a Florida State University , Tallahassee , Florida , USA.
b Department of Social Work , National University of Singapore , Singapore.
Subst Use Misuse. 2018 Nov 10;53(13):2099-2111. doi: 10.1080/10826084.2018.1455701. Epub 2018 Apr 6.
Childhood abuse is a major behavioral health concern and imposes lasting sequelae on mental and physical health, including lifetime substance use disorders (LT-SUD). Yet, gender-specific research examining this early trauma and substance use in Latina-Americans (Latinas) is scarce. No study has explored the relationship between collectivist cultural factors and LT-SUD in this largest minority-female subgroup of the United States' population.
Based on coping theory, this study investigated the association between childhood abuse, cultural factors, and LT-SUD among Latinas nationwide.
Using the National Latino and Asian American Study we performed three-step logistic regressions to investigate LT-SUD for 1,427 Latinas, following three preplanned steps: (1) childhood physical and sexual abuse (CPA and CSA) with LT-SUD; (2) known correlates as controls; and (3) cultural strength factors.
The prevalence rates of CPA and CSA were 28.0% and 18.4%, and that of LT-SUD was 4.8%. Religious attendance at a weekly level was negatively related to LT-SUD. Alongside English proficiency, discrimination, and social support, however, CPA and religious coping were positively associated with LT-SUD. Conclusion/Importance: Childhood physical abuse is an early risk factor for long-term substance use, viewed as a negative coping strategy. Religious attendance may have potential protection for Latinas. The victimization history may lead to coexisting positive (e.g., pursing social support, religious coping) and negative (e.g., SUD) coping behaviors within Latino communities.
儿童期虐待是一个主要的行为健康问题，对身心健康造成持久的后果，包括终身物质使用障碍（LT-SUD）。然而，针对拉丁裔美国人群体中这种早期创伤和物质使用的性别特定研究很少。没有研究探讨集体主义文化因素与 LT-SUD 之间的关系。
基于应对理论，本研究调查了全国范围内拉丁裔人群中儿童期虐待、文化因素与 LT-SUD 之间的关系。
我们使用全国拉丁裔和亚裔美国人研究，对 1427 名拉丁裔女性进行了三步逻辑回归分析，遵循三个预先计划的步骤：（1）儿童期身体和性虐待（CPA 和 CSA）与 LT-SUD；（2）已知相关因素作为对照；（3）文化力量因素。
CPA 和 CSA 的患病率分别为 28.0%和 18.4%，LT-SUD 的患病率为 4.8%。每周参加宗教活动与 LT-SUD 呈负相关。然而，与英语水平、歧视和社会支持一起，CPA 和宗教应对与 LT-SUD 呈正相关。结论/重要性：儿童期身体虐待是长期物质使用的早期风险因素，被视为一种消极的应对策略。参加宗教活动可能对拉丁裔女性具有潜在的保护作用。受害史可能导致拉丁裔社区中同时存在积极（例如，寻求社会支持、宗教应对）和消极（例如，SUD）的应对行为。
