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南加州西班牙裔新兴成年人童年不良经历与物质使用情况

Adverse childhood experiences and substance use among Hispanic emerging adults in Southern California.

作者信息

Allem Jon-Patrick, Soto Daniel W, Baezconde-Garbanati Lourdes, Unger Jennifer B

机构信息

University of Southern California Keck School of Medicine, 2001 N. Soto Street, 3rd Floor Mail, Los Angeles, CA 90032, United States.

University of Southern California Keck School of Medicine, 2001 N. Soto Street, 3rd Floor Mail, Los Angeles, CA 90032, United States.

出版信息

Addict Behav. 2015 Nov;50:199-204. doi: 10.1016/j.addbeh.2015.06.038. Epub 2015 Jun 23.

Abstract

INTRODUCTION

Emerging adults who experienced stressful childhoods may engage in substance use as a maladaptive coping strategy. Given the collectivistic values Hispanics encounter growing up, adverse childhood experiences may play a prominent role in substance use decisions as these events violate the assumptions of group oriented cultural paradigms. Alternatively, adverse childhood events might not increase the risk of substance use because strong family ties could mitigate the potential maladaptive behaviors associated with these adverse experiences. This study examined whether adverse childhood experiences were associated with substance use among Hispanic emerging adults.

METHOD

Participants (n = 1420, mean age = 22, 41% male) completed surveys indicating whether they experienced any of 8 specific adverse experiences within their first 18 years of life, and past-month cigarette use, marijuana use, hard drug use, and binge drinking. Logistic regression models examined the associations between adverse childhood experiences and each category of substance use, controlling for age, gender, and depressive symptoms.

RESULTS

The number of adverse childhood experiences was significantly associated with each category of substance use. A difference in the number of adverse childhood experiences, from 0 to 8, was associated with a 22% higher probability of cigarette smoking, a 24% higher probability of binge drinking, a 31% higher probability of marijuana use, and a 12% higher probability of hard drug use respectively.

CONCLUSIONS

These findings should be integrated into prevention/intervention programs in hopes of quelling the duration and severity of substance use behaviors among Hispanic emerging adults.

摘要

引言

经历过童年压力的新兴成年人可能会将物质使用作为一种适应不良的应对策略。鉴于西班牙裔在成长过程中所遇到的集体主义价值观,童年不良经历可能在物质使用决策中发挥重要作用,因为这些事件违背了以群体为导向的文化范式的假设。或者,童年不良事件可能不会增加物质使用的风险,因为牢固的家庭关系可以减轻与这些不良经历相关的潜在适应不良行为。本研究调查了童年不良经历是否与西班牙裔新兴成年人的物质使用有关。

方法

参与者(n = 1420,平均年龄 = 22岁,41%为男性)完成了调查,表明他们在18岁之前是否经历过8种特定不良经历中的任何一种,以及过去一个月的吸烟、使用大麻、使用硬性毒品和酗酒情况。逻辑回归模型检验了童年不良经历与各类物质使用之间的关联,并控制了年龄、性别和抑郁症状。

结果

童年不良经历的数量与各类物质使用均显著相关。童年不良经历数量从0增加到8,分别与吸烟概率增加22%、酗酒概率增加24%、使用大麻概率增加31%以及使用硬性毒品概率增加12%相关。

结论

这些发现应纳入预防/干预项目,以期减少西班牙裔新兴成年人物质使用行为的持续时间和严重程度。

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