California State University, Sacramento, CA, USA.
Pacific Institute for Research and Evaluation, Beltsville, MD, USA.
J Interpers Violence. 2021 Apr;36(7-8):3006-3016. doi: 10.1177/0886260518772109. Epub 2018 Apr 26.
Prescription drug misuse is increasingly common in the United States. To date, little is known about how prescription drug misuse relates to negative parenting behaviors like child maltreatment, even though use of illicit drugs increases rates of both child neglect and physical abuse. This study used secondary data from the Fragile Families and Child Well-Being Study (FFCWS), a clustered national sample of families at high risk for both prescription drug misuse and child maltreatment ( = 2,917). Data from mothers who participated in the 9-year follow-up of this study were used to create logistic regression models examining prescription drug misuse and physically aggressive and neglectful parenting, while controlling for demographic and psychosocial variables. Black, non-Hispanic mothers and mothers in worse health had higher odds of physically aggressive parenting. Mothers in worse health and those who used other illicit drugs had greater odds of neglectful parenting. There were no relationships between prescription drug misuse and either parenting outcome. The findings do not provide evidence that prescription drug misuse is a risk factor for child maltreatment. Further research examining this issue and potential progression from prescription drug misuse to other illicit drug use could help clarify whether this behavior is related to negative outcomes for children.
处方药滥用在美国越来越普遍。迄今为止，尽管非法药物的使用会增加儿童忽视和身体虐待的发生率，但人们对处方药滥用与虐待儿童等负面养育行为之间的关系知之甚少。本研究使用了“脆弱家庭与儿童福利研究（FFCWS）”的二次数据，这是一个针对处方药滥用和儿童虐待高风险家庭的全国性聚类样本（n=2917）。该研究的 9 年随访中参与的母亲的数据被用来创建逻辑回归模型，以检验处方药滥用和身体攻击及忽视性养育之间的关系，同时控制人口统计学和心理社会变量。非裔非西班牙裔母亲和健康状况较差的母亲更有可能进行身体攻击性养育。健康状况较差的母亲和使用其他非法药物的母亲更有可能忽视性养育。处方药滥用与这两种养育结果之间没有关系。这些发现并没有提供证据表明处方药滥用是儿童虐待的一个风险因素。进一步研究这一问题以及从处方药滥用到其他非法药物使用的潜在进展，可能有助于澄清这种行为是否与儿童的负面后果有关。
