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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Adolesc+Health 2011 ; 48 (3): 247-52 Nephropedia Template TP
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Internalizing Problems: A Potential Pathway from Child Maltreatment to Adolescent Smoking #MMPMID21338895
Lewis TL; Kotch J; Wiley T; Litrownik AJ; English DJ; Thompson R; Zolotor AJ; Block SD; Dubowitz H
J Adolesc Health 2011[Mar]; 48 (3): 247-52 PMID21338895show ga
Purpose: This study examines the association between child maltreatment and adolescent smoking and the extent to which internalizing behavior problems mediate this hypothesized link. Methods: Data from 522 youth at ages 12, 14, and 16 and their caregivers were obtained as part of a prospective, longitudinal study of child abuse and neglect (LONGSCAN). Official Child Protective Services (CPS) reports of maltreatment and self-reported abusive experiences were obtained at age 12. Internalizing behavior problems were reported by caregivers at age 14. Adolescents self-reported cigarette use at age 16. Results: A significantly higher proportion of maltreated youth (19%) reported having smoked in the last 30 days compared to non-maltreated youth (7%). A history of child maltreatment predicted smoking at age 16. Maltreatment history was associated with internalizing problems at age 14, and internalizing problems were associated with smoking. Finally, internalizing behaviors partially mediated the link between child maltreatment by age 12 and adolescent smoking at age 16. Conclusions: Internalizing problems are one mediating pathway by which adolescents with a history of child maltreatment may initiate smoking behavior during middle-adolescence. Given the elevated rate of smoking among maltreated adolescents, it is important to identify potential pathways to better guide prevention strategies. These finding suggest that youth with a history of maltreatment should be identified as a high-risk group, and that efforts to identify and address internalizing problems in this population may be an important area of intervention to reduce adolescent smoking.