在美国高中学生中,累积的不良童年经历和物质使用频率
Sunday Azagba1, Galappaththige S R de Silva1, Todd Ebling1
1The Pennsylvania State University - University Park Campus, College of Nursing, University Park, PA, USA.
Journal of primary care & community health
|June 17, 2025
概括
儿童不良经历 (ACE) 与青少年增加的物质使用有关. 高ACE分数与高中生使用酒精,大麻和电子烟的可能性更高相关.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 药物使用研究研究 药物使用研究
背景情况:
- 儿童不良经历 (ACE) 被认为是具有长期健康影响的重大风险因素.
- 青少年吸毒是严重的公共卫生问题,可能导致终身后果.
研究的目的:
- 调查累积不良童年经历 (ACE) 与美国高中生中药物使用频率之间的关联.
- 量化ACE得分与使用酒精,过度饮酒,大麻和电子烟之间的关系.
主要方法:
- 利用了2023年青年风险行为调查的数据,这是美国高中生全国代表性样本.
- 根据8个自我报告的终身不良体验计算累积的ACE得分.
- 使用多项逻辑回归来分析ACE得分与各种物质使用频率之间的关联.
主要成果:
- 在所有检查的类别中,在较高的累积ACE得分和物质使用频率增加之间观察到显著的积极关联.
- 较高的ACE分数与更高的酒精使用 (OR=1.89),暴饮暴饮 (OR=1.69),大麻使用 (OR=1.81) 和电子烟使用 (OR=1.89) 的几率有关.
- 对于更频繁和偶尔的物质使用模式,都发现了一致的关联.
结论:
- 童年不良经历与青少年增加的物质使用行为有显著的关联.
- 旨在缓解ACE和培养支持性环境的干预措施可能对于促进青少年更健康的发展和减少物质使用至关重要.
- 调查结果强调了在针对青少年福祉的公共卫生战略中解决童年逆境的重要性.
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