童年逆境与成年早期酒精使用行为之间的纵向关联：检查父母和同伴关系的中介作用

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-02-04 DOI:10.1016/j.chiabu.2025.107302

Deirdre Mongan , Seán R. Millar , Margaret M. Brennan , Anne Doyle , Brian Galvin , Noel McCarthy

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引用次数: 0

摘要

研究表明，青少年不良童年经历（ace）与酒精使用行为之间存在正相关。然而，其中许多都是基于横截面数据。在刚成年的青少年中，ace和酒精滥用之间的关系尚不完全清楚，而且缺乏关于父母和同伴关系如何调节这种关系的数据。目的研究ACE暴露与酒精使用行为的关系，并确定ACE暴露与有害酒精使用之间的关联是否由父母、同伴关系和学校参与介导。参与者和环境参与者（n = 4729）是爱尔兰成长研究中招募的一组儿童，这是一个具有全国代表性的儿童纵向样本。方法线性和逻辑回归分析了个体和累积ACE暴露与20岁时酒精使用行为的关系。中介分析评估了父母和同伴关系以及学校参与是否介导ACE历史与有害酒精使用的关联。结果儿童时期接触ace与20岁时较高的酒精使用障碍鉴定测试（AUDIT）分数和酒精依赖相关。与没有经历过ace的参与者相比，经历过3次以上ace的年轻人酒精依赖的几率增加了3倍（OR = 3.33, 95% CI: 2.00, 5.55）。中介分析表明，父母和同伴关系在ace和有害酒精使用行为之间起到部分中介作用。结论经历过ace的儿童有较高的有害酒精使用风险。在支持这些儿童时，确定的中介可能有助于指导选择预防干预措施。

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Longitudinal associations between childhood adversity and alcohol use behaviours in early adulthood: Examining the mediating roles of parental and peer relationships

Background

Research has demonstrated positive associations between adverse childhood experiences (ACEs) and alcohol use behaviours in young adults. However, many of these are based on cross-sectional data. The pathway between ACEs and alcohol misuse among emerging adults is not fully understood and there is a lack of data on how parental and peer relationships may mediate this relationship.

Objective

To examine ACE exposure relationships with alcohol use behaviours and determine if associations between ACEs and harmful alcohol use are mediated by parent and peer relationships and school engagement.

Participants and setting

Participants (n = 4729) were a cohort of children recruited to the Growing Up in Ireland study, a nationally representative longitudinal sample of children.

Methods

Linear and logistic regression analyses examined individual and cumulative ACE exposure relationships with alcohol use behaviours at age 20 years. Mediation analyses assessed whether parental and peer relationships and school engagement mediate ACE history associations with harmful alcohol use.

Results

Exposure to ACEs in childhood was associated with higher Alcohol Use Disorders Identification Test (AUDIT) scores and alcohol dependence at age 20. Young adults who experienced 3+ ACEs had a three-fold (OR = 3.33, 95 % CI: 2.00, 5.55) increased odds of alcohol dependence when compared to participants who experienced no ACEs. Mediation analyses suggested that parent and peer relationships partially mediate associations between ACEs and harmful alcohol use behaviours.

Conclusions

Children who have experienced ACEs are at higher risk of harmful alcohol use. In supporting these children, identified mediators may help guide selection of prevention interventions.

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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.