Adverse Childhood Experiences and alcohol use among U.S.-born and immigrant Latinx youth: the roles of social support and stress hormones.

Autor: Zhen-Duan J; Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, 50 Staniford Street Suite 830 Boston, MA 02114 United States.; Department of Psychiatry, Harvard Medical School, 401 Park Drive Boston, MA 02215 United States., Nuñez M; Department of Psychology, University of Cincinnati, 66 Corry Blvd, Cincinnati, OH 45219 United States., Solomon MB; Department of Psychology, University of Cincinnati, 66 Corry Blvd, Cincinnati, OH 45219 United States., Geracioti T; Department of Psychiatry and Behavioral Neurosciences, University of Cincinnati College of Medicine, 2631 Erie Ave, Suite 3, Cincinnati, Ohio 45208 United States., Jacquez F; Department of Psychology, University of Cincinnati, 66 Corry Blvd, Cincinnati, OH 45219 United States.
Jazyk: angličtina
Zdroj: Journal of child and family studies [J Child Fam Stud] 2023 Nov; Vol. 32 (11), pp. 3568-3580. Date of Electronic Publication: 2023 Feb 22.
DOI: 10.1007/s10826-023-02550-y
Abstrakt: The biobehavioral correlates of Adverse Childhood Experiences (ACEs) among Latinx youth have been strikingly understudied. The purpose of this study was to 1) examine the effects of T-ACEs (e.g., maltreatment, family dysfunction) and E-ACEs (e.g., family deportation, community violence) in alcohol use, 2) test whether social support moderated these associations and 3) explore whether ACEs and alcohol use were related via adrenocortical hormones (i.e., cortisol, dehydroepiandrosterone [DHEA]). A total of 100 Latinx youth, between the ages of 13 and 19, participated in this study (53% female). Community samples of United States (U.S.)-born ( N = 54) and immigrant Latinx ( N = 46) youth provided morning saliva samples and completed self-report questionnaires. Results highlighted that for immigrant youth, social support buffered the effects of E-ACEs on alcohol use, F (9,89)= 3.34, p = .01, R 2 = .25. Although our mediation hypothesis was not supported, the direct effects of T-ACEs ( β = .25, t (94) = 2.21, p = .03) and E-ACES ( β = -.24, t (94) = -2.23, p = .03) on DHEA were significant for the entire sample. Preventing maltreatment and reducing community-level adversities seem critical for optimal child development, as exposure to these may increase alcohol use risk and affect HPA Axis functioning. Increasing extrafamilial support may be particularly salient for immigrant Latinx youth, as many experience extended immigration-related periods of separation from family members.
Databáze: MEDLINE
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