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Links Between Childhood Exposure to Violent Contexts and Risky Adolescent Health Behaviors.

ABSTRACT: PURPOSE:To assess whether childhood exposure to violent contexts is prospectively associated with risky adolescent health behavior and whether these associations are specific to different contexts of violence and different types of risky behavior. METHODS:Data come from 2,684 adolescents in the Fragile Families and Child Wellbeing Study, a population-based birth cohort study of children born between 1998 and 2000 in 20 large American cities. Using logistic regression models, we evaluate whether exposure to 6 indicators of community violence and 7 indicators of family violence at ages 5 and 9 is associated with risky sexual behavior, substance use, and obesity risk behavior at age 15. RESULTS:Controlling for a range of adolescent, parent, and neighborhood covariates, each additional point on the community violence scale is associated with 8% higher odds of risky sexual behavior but not substance use or obesity risk behavior. Alternatively, each additional point on the family violence scale is associated with 20% higher odds of substance use but not risky sexual behavior or obesity risk behavior. CONCLUSIONS:Childhood exposure to violent contexts is associated with risky adolescent health behaviors, but the associations are context and behavior specific. After including covariates, we find no association between childhood exposure to violent contexts and obesity risk behavior.

SUBMITTER: James S

PROVIDER: S-EPMC6084799 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Links Between Childhood Exposure to Violent Contexts and Risky Adolescent Health Behaviors.

James Sarah S Donnelly Louis L Brooks-Gunn Jeanne J McLanahan Sara S

The Journal of adolescent health : official publication of the Society for Adolescent Medicine 20180701 1

<h4>Purpose</h4>To assess whether childhood exposure to violent contexts is prospectively associated with risky adolescent health behavior and whether these associations are specific to different contexts of violence and different types of risky behavior.<h4>Methods</h4>Data come from 2,684 adolescents in the Fragile Families and Child Wellbeing Study, a population-based birth cohort study of children born between 1998 and 2000 in 20 large American cities. Using logistic regression models, we ev ...[more]

PMID: 30060864

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Project description:Many studies of adults with acute and chronic solvent exposure have shown adverse effects on cognition, behavior and mood. No prior study has investigated the long-term impact of prenatal and early childhood exposure to the solvent tetrachloroethylene (PCE) on the affinity for risky behaviors, defined as smoking, drinking or drug use as a teen or adult.This retrospective cohort study examined whether early life exposure to PCE-contaminated drinking water influenced the occurrence of cigarette smoking, alcohol consumption, and drug use among adults from Cape Cod, Massachusetts.Eight hundred and thirty-one subjects with prenatal and early childhood PCE exposure and 547 unexposed subjects were studied. Participants completed questionnaires to gather information on risky behaviors as a teenager and young adult, demographic characteristics, other sources of solvent exposure, and residences from birth through 1990. PCE exposure was estimated using the U.S. EPA's water distribution system modeling software (EPANET) that was modified to incorporate a leaching and transport model to estimate PCE exposures from pipe linings.Individuals who were highly exposed to PCE-contaminated drinking water during gestation and early childhood experienced 50-60% increases in the risk of using two or more major illicit drugs as a teenager or as an adult (Relative Risk (RR) for teen use = 1.6, 95% CI: 1.2-2.2; and RR for adult use = 1.5, 95% CI: 1.2-1.9). Specific drugs for which increased risks were observed included crack/cocaine, psychedelics/hallucinogens, club/designer drugs, Ritalin without a prescription, and heroin (RRs:1.4-2.1). Thirty to 60% increases in the risk of certain smoking and drinking behaviors were also seen among highly exposed subjects.The results of this study suggest that risky behaviors, particularly drug use, are more frequent among adults with high PCE exposure levels during gestation and early childhood. These findings should be confirmed in follow-up investigations of other exposed populations.

Project description:Health complications related to childhood cancer may be influenced by risky health behaviors (RHBs), particularly when RHBs co-occur. To the authors' knowledge, only limited information is available describing how RHBs cluster among survivors of childhood cancer and their siblings and the risk factors for co-occurring RHBs.Latent class analysis was used to identify RHB clusters using longitudinal survey data regarding smoking, alcohol use, and physical activity from adult survivors (4184 survivors) and siblings (1598 siblings) in the Childhood Cancer Survivor Study. Generalized logistic regression was used to evaluate associations between demographic characteristics, treatment exposures, psychological distress, health conditions, and cluster membership.Three RHB clusters were identified: a low-risk cluster, an insufficiently active cluster, and a high-risk cluster (tobacco and risky alcohol use and insufficient activity). Compared with siblings, survivors were more likely to be in the insufficiently active cluster (adjusted odds ratio [ORadj ], 1.17; 95% confidence interval [95% CI], 1.06-1.27) and were less likely to be in the high-risk cluster (ORadj , 0.79; 95% CI, 0.69-0.88). Risk factors for membership in the high-risk cluster included psychological distress (ORadj , 2.76; 95% CI, 1.98-3.86), low educational attainment (ORadj , 7.49; 95% CI, 5.15-10.88), income <$20,000 (ORadj , 2.62; 95% CI, 1.93-3.57), being divorced/separated or widowed (ORadj , 1.36; 95% CI, 1.03-1.79), and limb amputation (ORadj , 1.52; 95% CI, 1.03-2.24). Risk factors for the insufficiently active cluster included chronic health conditions, psychological distress, low education or income, being obese or overweight, female sex, nonwhite race/ethnicity, single marital status, cranial radiation, and cisplatin exposure.RHBs co-occur in survivors of childhood cancer and their siblings. Economic and educational disadvantages and psychological distress should be considered in screening and interventions to reduce RHBs. Cancer 2016. © 2016 American Cancer Society. Cancer 2016;122:2747-2756. © 2016 American Cancer Society.

Dataset Information

Links Between Childhood Exposure to Violent Contexts and Risky Adolescent Health Behaviors.

Publications

Links Between Childhood Exposure to Violent Contexts and Risky Adolescent Health Behaviors.

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