%0 Journal Article %T Risk for substance use among adolescents at-risk for childhood victimization: the moderating role of ADHD %J Child abuse and neglect %D 2021 %A García, Byron H. %A Vázquez, Alejandro L. %A Moses, Jacqueline O. %A Cromer, Kelly D. %A Morrow, Anne S. %A Villodas, Miguel T. %V 114 %N %P e104977-e104977 %X BACKGROUND: Youth who are victimized by violence are at heightened risk for substance use (SU) during adolescence, a period characterized by elevated impulsivity and risk-taking behavior. This risk may be magnified by attention-deficit/hyperactivity disorder (ADHD).

OBJECTIVE: To examine risk/protective factors for adolescent SU among adolescents at-risk for victimization and whether ADHD moderates these associations. PARTICIPANTS AND SETTING: Participants were 1058 caregiver-adolescent dyads in the U.S. who participated in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN).

METHOD: Binary logistic regression analyses were conducted for each SU type. First-order effects of all variables were tested first and for each SU outcome, followed by tests of two-way interactions between ADHD group and each predictor, after controlling for first-order effects.

RESULTS: More externalizing behavior (odds ratio [OR] = 1.38; 95 % confidence interval [CI]:1.12, 1.71) and less parental knowledge (OR =.75; 95 %CI:.60,.95) were associated with greater risk for subsequent tobacco use. Less positive peer affiliation was associated with greater risk for subsequent illicit SU (OR =.59; 95 %CI:.36,.96). More deviant peer affiliation were associated with greater risk for all forms of SU. ADHD moderated the association between deviant peer affiliation and marijuana use [b =.9, p <.05, 95 %CI:.03, 1.77), such that deviant peer affiliation was a significantly stronger predictor of marijuana use among adolescents with ADHD than those without.

CONCLUSIONS: Findings suggest risk and protective factors for SU are largely consistent for adolescents at-risk for victimization with and without ADHD, but at-risk adolescents with ADHD may be more susceptible to deviant peer influences.

Language: en

%G en %I Elsevier Publishing %@ 0145-2134 %U http://dx.doi.org/10.1016/j.chiabu.2021.104977