Exposure to Violence and Associated Health-Risk Behaviors Among Adolescent Girls

Berenson, Abbey B.; Wiemann, Constance M.; McCombs, Sharon L.

doi:10.1001/archpedi.155.11.1238

Cited by 133 publications

(112 citation statements)

References 25 publications

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“…Findings indicated that community violence exposure was significantly associated with drug and sexual risk behaviors among detained youth. These findings corroborate those of other studies utilizing community-based samples of youth (Berenson, Wiemann, & McCombs, 2001;Stiffman, Dore, Cunningham, & Earls, 1995;Voisin, 2003Voisin, , 2005. Taken together, these results suggest the need to develop better assessment instruments to identify youth who are exposed to both community violence and engage in drug and sexual risk behaviors.…”

Section: Discussionsupporting

confidence: 88%

“…Collectively, these studies document that youth who are exposed to high rates of violence within their communities are at greater risk for engaging in behaviors such as illicit drug use and unsafe sexual behaviors (Berenson, Wiemann, & McCombs, 2001;Stiffman, Dore, Cunningham, & Earls, 1995;Voisin, 2003Voisin, , 2005. However, the pathways which mediate such relationships are not adequately understood or empirically researched.…”

Section: Introductionmentioning

confidence: 99%

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Pathways to Drug and Sexual Risk Behaviors among Detained Adolescents

Voisin

Neilands

Salazar

et al. 2008

Social Work Research

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Purpose-Among a sample of detained youth, to investigate pathways that link witnessing community violence, in the 12 months prior to being detained, to drug and sexual risk behaviors, in the two months preceding detainment.Methods-Using A-CASI technology, data was collected from 559 detained adolescents on demographics, family factors, peer influences, religiosity, witnessing community violence, and drug and sexual risk behaviors.Results-Controlling for demographics and family variables, findings indicated positive associations between witnessing community violence and drug and sexual risk behaviors. Witnessing community violence was directly linked to sexual risk behaviors, and indirectly associated with these risk behaviors, through gang membership and perceived risky peer norms. Additionally, witnessing community violence was indirectly linked to substance use through gang membership and perceived risky peer norms.Conclusions-Interventions targeting change in peer affiliations and perceived norms may be an effective strategy for reducing risky drug and sexual behaviors among detained youth.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Pathways to Drug and Sexual Risk Behaviors among Detained Adolescents

Voisin

Neilands

Salazar

et al. 2008

Social Work Research

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“…Some prior literature focuses on issues such as STDs, HIV and other public health issues, and consistently finds strong associations [8][9][10]. A few studies measure particular acute and rare effects-such as poisonings, overdoses, intense intoxication [11].…”

Section: Introductionmentioning

confidence: 99%

“…Prior studies on the prevalence of medical conditions in adolescents with alcohol and drug misuse or problems has largely been conducted on public populations [9], inpatient populations [5] or general populations [13,25]. Other studies use small samples, case studies of one or few patients, have no or very small non-substance-using comparison groups [12,17,19,22,26,27] rely solely on self-report of medical problems [12,13] or overall health status [6,28], or do not examine specific medical conditions [7].…”

Section: Introductionmentioning

confidence: 99%

Medical Conditions of Adolescents in Alcohol and Drug Treatment: Comparison with Matched Controls

Mertens

Flisher

Fleming

et al. 2007

Journal of Adolescent Health

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Purpose-Alcohol and drug problems are associated with medical problems among adults. Research on the relationship of adolescent alcohol and drug use disorders to specific medical problems is less developed and focused on acute consequences. This study addresses gaps in the literature regarding medical comorbidities in adolescents with alcohol and drug use disorders.Methods-This study compares the prevalence of medical conditions among 417 adolescent alcohol and drug treatment patients with 2,082 demographically-matched controls from the same managed care health plan and examines whether comparisons vary among substance-type subgroups.Results-Approximately one-fourth of the comorbid conditions examined were more common among adolescent alcohol and drug patients than among matched controls, and several were among the most costly conditions (e.g. asthma, injury). We also found that pain-related diagnoses, including headache, and abdominal pain, were more prevalent among alcohol and drug patients.Conclusions-Our findings point to the importance of examining comorbid medical and chemical dependency in both adolescent primary care and specialty care. Moreover, optimal treatment of many common medical disorders may require identification, intervention, and treatment of a substance use problem.

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“…There is also a well-documented link between NSSI and eating disorders (Favazza et al, 1989;Favaro and Santonastaso, 2000;Wonderlich, 2001;Dohm, 2002;Paul, 2002;Sansone and Levitt, 2002;Stein et al, 2004; but see also Zlotnick et al, 1999). Rates of self-injury are also elevated six-fold in people who have been exposed to physical acts of violence or threats to their lives (Berenson et al, 2001). There is also evidence linking risky sexual practices in adolescents with self-injurious behaviors such as cutting (DiClemente et al, 1991;Brown et al, 2005;Brown et al, 2008).…”

mentioning

confidence: 99%

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

Germain

Hooley

2012

Psychiatry Research

119

116

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Non-suicidal self-injury (NSSI) involves deliberate acts (such as cutting) that directly damage the body but occur without suicidal intent. However, other non-suicidal behaviors that involve people mistreating or abusing themselves but that do not deliberately and directly damage bodily tissue may have much in common with NSSI. Such 'indirect' methods of self-injury might include involvement in abusive relationships, substance abuse, risky or reckless behavior, or eating disordered behavior. Using a community sample (N=156) we compared individuals engaging in NSSI (n=50), indirect (non-suicidal) self-injurers (n=38), and healthy controls (n=68) on a range of clinical and personality characteristics. As predicted, non-suicidal selfinjurers and indirect self-injurers showed more pathology than healthy controls on all measures.Comparisons of the NSSI and the Indirect self-injury groups revealed no significant differences on measures of dissociation, aggression, impulsivity, self-esteem, negative temperament, depressive symptoms, and borderline personality disorder. However, compared to people who engaged only in indirect forms of self-injury, those who engaged in NSSI were more self-critical, had higher scores on a measure of suicide proneness, and had a history of more suicide attempts.The findings suggest that NSSI and indirect self-injury are best viewed as separate and distinct clinical phenomena.Key Words = DSM-5, non-suicidal self-injury (NSSI), deliberate self-harm, suicide, borderline personality disorder, self-criticism.NSSI and Indirect Self--Injury 3 3

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Exposure to Violence and Associated Health-Risk Behaviors Among Adolescent Girls

Abstract: Adolescents exposed to violence are at increased risk of multiple adverse health behaviors. Programs designed to improve health outcomes should target this high-risk group.

Cited by 133 publications

References 25 publications

Pathways to Drug and Sexual Risk Behaviors among Detained Adolescents

Pathways to Drug and Sexual Risk Behaviors among Detained Adolescents

Medical Conditions of Adolescents in Alcohol and Drug Treatment: Comparison with Matched Controls

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

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