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加拿大年轻成年饮酒者中与酒精相关的受害情况:危险饮酒和非法药物使用的解释作用。

Alcohol-related victimization among young adult Canadian drinkers: the explanatory roles of hazardous drinking and illicit drug use.

作者信息

Wells Samantha L, Thompson Jennie Mae

机构信息

Social Prevention and Health Policy Research Department, Centre for Addiction and Mental Health, 100 Collip Circle, Suite 200, London, ON N6G 4X8.

出版信息

Can J Public Health. 2009 Jan-Feb;100(1):55-9. doi: 10.1007/BF03405494.

Abstract

OBJECTIVES

Consistent evidence has shown that young people are significantly overrepresented among victims of violence due to another person's drinking. Yet little research has examined factors that explain alcohol-related victimization among young adults, particularly in Canada. The present study examines the influence of hazardous drinking and illicit drug use on the likelihood of experiencing alcohol-related physical victimization among young adult drinkers in a Canadian general population sample and determines whether gender differences exist in the roles of these explanatory variables.

METHODS

A secondary analysis of the 2004 Canadian Addiction Survey (CAS) was conducted, restricting analyses to young adult (ages 18 to 25) drinkers (785 females, 745 males). Logistic regression analyses were conducted to examine associations between explanatory variables and victimization. To assess gender differences in effects, interaction effects of gender by hazardous drinking and illicit drug use were tested.

RESULTS

Alcohol-related victimization was more likely among men than among women, hazardous drinkers than non-hazardous drinkers, and illicit drug users than non-users. Multivariate analyses indicated that, among women, illicit drug use was associated with victimization whereas, among men, hazardous drinking was significant. An interaction effect between gender and hazardous drinking indicated that hazardous drinking was more strongly associated with victimization among men than among women.

CONCLUSION

These results highlight the important role of substance use in explaining alcohol-related victimization among young adult Canadian drinkers and suggest that gender-specific prevention programs may be needed.

摘要

目的

一致的证据表明,在因他人饮酒导致的暴力受害者中,年轻人的占比显著过高。然而,很少有研究探讨解释年轻成年人中与酒精相关的受害情况的因素,尤其是在加拿大。本研究考察了危险饮酒和非法药物使用对加拿大普通人群样本中年轻成年饮酒者遭受与酒精相关身体伤害可能性的影响,并确定这些解释变量的作用是否存在性别差异。

方法

对2004年加拿大成瘾调查(CAS)进行二次分析,将分析限制在年轻成年(18至25岁)饮酒者(785名女性,745名男性)。进行逻辑回归分析以检验解释变量与受害情况之间的关联。为评估影响中的性别差异,测试了性别与危险饮酒和非法药物使用的交互作用。

结果

与酒精相关的受害情况在男性中比在女性中更常见,在危险饮酒者中比在非危险饮酒者中更常见,在非法药物使用者中比在非使用者中更常见。多变量分析表明,在女性中,非法药物使用与受害情况相关,而在男性中,危险饮酒具有显著性。性别与危险饮酒之间的交互作用表明,危险饮酒在男性中比在女性中与受害情况的关联更强。

结论

这些结果突出了物质使用在解释加拿大年轻成年饮酒者中与酒精相关的受害情况方面的重要作用,并表明可能需要针对性别的预防项目。

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