儿童不良经历与成年早期物质使用行为之间的关联和调解因素:基于人口的纵向研究
Deirdre Mongan1, Seán R Millar2, Margaret M Brennan3
1Health Research Board, Dublin, Ireland.
Addictive behaviors
|November 10, 2024
概括
儿童不良经历 (ACE) 显著增加了年轻成年人使用物质和有问题的药物使用的风险. 积极的关系和学校的参与可能有助于减轻这些风险.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 儿童不良经历 (ACE) 与年轻人的物质使用有关,但纵向数据和介导因素未得到充分研究.
- 了解ACE对药物滥用的长期影响对于开发有效干预措施至关重要.
- 在新兴成年人中,ACE和药物滥用之间的途径需要进一步调查潜在的调解因素.
研究的目的:
- 检查童年不良经历 (ACE) 与年轻成年人物质使用行为之间的纵向关联.
- 调查家长和同行关系的作用,以及学校参与作为ACEs-物质使用途径的潜在调解者.
- 为具有ACE病史的个人提供针对性预防策略的证据.
主要方法:
- 全国代表性的"在爱尔兰长大"儿童队列研究 (n=4,729) 的纵向分析.
- 后勤回归用于评估个人/累积ACE暴露与20岁时物质使用之间的关系.
- 调解分析探讨了人际关系和学校参与对ACEs-物质使用关联的影响.
主要成果:
- 在ACE暴露和目前的大麻使用,其他非法药物使用和有问题的药物使用之间发现了重要的关联.
- 与没有ACE的人相比,具有2或3+ACE的个体显示出问题药物使用的几率明显更高.
- 父母/同龄人依恋和学校喜欢部分介绍了ACE历史和物质使用行为之间的关系.
结论:
- ACEs是未来物质使用和年轻成年人有问题的药物使用的重要风险因素.
- 人际关系 (父母/同行依恋) 和学校参与被确定为关键调解者.
- 调查结果可以为为处于危险的年轻人制定有针对性的预防和干预计划提供信息.
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