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Titolo:
SUBSTANCE USE AND RISKY SEXUAL-BEHAVIOR IN FEMALE ADOLESCENTS
Autore:
MEZZICH AC; TARTER RE; GIANCOLA PR; LU S; KIRISCI L; PARKS S;
Indirizzi:
UNIV PITTSBURGH,WESTERN PSYCHIAT INST & CLIN,MED CTR,DEPT PSYCHIAT,3811 OHARA ST PITTSBURGH PA 15213
Titolo Testata:
Drug and alcohol dependence
fascicolo: 2-3, volume: 44, anno: 1997,
pagine: 157 - 166
SICI:
0376-8716(1997)44:2-3<157:SUARSI>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
WOMEN; DELINQUENCY; EXPERIENCE; STATES; GIRLS; ABUSE; HIV;
Keywords:
SUBSTANCE USE; RISKY SEXUAL BEHAVIOR; FEMALE ADOLESCENTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
48
Recensione:
Indirizzi per estratti:
Citazione:
A.C. Mezzich et al., "SUBSTANCE USE AND RISKY SEXUAL-BEHAVIOR IN FEMALE ADOLESCENTS", Drug and alcohol dependence, 44(2-3), 1997, pp. 157-166

Abstract

The purpose of this study was to elucidate the etiological pathways towards substance use and risky sexual behavior in female adolescent substance abusers. The study had three aims: (1) to determine the relations between behavioral dysregulation, negative affectivity, and childhood victimization with substance use and risky sexual behavior, (2) todetermine whether these relations are mediated by internalizing symptomatology, antisocial behavior, and affiliating with an adult boyfriend; and (3) to determine whether age of menarche moderates the relationbetween the mediating variables and substance use and risky sexual behavior. Multiple behavioral, psychiatric interview. and self-report measures were used to index behavioral dysregulation, negative affectivity, childhood victimization, internalizing symptomatology, antisocial behavior, affiliation with adult boyfriends, substance use, and risky sexual behavior in 125 substance abusing female adolescents and 78 controls between the ages of 14-18 years. Structural equation modeling was used to determine the etiological pathways. Results indicated that behavioral dysregulation, negative affectivity, and childhood victimization were related to substance use and risky sexual behavior. Age of menarche was significantly correlated with affiliation with an older boyfriend and risky sexual behavior. Antisocial behavior mediated the associations between behavioral dysregulation, negative affectivity and childhood victimization with substance use and risky sexual behavior. Affiliation with an adult boyfriend was directly associated with substance use involvement and accounted for the relationship between chronological age and risky sexual behavior. Finally, late menarche enhancedthe association between internalizing symptomatology and substance use involvement. The results highlight the importance of behavioral dysregulation, negative affectivity, and childhood victimization in predicting substance use and risky sexual behavior, as well as the finding that antisocial behavior and affiliation with an adult boyfriend may beetiologically important in predicting these outcomes. Therefore, froma prevention and treatment standpoint, behavioral and affective dysregulation, childhood victimization as well as antisocial behavior may serve as clinical 'gateways' for altering the developmental trajectory toward substance use and risky sexual behavior in high risk and substance abusing youth. For example, reducing dysregulation through behavior modification procedures that have been developed for conduct disordered children would appear to be a heuristic avenue of investigation emanating from the results obtained in this study. (C) 1997 Elsevier Science Ireland Ltd.

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Documento generato il 16/01/21 alle ore 08:14:29