@article{ref1,
title="Experiencing violence and other predictors of within-person same-day use of multiple substances in youth: a longitudinal study in emergency settings",
journal="American journal of drug and alcohol abuse encompassing all addictive disorders",
year="2024",
author="Lyons, Vivian H. and Myers, Matthew G. and Cunningham, Rebecca M. and Zimmerman, Marc A. and Carter, Patrick M. and Walton, Maureen A. and Goldstick, Jason",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Although experiencing violence is a risk factor for substance use among youth, its association with same-day use of multiple substances (a form of polysubstance use) and mitigating factors is less well understood.<br><br>OBJECTIVES: To identify whether prosocial factors modified the effect of experiencing violence on the frequency of same-day use, and examine gender-specific risk/protective factors for same-day use.<br><br>METHODS: We analyzed longitudinal data from a cohort of youth who use drugs aged 14-24 (n = 599; 58% male) presenting to an urban emergency department between 2009-2011 and assessed biannually for two years. Using Poisson-generalized linear models with person-level fixed effects, we estimated within-person associations between self-reported experiencing violence and same-day use and analyzed gender and peer/parent support as effect modifiers. We adjusted for negative peer influence, parental drug and alcohol use, family conflict, anxiety and depression, and age.<br><br>RESULTS: Overall, positive parental support corresponded to lower rates of same-day use (rate ratio [RR]:0.93, 95% CI:0.87-0.99) and experiencing violence was associated with higher rates of same-day use (RR:1.25, 95% CI:1.10-1.41). Violence exposure was a risk factor among males (RR:1.42, 95% CI:1.21-1.66), while negative peer influences and parental substance use were risk factors among females (RR:1.63, 95% CI:1.36-1.97 and RR:1.58, 95% CI:1.35-1.83, respectively). Positive peer support reduced the association between violence exposure and same-day use among males (RR:0.69, 95% CI:0.57-0.84, p < .05).<br><br>CONCLUSIONS: Tailored interventions may address gender differences in coping with experiencing violence - including interventions that promote parental support among males and reduce influence from parental substance use among females.<p /> <p>Language: en</p>",
language="en",
issn="0095-2990",
doi="10.1080/00952990.2024.2307546",
url="http://dx.doi.org/10.1080/00952990.2024.2307546"
}