Abstract：
UNASSIGNED: Young Latinas and Black women drink less than women of other racial/ethnic groups but experience more alcohol-related problems in midlife. This study aims to identify modifiable factors to prevent adult onset of alcohol use disorder (AUD) in this population.
UNASSIGNED: Data were collected at six time points as part of the Harlem Longitudinal Development Study from 365 Latinas (47%) and Black (53%) women (mean age at time 1 = 14, standard deviation 1.3). Structural equation modeling was used to test hypothesized pathways from childhood physical and sexual abuse to AUD via depressive mood, anxiety disorders, and somatic complaints in the 20s. We also tested the moderation effect of the high school academic environment by including in the structural equation model two latent variable interaction terms between the school environment and each of the abuse variables.
UNASSIGNED: Childhood physical and sexual abuse was positively associated with depressive mood, anxiety disorders, and somatic complaints when participants were in the 20s. Depressive mood mediated childhood abuse and AUD when women were in the 30s. The high school academic environment attenuated the effect of physical, but not sexual abuse, on depressive mood (β = -0.59, B = -9.38, 95% CI [-14.00, -4.76]), anxiety symptoms (β = -0.61, B = -14.19, 95% CI [-21.76, -6.61]), appetite loss (β = -0.41, B = -10.52, 95% CI [-15.61, -5.42]), and sleeplessness (β = -0.50, B = -9.56, 95% CI [-13.95, -5.17]) in the early 20s.
UNASSIGNED: Our findings underscore the need to invest in early violence prevention interventions and in education to ensure equitable access to quality, academically oriented, and safe schools.
UNASSIGNED: Data were collected at six time points as part of the Harlem Longitudinal Development Study from 365 Latinas (47%) and Black (53%) women (mean age at time 1 = 14, standard deviation 1.3). Structural equation modeling was used to test hypothesized pathways from childhood physical and sexual abuse to AUD via depressive mood, anxiety disorders, and somatic complaints in the 20s. We also tested the moderation effect of the high school academic environment by including in the structural equation model two latent variable interaction terms between the school environment and each of the abuse variables.
UNASSIGNED: Childhood physical and sexual abuse was positively associated with depressive mood, anxiety disorders, and somatic complaints when participants were in the 20s. Depressive mood mediated childhood abuse and AUD when women were in the 30s. The high school academic environment attenuated the effect of physical, but not sexual abuse, on depressive mood (β = -0.59, B = -9.38, 95% CI [-14.00, -4.76]), anxiety symptoms (β = -0.61, B = -14.19, 95% CI [-21.76, -6.61]), appetite loss (β = -0.41, B = -10.52, 95% CI [-15.61, -5.42]), and sleeplessness (β = -0.50, B = -9.56, 95% CI [-13.95, -5.17]) in the early 20s.
UNASSIGNED: Our findings underscore the need to invest in early violence prevention interventions and in education to ensure equitable access to quality, academically oriented, and safe schools.
摘要：
年轻的拉丁裔和黑人女性的饮酒量比其他种族/族裔群体的女性少，但在中年时会遇到更多与酒精有关的问题。这项研究旨在确定可改变的因素，以防止该人群中成人饮酒障碍（AUD）的发作。
■作为哈林纵向发展研究的一部分，在六个时间点收集了来自365名拉丁裔（47％）和黑人（53％）女性的数据（时间1的平均年龄=14，标准偏差1.3）。结构方程模型用于测试从儿童身体和性虐待到AUD通过抑郁情绪的假设途径，焦虑症,和20年代的躯体投诉。我们还通过在结构方程模型中包含学校环境与每个滥用变量之间的两个潜在变量相互作用项来测试高中学术环境的调节作用。
■儿童身体虐待和性虐待与抑郁情绪呈正相关，焦虑症,和20多岁时的躯体抱怨。当女性30多岁时，抑郁情绪介导了儿童期的虐待和AUD。高中的学术环境减弱了物理的影响，但不是性虐待,抑郁情绪（β=-0.59，B=-9.38，95%CI[-14.00，-4.76]），焦虑症状（β=-0.61，B=-14.19，95%CI[-21.76，-6.61]），食欲减退（β=-0.41，B=-10.52，95%CI[-15.61，-5.42]），20年代初失眠（β=-0.50，B=-9.56，95%CI[-13.95，-5.17]）。
■我们的研究结果强调需要投资于早期预防暴力干预措施和教育，以确保公平获得质量，学术导向,和安全的学校。
■作为哈林纵向发展研究的一部分，在六个时间点收集了来自365名拉丁裔（47％）和黑人（53％）女性的数据（时间1的平均年龄=14，标准偏差1.3）。结构方程模型用于测试从儿童身体和性虐待到AUD通过抑郁情绪的假设途径，焦虑症,和20年代的躯体投诉。我们还通过在结构方程模型中包含学校环境与每个滥用变量之间的两个潜在变量相互作用项来测试高中学术环境的调节作用。
■儿童身体虐待和性虐待与抑郁情绪呈正相关，焦虑症,和20多岁时的躯体抱怨。当女性30多岁时，抑郁情绪介导了儿童期的虐待和AUD。高中的学术环境减弱了物理的影响，但不是性虐待,抑郁情绪（β=-0.59，B=-9.38，95%CI[-14.00，-4.76]），焦虑症状（β=-0.61，B=-14.19，95%CI[-21.76，-6.61]），食欲减退（β=-0.41，B=-10.52，95%CI[-15.61，-5.42]），20年代初失眠（β=-0.50，B=-9.56，95%CI[-13.95，-5.17]）。
■我们的研究结果强调需要投资于早期预防暴力干预措施和教育，以确保公平获得质量，学术导向,和安全的学校。
