Intersections of Community Violence Exposure, Posttraumatic Stress Symptoms, and Alcohol and Marijuana Use Among Young Adults.

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Title: Intersections of Community Violence Exposure, Posttraumatic Stress Symptoms, and Alcohol and Marijuana Use Among Young Adults.
Authors: Kanchana Karthik, Radha (AUTHOR), Haney-Caron, Emily (AUTHOR), Allwood, Maureen A. (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 5, p718-732. 15p.
Subjects: Post-traumatic stress disorder in adolescence, Substance abuse, Cross-sectional method, Statistical correlation, Violence, T-test (Statistics), Questionnaires, Logistic regression analysis, Fisher exact test, Two-way analysis of variance, Violence in the community, Descriptive statistics, Chi-squared test, Crime victims, Research, Data analysis software, Factor analysis, Alcohol drinking, Cannabis (Genus), Regression analysis
Abstract: Introduction: Community violence exposure (CVE) is an understudied facet of traumatic experiences, and much of the relatively limited literature investigating outcomes associated with CVE, such as Posttraumatic Stress Symptoms (PTSS) and substance use, have centered other trauma types and overlooked differences related to sex, race, and ethnicity. With respect to CVE, direct victimization or CVE broadly has often been the focus. Regarding substance use, alcohol use has been the primary substance studied in the literature, and marijuana has been relatively understudied. Methods: Considering these gaps, the present study investigated the associations between CVE, PTSS, and alcohol and marijuana use among a young adult sample of 517 participants with each construct examined multidimensionally. Results: Findings revealed that witnessing and being victimized by community violence were both significantly associated with alcohol and marijuana use as well as PTSS, with additional analyses exploring variation by sex, race, and ethnicity; Black and Hispanic/Latine young people reported disparate exposure to community violence, and sex differences emerged in reports of CVE and PTSS. Interestingly, associations among constructs varied between different domains of CVE (victimization and witnessing) and alcohol and marijuana use (initiation, frequency, and related problems). Lastly, we examined PTSS as both a mediator and moderator of the relationships between CVE and alcohol and marijuana use and found significant mediation effects. Conclusions: Results highlight the need for multifaceted considerations of CVE, PTSS, and alcohol and marijuana use and call for further attention to be devoted to these relatively understudied constructs and associated translational outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Intersections of Community Violence Exposure, Posttraumatic Stress Symptoms, and Alcohol and Marijuana Use Among Young Adults.
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  Data: <searchLink fieldCode="AR" term="%22Kanchana+Karthik%2C+Radha%22">Kanchana Karthik, Radha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haney-Caron%2C+Emily%22">Haney-Caron, Emily</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Allwood%2C+Maureen+A%2E%22">Allwood, Maureen A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 5, p718-732. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder+in+adolescence%22">Post-traumatic stress disorder in adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Violence%22">Violence</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Two-way+analysis+of+variance%22">Two-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Violence+in+the+community%22">Violence in the community</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Crime+victims%22">Crime victims</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+drinking%22">Alcohol drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Cannabis+%28Genus%29%22">Cannabis (Genus)</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Introduction: Community violence exposure (CVE) is an understudied facet of traumatic experiences, and much of the relatively limited literature investigating outcomes associated with CVE, such as Posttraumatic Stress Symptoms (PTSS) and substance use, have centered other trauma types and overlooked differences related to sex, race, and ethnicity. With respect to CVE, direct victimization or CVE broadly has often been the focus. Regarding substance use, alcohol use has been the primary substance studied in the literature, and marijuana has been relatively understudied. Methods: Considering these gaps, the present study investigated the associations between CVE, PTSS, and alcohol and marijuana use among a young adult sample of 517 participants with each construct examined multidimensionally. Results: Findings revealed that witnessing and being victimized by community violence were both significantly associated with alcohol and marijuana use as well as PTSS, with additional analyses exploring variation by sex, race, and ethnicity; Black and Hispanic/Latine young people reported disparate exposure to community violence, and sex differences emerged in reports of CVE and PTSS. Interestingly, associations among constructs varied between different domains of CVE (victimization and witnessing) and alcohol and marijuana use (initiation, frequency, and related problems). Lastly, we examined PTSS as both a mediator and moderator of the relationships between CVE and alcohol and marijuana use and found significant mediation effects. Conclusions: Results highlight the need for multifaceted considerations of CVE, PTSS, and alcohol and marijuana use and call for further attention to be devoted to these relatively understudied constructs and associated translational outcomes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/10826084.2025.2575437
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 718
    Subjects:
      – SubjectFull: Post-traumatic stress disorder in adolescence
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: Violence
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Two-way analysis of variance
        Type: general
      – SubjectFull: Violence in the community
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
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      – SubjectFull: Crime victims
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      – SubjectFull: Research
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Factor analysis
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      – SubjectFull: Alcohol drinking
        Type: general
      – SubjectFull: Cannabis (Genus)
        Type: general
      – SubjectFull: Regression analysis
        Type: general
    Titles:
      – TitleFull: Intersections of Community Violence Exposure, Posttraumatic Stress Symptoms, and Alcohol and Marijuana Use Among Young Adults.
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            NameFull: Kanchana Karthik, Radha
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            NameFull: Haney-Caron, Emily
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              M: 05
              Text: 2026
              Type: published
              Y: 2026
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