Linking Patterns of Substance Use With Sexual Risk-Taking Among Female Adolescents With and Without Histories of Maltreatment

Rivera, Peter M.; Bray, Bethany C.; Guastaferro, Kate; Kugler, Kari C.; Noll, Jennie G.

doi:10.1016/j.jadohealth.2017.11.293

Cited by 12 publications

(3 citation statements)

References 38 publications

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“…Because different forms of adolescent risk behaviors often co-occur, use of latent class analysis (LCA) as a statistical method to identify subgroups/classes within a population is increasingly used in studies involving adolescent risk behaviors. [26][27][28] However, we are unaware of any studies that examined multiple adolescent risks simultaneously, in relation to protective factors and sleep duration.…”

Section: Introductionmentioning

confidence: 99%

Role of Sleep Duration in the Association Between Socioecological Protective Factors and Health Risk Behaviors in Adolescents

Ordway

Wang

Jeon

et al. 2020

J Dev Behav Pediatr

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Objective-The purpose of this study was to examine the associations of sleep duration and socioecological protective factors with patterns of adolescent risk behaviors in Fairfax County, VA -one of the largest public-school districts in the United States.Methods-A total of 21,360 and 20,330 students in 10 th and 12 th grades who completed the youth risk behavior survey were included in this cross-sectional analysis. Sleep duration was measured by self-report of the average number of hours of sleep on a school night. Ten socioecological protective factors included individual-peer, family, school, and community domains. Latent class analysis was used to classify 7 risk behaviors (alcohol use, cigarette use, illicit drug use, inappropriate prescription drug use, risky sexual behavior, deviant behavior, and academic failure) into 4 class-memberships (Low, Some, Moderate, and High). Multinomial regression models were adjusted for age, gender, and race.Results-Adolescents who reported sleeping the recommended 8-9 hours were significantly less likely to belong to the class-memberships of greater risk behaviors compared to those who reported short and longer sleep duration after controlling for age, gender, race, and survey year.

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Section: Introductionmentioning

confidence: 99%

Role of Sleep Duration in the Association Between Socioecological Protective Factors and Health Risk Behaviors in Adolescents

Ordway

Wang

Jeon

et al. 2020

J Dev Behav Pediatr

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“… 8 Substance use also increases young women’s risk of further exposure to physical and sexual trauma, and consequently HIV, as substance use often places women in high-risk environments for assault and because it often exacerbates conflict in relationships. 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women

Myers

Carney

Browne

et al. 2018

PPA

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PurposeTo develop a trauma-informed substance use and sexual risk reduction intervention for young South African women at risk of HIV.Patients and methodsGuided by the ADAPT-ITT framework for intervention development, we selected four focus groups (n=26) to assess the service needs and preferences of trauma-exposed young women (aged 18–25 years) who use substances. We used findings to develop a needs-based and contextually appropriate intervention. In addition four focus groups (n=30) were selected to explore potential service users’ views of this intervention and recommendations for improving acceptability and appeal. Expert stakeholders were also consulted.ResultsYoung women described therapeutic, self-care, and social support needs for coping with traumatic experiences and reducing substance- and sexual-related risks for HIV and further trauma. To address these needs, we expanded the Women’s Health Co-Operative (WHC; an evidence-based HIV prevention program) to include trauma-related psychoeducation; cognitive-behavioral strategies for coping with the emotional impact of trauma, stress, and substance use craving; social support strategies; and self-care components to help young women create a life with purpose. This novel and expanded six-session group-based intervention is called the trauma-informed WHC. Focus group participants and expert stakeholders viewed the trauma-informed WHC as highly relevant and acceptable. They provided recommendations for modifications to the intervention structure and reformatting of intervention materials to enhance the intervention’s appeal and the feasibility of reaching and retaining young women in the program.ConclusionEngaging women as potential service users in the process of developing a trauma-informed substance use and sexual risk reduction intervention helped identify service needs not commonly addressed in trauma-informed substance use interventions but critical for recovery and local relevance. It also enhanced the acceptability and appeal of the intervention. While potentially acceptable, the trauma-informed WHC requires feasibility testing before establishing its efficacy in a larger trial.

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“…Youths who experience CM are more likely to initiate substance use (SU) earlier, escalate SU more rapidly, meet criteria for a substance use disorder (SUD), and experience relapse following SU treatment compared to their non-maltreated peers (Alvarez-Alonso et al, 2016;Dube, et al, 2006;Mills et al, 2014;Shin et al, 2013;Van Dam et al, 2014). A burgeoning literature has also demonstrated that youth who experience CM are at greater risk of engaging in polysubstance use (polySU; Alvarez-Alonso et al, 2016;Rivera, Bray, Guastaferro, Kugler, & Noll, 2018;Snyder & Smith, 2015), a SU pattern that is itself associated with amplified risk of experiencing an SUD (Moss, Chen, & Yi, 2014). Moreover, polySU also represents a significant risk factor for a number of mental and physical health issues (Hakansson, Schlyter, Berglund, 2011;Jones et al, 2017;Smith et al, 2011;Timko, Han, Woodhead, Shelley, & Cucciare, 2018), making it a pertinent SU pattern to investigate in a population already at elevated risk for poor health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Grit-related profiles predict polysubstance use in youth with a history of childhood maltreatment

Picci¹,

Linden-Carmichael²,

Ej³

2020

Preprint

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Childhood maltreatment (CM) is a significant impediment to normative developmental trajectories and consistently predicts increased risk for a range of adverse outcomes, including substance misuse and polysubstance use (polySU). Yet, a subset of individuals who experience CM exhibit successful adaptations across the lifespan. Though there is an expansive literature on social, emotional, and cognitive protective factors that mitigate impacts of CM, less is known about non-social and non-cognitive protective factors such as ‘grit’ (i.e., determination to achieve long-term goals). Grit has been shown to predict adaptive functioning in a variety of domains. Using a person-centered statistical approach (i.e., latent profile analysis), we examined heterogeneity in grit in maltreated youth from the LONGSCAN sample as it related to maltreatment characteristics and substance use (SU) patterns during adolescence. We uncovered 3 latent profiles based on participants’ grit-related traits (i.e., Low Grit, Average Grit, and High Grit). Those in the High Grit profile were least likely to engage in polySU during adolescence. These findings highlight the promise of grit as a protective factor against polySU following CM and one that is not necessarily contingent upon environmental supports and/or cognitive ability. As such, this work represents a promising avenue for future preventative intervention efforts.

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Linking Patterns of Substance Use With Sexual Risk-Taking Among Female Adolescents With and Without Histories of Maltreatment

Cited by 12 publications

References 38 publications

Role of Sleep Duration in the Association Between Socioecological Protective Factors and Health Risk Behaviors in Adolescents

Role of Sleep Duration in the Association Between Socioecological Protective Factors and Health Risk Behaviors in Adolescents

Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women

Grit-related profiles predict polysubstance use in youth with a history of childhood maltreatment

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