012.

Abstract

PURPOSE

To test models linking pubertal timing, peer substance use, sexual behavior, and substance use for maltreated versus comparison adolescents. Three theoretical mechanisms were tested: (1) peer influence links early pubertal timing to later sexual behavior and substance use; (2) early maturers engage in substance use on their own and then select substance-using friends; or (3) early maturers initiate sexual behaviors which lead them to substance-using peers.

METHODS

The data came from a longitudinal study of the effects of child maltreatment on adolescent development (303 maltreated and 151 comparison adolescents; age, 9-13 years at initial wave). Multiple-group structural equation models tested the hypotheses across three time points including variables of pubertal timing, perception of peer substance use, sexual behavior, and self-reported substance use.

RESULTS

Early pubertal timing was associated with substance-using peers only for maltreated adolescents, indicating the mediation path from early pubertal timing through substance-using peers to subsequent adolescent substance use and sexual behavior only holds for maltreated adolescents. Mediation via sexual behavior was significant for both maltreated and comparison adolescents. This indicates that sexual behavior may be a more universal mechanism linking early maturation with risky friends regardless of adverse life experiences.

CONCLUSIONS

The findings are a step toward elucidating the developmental pathways from early puberty to risk behavior and identifying early experiences that may alter mediation effects.

摘要

目的

检验将青春期发育时间、同伴物质使用、性行为和物质使用联系起来的模型,以对比受虐待青少年和非受虐待青少年。检验了三种理论机制:(1)同伴影响将青春期提前与后期性行为和物质使用联系起来;(2)早熟者自行开始物质使用,然后选择使用物质的朋友;或者(3)早熟者开始性行为,这导致他们与使用物质的同伴交往。

方法

数据来自一项关于儿童虐待对青少年发育影响的纵向研究(303名受虐待青少年和151名对照青少年;初次调查时年龄为9至13岁)。多组结构方程模型在三个时间点检验了假设,包括青春期发育时间、对同伴物质使用的认知、性行为和自我报告的物质使用等变量。

结果

青春期提前仅与受虐待青少年中使用物质的同伴有关,这表明从青春期提前通过使用物质的同伴到随后青少年物质使用和性行为的中介路径仅适用于受虐待青少年。性行为的中介作用在受虐待青少年和对照青少年中均显著。这表明,无论生活经历是否不良,性行为可能是将早熟与结交有风险的朋友联系起来的更普遍机制。

结论

这些发现朝着阐明从青春期早期到危险行为的发展路径以及识别可能改变中介效应的早期经历迈出了一步。

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