围产期物质使用、居住不稳定与青少年的负面行为结果：来自母亲生活方式研究的经验教训。
Perinatal substance use, residential instability, and negative behavioral outcomes among adolescents: Lessons from the maternal lifestyle study.
作者信息
Cotton Brandi P, Lohman Matthew C, Brooks Jessica M, LaGasse Linda L
机构信息
College of Nursing of the University of Rhode Island, Kingston, RI, USA.
Epidemiology & Biostatistics of the University of South Carolina, Columbia, SC, USA.
出版信息
J Child Adolesc Psychiatr Nurs. 2017 Aug;30(3):149-155. doi: 10.1111/jcap.12188. Epub 2018 Mar 30.
PROBLEM
Both housing instability and prenatal substance use are known risk factors for behavioral problems among adolescents.
METHODS
The purpose of this study was to investigate the association between residential instability (residential mobility and homelessness) and delinquent behaviors among adolescents enrolled in the maternal lifestyle study (MLS), a 16-year research study that explored short-term and long-term effects of in-utero exposure to cocaine and/or opiates (N = 736). Logistic regression was used to measure the association between housing problems with youth crimes, school delinquency, and substance use at 11, 15, and 16 years of age.
FINDINGS
Both high-frequency residential mobility and homelessness were associated with deviant behaviors across the entire sample of children born with in-utero cocaine/opiate exposure and those without.
CONCLUSIONS
Psychiatric nursing care of youth should include a comprehensive assessment of residential instability to identify risk and target potential interventions.
问题
住房不稳定和产前物质使用都是青少年行为问题的已知风险因素。
方法
本研究的目的是调查参与孕产妇生活方式研究（MLS）的青少年中居住不稳定（居住流动性和无家可归）与犯罪行为之间的关联。MLS是一项为期16年的研究，探讨子宫内接触可卡因和/或阿片类药物的短期和长期影响（N = 736）。采用逻辑回归来衡量11岁、15岁和16岁时住房问题与青少年犯罪、学校违纪行为和物质使用之间的关联。
研究结果
在整个子宫内接触可卡因/阿片类药物的儿童样本以及未接触的儿童样本中，高频居住流动性和无家可归都与越轨行为有关。
结论
青少年的精神科护理应包括对居住不稳定的全面评估，以识别风险并确定潜在的干预措施。
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