This study investigates the link between prenatal exposure to alcohol and drugs, parental perceptions of neighborhood safety and support, and the diagnosis of Oppositional Defiant Disorder (ODD) among a nationally representative sample of youth. A subset of variables from a larger study, the 2001-2004 National Comorbidity Survey-Adolescent Supplement (NCS-A), as well as its supplemental parental surveys, was analyzed in this study. This study used a specific selection of 5,924 adolescents and their parents from the NCS-A. Results suggest a correlation between prenatal caffeine use and a subsequent ODD diagnosis in female adolescents. Overall correlations between neighborhood drug use/sales and minority status and a subsequent diagnosis of ODD in adolescents were also found. Social, environmental, and professional implications of these findings are also discussed.
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