Links between alcohol and other drug problems and maltreatment among adolescent girls: Perceived discrimination, ethnic identity, and ethnic orientation as moderators☆
Introduction
Any form of neglect, physical abuse, emotional abuse, sexual abuse, or any combination of these that occurs constitutes maltreatment (Shin, Edwards, & Heeren, 2009). It is widely accepted that maltreatment experiences and alcohol and other drug (AOD) use often co-occur in adolescence (Bensley et al., 1999, Kilpatrick et al., 2000). Studies have found that adolescent girls report more experiences of maltreatment than adolescent boys (e.g., Tubman, Montgomery, Gil, & Wagner, 2004), and some reports indicate that as many as 60% of adolescent girls in AOD use treatment have experienced maltreatment (Simpson & Miller, 2002).
In studies with samples comprising adolescent girls who experienced maltreatment, one well-documented psychological correlate is posttraumatic stress symptoms. Findings from both longitudinal and cross-sectional research with adolescents have demonstrated that maltreatment and posttraumatic stress symptoms are linked (Kilpatrick et al., 2000, Lansford et al., 2002). Further, posttraumatic stress symptoms are thought to be the key link in understanding the relationship between maltreatment experiences and problematic AOD use among adolescents (Kilpatrick et al., 2003).
Adolescent research has also shown significant relations between AOD use and some ethnicity-specific factors, including perceived discrimination (Flores, Tschann, Dimas, Pasch, & de Groat, 2010), ethnic identity (James, Kim, & Armijo, 2000), and ethnic orientation (Gil, Wagner, & Tubman, 2004). Additionally, significant associations among adolescent AOD use, posttraumatic stress symptoms, and ethnicity specific factors have been found (e.g., Flores et al., 2010). However, we could find no studies that examined the relations among maltreatment, posttraumatic symptoms, AOD problems, and ethnicity-specific factors in a single explanatory model. Illuminating these associations would inform clinical interventions targeting problems associated with maltreatment experiences and AOD use in adolescent girls, in particular. Thus, this study examined the relations among maltreatment, posttraumatic symptoms, AOD problems, and ethnicity-specific factors in a cross-sectional sample of Black and Hispanic adolescent girls.
Section snippets
Maltreatment, posttraumatic stress and AOD use among adolescent girls
Among adolescents, research has shown that maltreatment is a strong risk factor for binge drinking even when controlling for parents’ problem drinking (Shin et al., 2009), and that younger adolescents (i.e., eighth graders) with maltreatment histories have an eight times greater risk for heavy alcohol use than their non-maltreated counterparts (Bensley et al., 1999). Research has also shown that when the girls are maltreated, they exhibit AOD abuse at younger ages than non-maltreated girls (
Participants
This study used archival data from Black and Hispanic adolescent girls (n = 168) who participated in a larger study (R21AA014914, PI: Montgomery; N = 185) designed to investigate the efficacy of a Guided Intervention for Real Life Skills (GIRLS), a brief motivational school-based intervention for reducing girls’ AOD use. Because the current study sought to investigate the hypothesized relations among Black and Hispanic adolescent girls, exclusively, data collected from girls of other ethnicities
Results
This study tested a relational model examining the links between maltreatment experiences among girls and their AOD problems using structural equation modeling (SEM) techniques in Mplus 4.1 (Muthén & Muthén, 2006). SEM analysis was used to estimate the direct and indirect effects of independent and mediating factors with a single indicator path analytic approach and a robust weighted least squares solution.
To reduce clutter in the figure (see Fig. 2), not all details of the analyses are
Discussion
This study examined the relation between maltreatment experiences and AOD problems in a sample of Black and Hispanic adolescent girls who were participants in a school-based AOD use intervention. Two primary hypotheses were delineated and tested with this sample. First, it was hypothesized that maltreatment would predict AOD problems with these girls, but that posttraumatic stress symptoms would mediate the relation between maltreatment and AOD problems. Second, it was hypothesized that
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Research supported by funding from the National Institute on Alcohol Abuse and Alcoholism (grant #R21AA014914) and the Florida Education Fund.