童年不良经历与物质使用之间的关联:元分析
Jenney Zhu1, Nicole Racine2, Chloe Devereux3
1Department of Psychology, University of Calgary, Calgary, AB, Canada; Alberta Children's Hospital Research Institute, Calgary, AB, Canada.
Child abuse & neglect
|September 9, 2023
概括
童年不良经历 (ACE) 显著增加了物质使用的风险,包括吸烟,酒精和非法药物. 建议在物质使用治疗中提供创伤相关的护理.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 儿童不良经历 (ACE) 与负面的健康结果有关,包括物质使用.
- 关于ACEs与物质使用相关性的现有研究提出了复杂的发现.
研究的目的:
- 进行元分析以确定ACE与各种形式的物质使用之间的联系的聚合效应大小.
- 研究ACE与吸烟,问题性酒精使用,重度酒精使用,非法药物使用和大麻使用之间的关系.
主要方法:
- 这是一项对102项涉及901,864名参与者的研究的元分析.
- 在MEDLINE,Embase和PsycINFO进行系统的文献搜索,截至2021年8月.
- 纳入标准:测量18岁前ACE和物质使用的研究,以英语出版.
主要成果:
- 在ACE与吸烟 (OR=1.803),问题性酒精使用 (OR=1.812),重度酒精使用 (OR=1.537),大麻使用 (OR=1.453) 和非法药物使用 (OR=1.695) 之间的关联中,发现了显著的聚合效应大小.
- 确定并讨论了影响ACEs与物质使用关系的显著调节因素.
结论:
- 证实ACE是物质使用的风险因素.
- 这些发现支持在物质滥用治疗策略中考虑创伤信息化方法.
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