Experiencing violence and other predictors of within-person same-day use of multiple substances in youth: a longitudinal study in emergency settings.
Am J Drug Alcohol Abuse
; 50(2): 218-228, 2024 Mar 03.
Article
en En
| MEDLINE
| ID: mdl-38563511
ABSTRACT
Background:
Although experiencing violence is a risk factor for substance use among youth, its association with same-day use of multiple substances (a form of polysubstance use) and mitigating factors is less well understood.Objectives:
To identify whether prosocial factors modified the effect of experiencing violence on the frequency of same-day use, and examine gender-specific risk/protective factors for same-day use.Methods:
We analyzed longitudinal data from a cohort of youth who use drugs aged 14-24 (n = 599; 58% male) presenting to an urban emergency department between 2009-2011 and assessed biannually for two years. Using Poisson-generalized linear models with person-level fixed effects, we estimated within-person associations between self-reported experiencing violence and same-day use and analyzed gender and peer/parent support as effect modifiers. We adjusted for negative peer influence, parental drug and alcohol use, family conflict, anxiety and depression, and age.Results:
Overall, positive parental support corresponded to lower rates of same-day use (rate ratio [RR]0.93, 95% CI0.87-0.99) and experiencing violence was associated with higher rates of same-day use (RR1.25, 95% CI1.10-1.41). Violence exposure was a risk factor among males (RR1.42, 95% CI1.21-1.66), while negative peer influences and parental substance use were risk factors among females (RR1.63, 95% CI1.36-1.97 and RR1.58, 95% CI1.35-1.83, respectively). Positive peer support reduced the association between violence exposure and same-day use among males (RR0.69, 95% CI0.57-0.84, p < .05).Conclusions:
Tailored interventions may address gender differences in coping with experiencing violence - including interventions that promote parental support among males and reduce influence from parental substance use among females.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Violencia
/
Trastornos Relacionados con Sustancias
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Servicio de Urgencia en Hospital
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Am J Drug Alcohol Abuse
/
Am. j. drug alcohol abus
/
American journal of drug and alcohol abuse
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos