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）：该项目的目的是为预防成年早期达到顶峰的三种相互关联，有害和昂贵的行为做出贡献：药物滥用，与艾滋病毒/艾滋病有关的性风险行为和亲密伴侣暴力（IPV）。该项目建立在对虐待和忽视儿童（Longscan）的20年多次多项式前瞻性纵向研究的基础上。 Longscan包括4至18岁的高风险青年及其主要护理人员的结构化访谈，以及对儿童保护服务记录的定期审查，并详细介绍了儿童和青少年虐待（CM）。拟议的研究旨在当参与者年龄在22至25岁之间时增加数据收集。具体目的是：1）检查CM和相关危险因素对药物使用年龄，使用轨迹和药物使用障碍的影响（SUD）； 2）测试CM，相关风险因素以及对艾滋病毒/艾滋病有关的性风险行为和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成年早期韧性的独立和综合影响； 4）测试忽视育儿的长期模式的创新模型及其对药物结果，性风险行为和IPV的影响。忽视是迄今为止最普遍的CM形式，也是与任何CM类型的父母滥用药物滥用最密切相关的，但也是对其长期课程和对吸毒的影响最多的研究。预测模型将包括三个危险因素（暴力暴露，母亲抑郁，父母，家庭和同伴使用毒品）和三个保护因素（母性情绪支持，积极的父亲参与以及照料者稳定性）的潜在节制测试。每个目标的假设将使用一般生长混合模型，结构方程模型，潜在类模型和模型不变性测试测试。通过分析在14年的儿童期和青春期中分析丰富的多信息数据，以预测高风险样本中早期的成人SUD，性风险行为，IPV和韧性的发展，该项目将大大提高针对预防，服务，服务和相关健康风险行为的预防，服务和政策的经验基础。该项目将增加我们对CM后三个主要公共卫生问题的发展的了解：滥用药物，性风险行为和IPV。通过评估自四岁以来过渡到成年时受到关注的虐待和高风险青年，这项研究将确定关键的风险和保护因素，以及他们最有影响力的年龄。结果将为预防，治疗和政策提供依据。