Adverse Childhood Experience-Related Conditions and Substance Use in Adolescents: A Secondary Analysis of Cross-Sectional Survey Data

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of School Health Pub Date : 2024-01-28 DOI:10.1111/josh.13429

Wasantha Jayawardene MD, PhD, David Lohrmann PhD, Jon Agley PhD, Mikyoung Jun PhD, Ruth Gassman PhD

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引用次数: 0

Abstract

BACKGROUND

Adverse childhood experiences (ACEs) cluster within children. In addition to standardized ACE measures, there exist “ACE-related” measures that are either directly or indirectly related to the standardized ACE constructs. This study aimed to identify ACE-related latent classes of adolescents and describe past-month substance use in each class by sex and race/ethnicity.

METHODS

Data from the 2018 Indiana Youth Survey (N = 70,703), which is a repeated self-administered, cross-sectional survey, were used. Latent class analysis was conducted using ACE-related family (parent incarceration, insulting/yelling within family, inability to discuss personal problems) and school (hate being in school, feeling unsafe, inability to talk to teachers one-on-one) items. Dependent variable combined past 30-day use-frequency of 17 substances. Two-way analysis of variances examined ACE by sex and race/ethnicity interaction.

RESULTS

Four ACE-related classes emerged: “Family-Only” (11.2%), “School-Only” (16.5%), “Family-School” (8.0%), and “No-ACE” (64.3%). Substance use was highest in “Family-School” (mean = 0.67); lowest in “No-ACE” (mean = 0.21). Significant race/ethnicity (F = 27.06; p < .0001), ACE * sex interaction (F = 12.13; p < .0001) and ACE * race/ethnicity interaction (F = 4.57; p < .0001) effects emerged. Within each ACE-related class, substance use was lowest for Asians and highest for Hispanics.

CONCLUSIONS

Adverse childhood experience-related items cluster within children across school and family environments and clustering differs by race/ethnicity, but not by sex. Incorporating ACE-related items into school surveys enhances the ability to implement interventions that target relationships between ACEs and substance use.

查看原文本刊更多论文

与童年不良经历相关的状况与青少年药物使用：对横断面调查数据的二次分析。

背景：儿童的不良童年经历（ACEs）会在儿童体内聚集。除了标准化的 ACE 测量方法外，还有一些 "ACE 相关 "测量方法，它们与标准化的 ACE 结构直接或间接相关。本研究旨在确定青少年中与 ACE 相关的潜在类别，并按性别和种族/族裔描述每个类别中过去一个月的药物使用情况：研究使用了 2018 年印第安纳州青少年调查（N = 70703）的数据，该调查是一项重复的自填式横截面调查。使用与 ACE 相关的家庭（父母入狱、家庭内侮辱/谩骂、无法讨论个人问题）和学校（讨厌在学校、感觉不安全、无法与老师一对一交谈）项目进行潜类分析。因变量综合了过去 30 天内使用 17 种药物的频率。双向方差分析研究了 ACE 与性别和种族/族裔的交互作用：结果：出现了四个与 ACE 相关的类别："只有家庭"（11.2%）、"只有学校"（16.5%）、"家庭-学校"（8.0%）和 "无 ACE"（64.3%）。在 "家庭-学校 "中，药物使用率最高（平均 = 0.67）；在 "无ACE "中，药物使用率最低（平均 = 0.21）。种族/人种差异显著（F = 27.06；P 结论："种族/人种差异 "与 "童年不良经历 "之间存在显著差异：在不同学校和家庭环境中，与童年不良经历相关的项目会在儿童中聚集，聚集程度因种族/族裔而异，但与性别无关。将与 ACE 相关的项目纳入学校调查可提高针对 ACE 与药物使用之间的关系实施干预的能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.