Drug Use Trajectories and the Transition to Adulthood Among Maltreated Youth

受虐待青少年的吸毒轨迹和向成年的过渡

• 批准号: 8609561
• 负责人: HOWARD DUBOWITZ
• 金额: $ 61.49万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-02-15 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8609561
• 关键词: 4 year old; AIDS/HIV problem; Address; Adolescence; Adolescent; Adolescent and Young Adult; Adult; Age; Age Factors; Age of Onset; Alcohol or Other Drugs use; Area; Behavior; Buffers; Caregivers; Categories; Child; Child Abuse and Neglect; Child Behavior; Child Welfare; Childhood; Code; Data; Data Collection; Data Set; Decision Making; Development; Domestic Violence; Drug abuse; Drug usage; Emotional; Equation; Exposure to; Family; Fathers; Foundations; Funding; Goals; Growth; Health; Health Services; Healthcare; Influentials; Interview; Knowledge; Lead; Learning; Link; Literature; Longitudinal Studies; Modeling; Nature; Outcome; Parenting behavior; Parents; Participant; Patient Self-Report; Pattern; Pharmaceutical Preparations; Policies; Policy Maker; Prevention; Public Health; Public Policy; Publications; Publishing; Recommendation; Recording of previous events; Records; Reporting; Request for Applications; Research; Research Infrastructure; Risk; Risk Behaviors; Risk Factors; Sampling; Services; Structural Models; Structure; Substance Use Disorder; Sum; System; Testing; Time; Violence; Work; Youth; abuse neglect; adolescent drug use; child protective service; cohort; drug abuse prevention; emerging adult; experience; follow-up; foster care; high risk; informant; innovation; interest; intimate partner violence; maltreatment; maternal depression; neglect; parental involvement; peer; predictive modeling; prevention service; prospective; resilience; sex risk; young adult

DESCRIPTION (provided by applicant): The goal of this project is to contribute to the prevention of three interrelated, harmful and costly behaviors that peak in early adulthood: drug abuse, HIV/AIDS-related sexual risk behaviors and intimate partner violence (IPV). The project builds on the 20-year multisite prospective Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). LONGSCAN includes structured interviews with high-risk youth and their primary caregivers every two years from age 4 through 18 and regular review of Child Protective Services records with detailed coding of child and adolescent maltreatment (CM). The proposed study aims to add a wave of data collection when participants are between 22 and 25 years old. The specific aims are to: 1) examine the impact of CM and related risk factors on age of drug use onset, trajectories of use, and Substance Use Disorders (SUD); 2) test the independent and combined effects of CM, related risk factors, and drug use on HIV/AIDS-related sexual risk behavior and IPV; 3) test the independent and combined effects of CM, drug use, related risk factors, and mutable protective factors on early adult resilience across multiple domains; and 4) test innovative models of the long-term patterns of neglectful parenting and their impact on drug outcomes, sexual risk behavior and IPV. Neglect is by far the most prevalent form of CM and the most strongly associated with parental drug abuse of any CM type, yet also the most understudied regarding its long-term course and effects on drug use. Predictive models will include tests of potential moderation by three risk factors (violence exposure, maternal depression, and parental, family, and peer drug use) and three protective factors (maternal emotional support, positive father involvement, and caregiver stability). Hypotheses for each aim will be tested using general growth mixture models, structural equation models, latent class models, and tests of model invariance. By analyzing rich multi-informant data across 14 years of childhood and adolescence to predict the development of early adult SUD, sexual risk behavior, IPV, and resilience in a high-risk sample, the proposed project will substantially enhance the empirical foundation for the development of prevention, services, and policies targeting drug abuse and related health risk behaviors. This project will increase our knowledge of the development of three major public health problems following CM: drug abuse, sexual risk behavior, and IPV. By assessing maltreated and high-risk youth who have been followed since age four as they transition to adulthood, this study will identify key risk and protective factors, and the ages at which they are most influential. Results will inform prevention, treatment and policy.

描述（由申请人提供）：该项目的目标是帮助预防三种相互关联、有害且代价高昂的行为，这些行为在成年早期达到顶峰：药物滥用、艾滋病毒/艾滋病相关的性危险行为和亲密伴侣暴力（IPV） 。该项目建立在为期 20 年的多地点前瞻性虐待和忽视儿童纵向研究 (LONGSCAN) 的基础上。 LONGSCAN 包括每两年对 4 岁至 18 岁的高危青少年及其主要照顾者进行一次结构化访谈，并定期审查儿童保护服务记录，其中包含儿童和青少年虐待 (CM) 的详细编码。拟议的研究旨在增加一波参与者年龄在 22 至 25 岁之间的数据收集。具体目标是： 1) 检查 CM 和相关危险因素对吸毒开始年龄、吸毒轨迹和物质使用障碍 (SUD) 的影响； 2) 测试CM、相关危险因素和药物使用对HIV/AIDS相关性危险行为和IPV的独立和综合影响； 3) 测试 CM、药物使用、相关危险因素和可变保护因素对多个领域的早期成人复原力的独立和综合影响； 4) 测试忽视养育的长期模式及其对药物结果、性危险行为和 IPV 的影响的创新模型。忽视是迄今为止最普遍的 CM 形式，也是所有 CM 类型中与父母药物滥用关系最密切的一种，但对于其长期病程和对药物使用的影响，其研究也是最不充分的。预测模型将包括对三个风险因素（暴力暴露、母亲抑郁以及父母、家庭和同伴吸毒）和三个保护因素（母亲情感支持、父亲积极参与和照顾者稳定性）的潜在调节进行测试。每个目标的假设将使用一般增长混合模型、结构方程模型、潜在类别模型和模型不变性测试进行测试。通过分析 14 年儿童期和青春期的丰富多信息数据，预测高风险样本中早期成人 SUD、性风险行为、IPV 和复原力的发展，该项目将大大增强发展的经验基础针对药物滥用和相关健康风险行为的预防、服务和政策。该项目将增加我们对 CM 后三大公共卫生问题发展的了解：药物滥用、危险性行为和 IPV。通过评估从四岁开始跟踪的受虐待和高风险青少年向成年过渡的过程，这项研究将确定关键的风险和保护因素，以及这些因素最有影响力的年龄。结果将为预防、治疗和政策提供信息。