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Alcohol, Prescription Drug Misuse, Sexual Violence, and Dating Violence Among High School Youth.
J Adolesc Health. 2018 11; 63(5):601-607.JA

Abstract

PURPOSE

Sexual violence (SV), teen dating violence (TDV), and substance use are significant public health concerns among U.S. adolescents. This study examined whether latent classes of baseline alcohol and prescription drug misuse longitudinally predict SV and TDV victimization and perpetration (i.e., verbal,relational, physical/threatening, and sexual) 1 year later.

METHODS

Students from six Midwestern high schools (n = 1,875; grades 9-11) completed surveys across two consecutive spring semesters. Latent class analysis was used to identify classes of individuals according to four substance use variables. A latent class regression and a manual three-step auxiliary approach were used to assess concurrent and distal relationships between identified classes and SV and TDV victimization and perpetration.

RESULTS

Three classes of substance use were identified: low/no use (41% of sample), alcohol only use (45%), and alcohol and prescription drug misuse (APD) (14%). Youth in the APD class experienced greater SV and TDV victimization and perpetration than the alcohol only class at baseline. At Time 2 (one year later), youth in the baseline APD class experienced significantly higher SV and TDV victimization and perpetration outcomes than youth in the alcohol only class with the exception of sexual and physical TDV perpetration.

CONCLUSIONS

The misuse of both alcohol and prescription drugs emerged as a significant risk factor for later SV and TDV among adolescents. As such, it would be beneficial if future research continued to assess the nature of these associations and incorporate prescription drug use and misuse into heath education,substance use, and violence prevention programs.

Authors+Show Affiliations

University of Florida, Gainesville, Florida. Electronic address: espelage@ufl.edu.University of Southern California, Los Angeles, California‎.Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, Georgia.Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, Georgia.Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, Georgia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

30172675

Citation

Espelage, Dorothy L., et al. "Alcohol, Prescription Drug Misuse, Sexual Violence, and Dating Violence Among High School Youth." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 63, no. 5, 2018, pp. 601-607.
Espelage DL, Davis JP, Basile KC, et al. Alcohol, Prescription Drug Misuse, Sexual Violence, and Dating Violence Among High School Youth. J Adolesc Health. 2018;63(5):601-607.
Espelage, D. L., Davis, J. P., Basile, K. C., Rostad, W. L., & Leemis, R. W. (2018). Alcohol, Prescription Drug Misuse, Sexual Violence, and Dating Violence Among High School Youth. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 63(5), 601-607. https://doi.org/10.1016/j.jadohealth.2018.05.024
Espelage DL, et al. Alcohol, Prescription Drug Misuse, Sexual Violence, and Dating Violence Among High School Youth. J Adolesc Health. 2018;63(5):601-607. PubMed PMID: 30172675.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcohol, Prescription Drug Misuse, Sexual Violence, and Dating Violence Among High School Youth. AU - Espelage,Dorothy L, AU - Davis,Jordan P, AU - Basile,Kathleen C, AU - Rostad,Whitney L, AU - Leemis,Ruth W, Y1 - 2018/08/30/ PY - 2017/12/05/received PY - 2018/05/15/revised PY - 2018/05/16/accepted PY - 2018/9/3/pubmed PY - 2019/11/21/medline PY - 2018/9/3/entrez KW - Adolescents KW - Sexual violence KW - Substance use KW - Teen dating violence SP - 601 EP - 607 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 63 IS - 5 N2 - PURPOSE: Sexual violence (SV), teen dating violence (TDV), and substance use are significant public health concerns among U.S. adolescents. This study examined whether latent classes of baseline alcohol and prescription drug misuse longitudinally predict SV and TDV victimization and perpetration (i.e., verbal,relational, physical/threatening, and sexual) 1 year later. METHODS: Students from six Midwestern high schools (n = 1,875; grades 9-11) completed surveys across two consecutive spring semesters. Latent class analysis was used to identify classes of individuals according to four substance use variables. A latent class regression and a manual three-step auxiliary approach were used to assess concurrent and distal relationships between identified classes and SV and TDV victimization and perpetration. RESULTS: Three classes of substance use were identified: low/no use (41% of sample), alcohol only use (45%), and alcohol and prescription drug misuse (APD) (14%). Youth in the APD class experienced greater SV and TDV victimization and perpetration than the alcohol only class at baseline. At Time 2 (one year later), youth in the baseline APD class experienced significantly higher SV and TDV victimization and perpetration outcomes than youth in the alcohol only class with the exception of sexual and physical TDV perpetration. CONCLUSIONS: The misuse of both alcohol and prescription drugs emerged as a significant risk factor for later SV and TDV among adolescents. As such, it would be beneficial if future research continued to assess the nature of these associations and incorporate prescription drug use and misuse into heath education,substance use, and violence prevention programs. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/30172675/Alcohol_Prescription_Drug_Misuse_Sexual_Violence_and_Dating_Violence_Among_High_School_Youth_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(18)30208-8 DB - PRIME DP - Unbound Medicine ER -