社区资源的可用性降低了社区暴力暴露、负面情绪和物质使用障碍之间的关联。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-02-01 DOI:10.1016/j.chiabu.2024.107226

Jordyn R. Ricard, Jennifer A. Richeson, Arielle Baskin-Sommers

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引用次数: 0

摘要

背景：暴露于社区暴力与物质使用障碍（SUD）的发生率增加有关。自我药物治疗假说认为，负面情绪的加剧可能是暴露于社区暴力和SUD之间联系的基础。然而，获得社区资源，即一种更广泛的公共卫生方法，是否会影响社区暴力暴露与SUD之间联系的所谓心理机制，这一点尚不清楚。目的：探讨负性情绪是否在青少年社区暴力暴露与SUD发生之间起中介作用，以及社区资源（即社会服务密度、卫生保健服务密度、健康食品密度）是否在负性情绪与SUD发生之间起调节作用。方法：采用有调节的中介分析，检验负性情绪的间接作用和社区资源在负性情绪与患SUD之间的调节作用。参与者和环境：从纽黑文收集了376名参与者的样本（18-73岁，45.7%黑人，44.1%白人，7.6%西班牙裔）。结果：负性情绪对青少年社区暴力与物质使用障碍之间存在显著的间接影响(间接影响= 0.22,SE = 0.07, p = 0.001, 95% CI [0.11, 0.38]；比例介导= 0.24)。此外，社区资源密度的增加降低了负性情绪与物质使用障碍之间的关系（β = -0.23, SE = 0.07, p = 0.001, 95% CI[-0.36, -0.10]）。结论：增加社区资源的可用性可能在减轻暴力暴露造成的痛苦方面发挥作用。

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Availability of community resources reduces the association among community violence exposure, negative emotionality, and substance use disorders

Background

Exposure to community violence is associated with increased occurrence of substance use disorders (SUD). The self-medication hypothesis states that heightened negative emotionality may underlie the link between exposure to community violence and SUD. However, it is not well-understood if access to community resources, a broader public health approach, influences the purported psychological mechanisms underlying the link between community violence exposure and SUD.

Objective

We examined whether negative emotionality mediates the association between youth-onset community violence exposure and having a SUD and whether community resources (i.e., density of social services, health care services, healthy food) moderate the relationship between negative emotionality and having a SUD.

Methods

Moderated mediation analyses were used to test the indirect effect of negative emotionality and the moderating role of community resources on the association between negative emotionality and having a SUD.

Participants and Setting

A sample of 376 participants was collected from New Haven (ages 18–73, 45.7% Black, 44.1% White, 7.6% Hispanic).

Results

There was a significant indirect effect of negative emotionality on the association between youth-onset community violence and having a substance use disorder (indirect effect = 0.22, SE = 0.07, p = .001, 95 % CI [0.11, 0.38]; proportion mediated = 0.24). Further, increased density of community resources reduced the relationship between negative emotionality and having a substance use disorder (β = −0.23, SE = 0.07, p = .001, 95% CI [−0.36, −0.10]).

Conclusion

Increasing availability of community resources may play a role in alleviating the suffering resulting from violence exposure.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.