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儿童期暴力、高中学术环境与拉丁裔和非裔美国女性的成人期酒精使用:一项结构方程建模研究。

Childhood Violence, High School Academic Environment, and Adult Alcohol Use Among Latinas and Black Women: A Structural Equation Modeling Study.

机构信息

NYU School of Global Public Health, New York University, USA.

Health Resources in Action, Boston, MA, USA.

出版信息

J Interpers Violence. 2024 Dec;39(23-24):4924-4953. doi: 10.1177/08862605241243372. Epub 2024 Apr 8.

Abstract

OBJECTIVE

Young Latinas and Black women drink less than women of other racial/ethnic groups but experience more alcohol-related problems in midlife. This study aims to identify modifiable factors to prevent adult onset of alcohol use disorder (AUD) in this population.

METHODS

Data were collected at six time points as part of the Harlem Longitudinal Development Study from 365 Latinas (47%) and Black (53%) women (mean age at time 1 = 14, standard deviation 1.3). Structural equation modeling was used to test hypothesized pathways from childhood physical and sexual abuse to AUD via depressive mood, anxiety disorders, and somatic complaints in the 20s. We also tested the moderation effect of the high school academic environment by including in the structural equation model two latent variable interaction terms between the school environment and each of the abuse variables.

RESULTS

Childhood physical and sexual abuse was positively associated with depressive mood, anxiety disorders, and somatic complaints when participants were in the 20s. Depressive mood mediated childhood abuse and AUD when women were in the 30s. The high school academic environment attenuated the effect of physical, but not sexual abuse, on depressive mood (β = -0.59,  = -9.38, 95% CI [-14.00, -4.76]), anxiety symptoms (β = -0.61,  = -14.19, 95% CI [-21.76, -6.61]), appetite loss (β = -0.41,  = -10.52, 95% CI [-15.61, -5.42]), and sleeplessness (β = -0.50,  = -9.56, 95% CI [-13.95, -5.17]) in the early 20s.

CONCLUSIONS

Our findings underscore the need to invest in early violence prevention interventions and in education to ensure equitable access to quality, academically oriented, and safe schools.

摘要

目的

拉丁裔年轻女性和非裔美国女性的饮酒量低于其他种族/族裔群体,但在中年时经历更多与酒精相关的问题。本研究旨在确定可改变的因素,以预防该人群成年后出现酒精使用障碍(AUD)。

方法

数据来自哈莱姆纵向发展研究的六个时间点,共 365 名拉丁裔(47%)和非裔(53%)女性(第 1 次时间点的平均年龄为 14 岁,标准差为 1.3)。结构方程模型用于测试从童年期身体和性虐待到 20 多岁时 AUD 的假设途径,途径通过抑郁情绪、焦虑障碍和躯体症状表现。我们还通过在结构方程模型中纳入学校环境与每个虐待变量之间的两个潜在变量交互项,测试高中学术环境的调节作用。

结果

当参与者处于 20 多岁时,童年期身体和性虐待与抑郁情绪、焦虑障碍和躯体症状呈正相关。当女性处于 30 多岁时,抑郁情绪介导了童年期虐待和 AUD 之间的关系。高中学术环境减弱了身体虐待,但没有减弱性虐待对抑郁情绪(β=-0.59, =-9.38,95%CI[-14.00,-4.76])、焦虑症状(β=-0.61, =-14.19,95%CI[-21.76,-6.61])、食欲减退(β=-0.41, =-10.52,95%CI[-15.61,-5.42])和失眠(β=-0.50, =-9.56,95%CI[-13.95,-5.17])的影响。

结论

我们的研究结果强调需要投资于早期的暴力预防干预措施和教育,以确保公平获得高质量、以学术为导向和安全的学校。

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