Earnshaw Valerie A, Elliott Marc N, Reisner Sari L, Mrug Sylvie, Windle Michael, Emery Susan Tortolero, Peskin Melissa F, Schuster Mark A
Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts;
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Pediatrics. 2017 Jun;139(6). doi: 10.1542/peds.2016-3426. Epub 2017 May 8.
Peer victimization is common among youth and associated with substance use. Yet, few studies have examined these associations longitudinally or the psychological processes whereby peer victimization leads to substance use. The current study examined whether peer victimization in early adolescence is associated with alcohol, marijuana, and tobacco use in mid- to late adolescence, as well as the role of depressive symptoms in these associations.
Longitudinal data were collected between 2004 and 2011 from 4297 youth in Birmingham, Alabama; Houston, Texas; and Los Angeles County, California. Data were analyzed by using structural equation modeling.
The hypothesized model fit the data well (Root Mean Square Error of Approximation [RMSEA] = 0.02; Comparative Fit Index [CFI] = 0.95). More frequent experiences of peer victimization in the fifth grade were associated with greater depressive symptoms in the seventh grade (B[SE] = 0.03[0.01]; < .001), which, in turn, were associated with a greater likelihood of alcohol use (B[SE] = 0.03[0.01]; = .003), marijuana use (B[SE] = 0.05[0.01]; < .001), and tobacco use (B[SE] = 0.05[0.01]; < .001) in the tenth grade. Moreover, fifth-grade peer victimization was indirectly associated with tenth-grade substance use via the mediator of seventh-grade depressive symptoms, including alcohol use (B[SE] = 0.01[0.01]; = .006), marijuana use (B[SE] = 0.01[0.01]; < .001), and tobacco use (B[SE] = 0.02[0.01]; < .001).
Youth who experienced more frequent peer victimization in the fifth grade were more likely to use substances in the tenth grade, showing that experiences of peer victimization in early adolescence may have a lasting impact by affecting substance use behaviors during mid- to late adolescence. Interventions are needed to reduce peer victimization among youth and to support youth who have experienced victimization.
同伴欺侮在青少年中很常见,且与物质使用有关。然而,很少有研究纵向考察这些关联,或者探究同伴欺侮导致物质使用的心理过程。本研究考察了青春期早期的同伴欺侮是否与青春期中后期的酒精、大麻和烟草使用有关,以及抑郁症状在这些关联中的作用。
2004年至2011年期间,从阿拉巴马州伯明翰、得克萨斯州休斯顿和加利福尼亚州洛杉矶县的4297名青少年中收集了纵向数据。使用结构方程模型对数据进行分析。
假设模型与数据拟合良好(近似均方根误差[RMSEA]=0.02;比较拟合指数[CFI]=0.95)。五年级时更频繁的同伴欺侮经历与七年级时更严重的抑郁症状相关(B[标准误]=0.03[0.01];P<.001),而这反过来又与十年级时酒精使用(B[标准误]=0.03[0.01];P=.003)、大麻使用(B[标准误]=0.05[0.01];P<.001)和烟草使用(B[标准误]=0.05[0.01];P<.001)的可能性增加相关。此外,五年级时的同伴欺侮通过七年级抑郁症状这一中介变量与十年级时的物质使用存在间接关联,包括酒精使用(B[标准误]=0.01[0.01];P=.006)、大麻使用(B[标准误]=0.01[0.01];P<.001)和烟草使用(B[标准误]=0.02[0.01];P<.001)。
五年级时经历更频繁同伴欺侮的青少年在十年级时更有可能使用物质,这表明青春期早期的同伴欺侮经历可能通过影响青春期中后期的物质使用行为产生持久影响。需要采取干预措施来减少青少年中的同伴欺侮现象,并支持那些经历过欺侮的青少年。