title: Childhood maltreatment histories, alcohol and other drug use symptoms, and sexual risk behavior in a treatment sample of adolescents.
abstract: OBJECTIVE
  We tested a structural model of relations among self-reported childhood maltreatment, alcohol and other drug abuse and dependence symptoms, and sexual risk behavior in a sample of adolescents receiving outpatient treatment of substance use problems.
  
  
  METHODS
  Structured interviews were administered to an ethnically diverse sample of 394 adolescents (114 girls, 280 boys; mean = 16.30 years; SD = 1.15 years; 44.9% Hispanic, 20.6% African American, 25.4% White non-Hispanic, and 9.1% other) in 2 outpatient treatment settings.
  
  
  RESULTS
  Path analyses yielded findings consistent with a mediation model. Alcohol abuse and dependence symptoms mediated (1) relations between emotional neglect scores and sex with co-occurring alcohol use and (2) relations between sexual abuse scores and sex with co-occurring alcohol use. Drug abuse and dependence symptoms mediated relations between (1) neglect scores and (2) sexual intercourse with co-occurring alcohol or drug use, as well as unprotected sexual intercourse.
  
  
  CONCLUSIONS
  Efforts to treat alcohol or drug use problems among adolescents or to prevent transmission of HIV or other sexually transmitted infections among youths with substance use problems may require tailoring treatment or prevention protocols to address client histories of maltreatment.
authors.affiliation: Department of Clinical and Social Sciences, Mt. Hope Family Center, University of Rochester, Rochester, NY 14608, USA. Assafoshri@Rochester.edu
authors.forename: Assaf
authors.initials: A
authors.lastname: Oshri
authors.forename: Jonathan G
authors.initials: JG
authors.lastname: Tubman
authors.forename: Mandi L
authors.initials: ML
authors.lastname: Burnette
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000437:Alcoholism / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000523:psychology; D006801:Humans; D008297:Male; D012309:Risk-Taking; D057566:Self Report; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D014481:United States / Q000453:epidemiology