Lau Joseph T F, Kim Jean H, Tsui Hi-Yi, Cheung Albert, Lau Mason, Yu Aaron
Centre for Epidemiology and Biostatistics, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
J Adolesc Health. 2005 Aug;37(2):110-9. doi: 10.1016/j.jadohealth.2004.08.005.
To determine the prevalence of corporal punishment and the infliction of injuries from a beating occurring without provocation in the previous 6 months among secondary school children in Hong Kong, and to examine the associations between these two forms of physical maltreatment with substance-use-related behaviors and attitudes.
Using secondary data, a cross-sectional, self-administered, anonymous survey of 95,788 secondary school students was conducted in Hong Kong.
The prevalence of physical maltreatment showed statistically significant associations with younger age, attendance in Chinese-speaking day schools, temporary housing, residence with only one parent, poorer parental relationship, greater peer influence, perceptions of excessive academic pressure, and feelings of being blamed for poor academic performance. Adolescents who had experienced corporal punishment were more likely to be current users of alcohol (OR = 1.11), tobacco (OR = 1.31), psychoactive substances (OR = 1.60), or heroin (OR = 1.90). Those who had been beaten to injury by a family member without provocation within the past 6 months also were more likely to be current users of alcohol (OR = 1.35), tobacco (OR = 1.65), psychoactive substances (OR = 2.39), and heroin (OR = 3.07). Additionally, students who experienced physical maltreatment were more likely to be acquainted with habitual substance users, have better access to psychoactive substances, to have engaged in sex after abusing drugs, have obtained money from illegal sources to purchase drugs, and believe that psychoactive substances are not harmful or addictive.
Physical maltreatment showed strong associations with drug-related behaviors and attitudes, after adjusting for potential confounders. Further longitudinal studies are required to understand the causal direction of the relationship.
确定香港中学生在过去6个月内无故遭受体罚及殴打致伤的发生率，并研究这两种身体虐待形式与物质使用相关行为及态度之间的关联。
利用二手数据，在香港对95788名中学生进行了一项横断面、自填式、匿名调查。
身体虐待的发生率与年龄较小、就读于中文授课的日间学校、临时住所、单亲居住、亲子关系较差、同伴影响较大、感知到过度的学业压力以及因学业成绩差而被指责的感觉存在统计学上的显著关联。曾经历过体罚的青少年更有可能目前正在使用酒精（比值比=1.11）、烟草（比值比=1.31）、精神活性物质（比值比=1.60）或海洛因（比值比=1.90）。在过去6个月内曾无故被家庭成员殴打致伤的青少年也更有可能目前正在使用酒精（比值比=1.35）、烟草（比值比=1.65）、精神活性物质（比值比=2.39）和海洛因（比值比=3.07）。此外，经历过身体虐待的学生更有可能认识习惯性物质使用者，更容易获得精神活性物质，在滥用药物后有过性行为，通过非法途径获取金钱购买毒品，并且认为精神活性物质无害或不会成瘾。
在调整潜在混杂因素后，身体虐待与药物相关行为及态度之间存在密切关联。需要进一步开展纵向研究以了解这种关系的因果方向。
