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父亲虐待对青少年健康风险的影响。

The Effects of Father-Perpetration of Maltreatment on Adolescent Health Risk.

机构信息

Temple University College of Public Health, Philadelphia, PA, USA.

The Ohio State University College of Social Work, Columbus, OH, USA.

出版信息

J Interpers Violence. 2022 Aug;37(15-16):NP13092-NP13114. doi: 10.1177/08862605211001484. Epub 2021 Mar 25.

Abstract

Maltreatment perpetrated by fathers may entail distinct characteristics and threats, and therefore differing effects from maltreatment perpetrated by mothers alone. This study examines the extent to which father perpetration of maltreatment is associated with variability in subsequent adolescent health outcomes relative to mother-alone maltreatment. A sample of youth ( = 377) with recently completed Child Protective Services investigations concerning reports of maltreatment attributed to fathers and/or mothers was drawn from the second National Survey of Child and Adolescent Well-being. Youth were 11-17 years old ( = 13.8, = 2) at 18-month follow-up. Predictor variables (baseline) included caseworker-reported perpetrator (father vs mother alone), maltreatment type and severity, and co-occurring risk factors (prior reports of maltreatment, caregiver substance use, serious mental health problems, and recent arrest or detention, and intimate partner violence). Outcome measures were youth-reported sexual risk behavior (the number of past-year sexual partners), substance use severity (use of illicit drugs other than marijuana, number of substances used, and CRAFFT raw scores), and parent-to-adolescent physical aggression (minor, moderate, and severe) at 18-month follow-up. Structural equation modeling assessed the effects of father perpetration on outcomes. Father perpetration was prospectively associated with more parent-to-adolescent aggression ( = 0.16, = .034) and less sexual risk behavior ( = -0.17, = .017) than mother-alone perpetration. Findings suggest protective effects of father perpetration relative to mother-alone perpetration on sexual risk taking but greater risk on further victimization by parents. Future research is needed to replicate findings and examine potential youth gender differences.

摘要

父亲实施的虐待可能具有不同的特征和威胁,因此与母亲单独实施的虐待相比,会产生不同的影响。本研究考察了与母亲单独实施的虐待相比,父亲实施的虐待与随后青少年健康结果的变异性相关的程度。从第二次全国儿童和青少年福利调查中抽取了一个最近完成的儿童保护服务调查样本,涉及报告归因于父亲和/或母亲的虐待报告(n = 377)。青少年在 18 个月的随访时年龄为 11-17 岁( = 13.8, = 2)。预测变量(基线)包括工作人员报告的施虐者(父亲与母亲单独)、虐待类型和严重程度以及共同存在的风险因素(先前的虐待报告、照顾者物质使用、严重心理健康问题、最近被捕或拘留以及亲密伴侣暴力)。结果测量包括青少年自我报告的性风险行为(过去一年性伴侣的数量)、物质使用严重程度(除大麻以外的非法药物使用、使用物质的数量以及 CRAFFT 原始分数)以及 18 个月随访时父母与青少年的身体攻击(轻度、中度和重度)。结构方程模型评估了父亲实施的虐待对结果的影响。与母亲单独实施的虐待相比,父亲实施的虐待与父母与青少年的身体攻击( = 0.16, =.034)呈正相关,与性风险行为( = -0.17, =.017)呈负相关。研究结果表明,与母亲单独实施的虐待相比,父亲实施的虐待对性冒险行为具有保护作用,但对父母进一步受害的风险更大。需要进一步研究来复制这些发现,并研究潜在的青少年性别差异。

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