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性受害史与大学毕业后过渡期的物质使用轨迹。

Sexual victimization histories and substance use trajectories during the transition out of college.

机构信息

Department of Psychology.

出版信息

Psychol Addict Behav. 2019 Sep;33(6):529-539. doi: 10.1037/adb0000489. Epub 2019 Jul 25.

Abstract

The college years are a period of peak vulnerability for sexual victimization (SV) and substance misuse. During college, students with SV histories report riskier substance use patterns, yet little is known about the influence of SV on substance use behaviors as students begin to transition away from the college environment. This was the purpose of the present study. College seniors ( = 480; 61% female) reported on their alcohol and drug use behaviors across 5 time points spanning 1 calendar year. For many, this year included the transition out of college. Latent growth curve analysis was used to determine whether trajectories for alcohol and drug use as well as alcohol and drug consequences differed based on SV histories (no SV, precollege SV, college SV, precollege + college SV). Results revealed that at the start of senior year, young adults with SV histories reported greater substance use and consequences relative to nonvictimized peers. Over the year, SV histories were associated with steeper declines in substance use and consequences. Despite the declines, those who were revictimized across developmental time periods (precollege + college SV) consistently reported higher alcohol use and consequences across the transitional year, although this did not replicate for other drugs. In sum, although alcohol and other drug involvement among those with SV histories decreased over time, precollege + college SV histories continued to be a persistent risk factor for heavier alcohol use behaviors. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

大学时代是性受害(SV)和药物滥用的高峰期,也是易损期。有 SV 史的大学生在大学期间报告称,他们的药物使用模式风险更高,但对于 SV 如何影响学生开始离开大学校园后的药物使用行为,人们知之甚少。本研究旨在探讨这一问题。大学高年级学生(n=480,61%为女性)在跨越 1 个日历年度的 5 个时间点上报告了他们的酒精和药物使用行为。对许多人来说,这一年包括离开大学。潜在增长曲线分析用于确定基于 SV 史(无 SV、大学前 SV、大学 SV、大学前+大学 SV)的酒精和药物使用轨迹以及酒精和药物后果是否存在差异。结果表明,在大四开始时,有 SV 史的年轻人报告的物质使用和后果比未受害的同龄人更严重。在这一年中,SV 史与物质使用和后果的急剧下降有关。尽管有所下降,但在发展时期(大学前+大学 SV)一直遭受创伤的人在整个过渡年仍持续报告更高的酒精使用和后果,尽管其他药物并未出现这种情况。总之,尽管有 SV 史的人随着时间的推移,酒精和其他药物的使用减少,但大学前+大学 SV 史仍然是酒精使用行为更重的持续风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e26/6742576/156c813af9c4/nihms-1037089-f0001.jpg

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