Dubowitz Howard, Roesch Scott, Metzger Richard, Arria Amelia M, Thompson Richard, English Diana
Department of Pediatrics, University of Maryland School of Medicine, Baltimore.
Department of Psychology, San Diego State University.
J Child Adolesc Subst Abuse. 2019;28(3):150-159. doi: 10.1080/1067828X.2019.1667285. Epub 2019 Sep 25.
This longitudinal prospective study examined the relationship between child maltreatment as per reports to child protective services (CPS) and adolescent self-reported marijuana use, and the association between relationships with mothers and fathers and use of marijuana. The association between relationships with parents early in childhood (ages 6-8 years) and during adolescence with adolescent marijuana use were also probed. Another aim examined whether relationships with parents moderated the link between child maltreatment and youth marijuana use. The sample included 702 high risk adolescents from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a consortium of 5 studies related to maltreatment. Children were recruited at age 4 or 6 years together with their primary caregiver. Some were recruited due to their risk for child maltreatment, others were already involved with CPS, and children in one site had been placed in foster care. Logistic regression analysis was performed using youth self-report of marijuana use as the criterion variable and child maltreatment and the relationships with parents as predictor variables, controlling for youths' perceptions of peer substance use and parental monitoring, parental substance use, race/ethnicity, sex and study site. Approximately half the youth had used marijuana. Most of them described quite positive relationships with their mothers and fathers. Participant marijuana Use was associated with a poorer quality of relationship with mother during adolescence, and with peer and parental substance use. A better relationship with father, but not mother, during adolescence attenuated the connection between Child Maltreatment and youth Marijuana Use.
这项纵向前瞻性研究调查了向儿童保护服务机构（CPS）报告的儿童虐待情况与青少年自我报告的大麻使用之间的关系，以及与父母关系和大麻使用之间的关联。还探究了童年早期（6 - 8岁）及青春期与父母的关系和青少年大麻使用之间的关联。另一个目的是研究与父母的关系是否会调节儿童虐待与青少年大麻使用之间的联系。样本包括来自儿童虐待与忽视纵向研究（LONGSCAN）的702名高危青少年，LONGSCAN是一个由5项与虐待相关的研究组成的联盟。儿童在4岁或6岁时与其主要照顾者一起被招募。一些儿童因有遭受虐待的风险而被招募，另一些儿童已经与儿童保护服务机构有接触，还有一个地点的儿童已被安置在寄养家庭。使用青少年自我报告的大麻使用情况作为标准变量，儿童虐待情况以及与父母的关系作为预测变量进行逻辑回归分析，并控制青少年对同伴物质使用和父母监管的认知、父母的物质使用情况、种族/族裔、性别和研究地点。大约一半的青少年使用过大麻。他们中的大多数人描述了与父母相当积极的关系。参与者使用大麻与青春期与母亲关系质量较差以及同伴和父母的物质使用情况有关。青春期与父亲（而非母亲）关系较好会减弱儿童虐待与青少年使用大麻之间的联系。
