Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, Stanford University School of Medicine, Menlo Park, California 94025, USA.
J Stud Alcohol Drugs. 2011 Sep;72(5):693-700. doi: 10.15288/jsad.2011.72.693.
Many studies have documented the link between substance use and a history of sexual assault in women; however, few studies have examined this relationship in men. The purpose of this study was to explore the rates of sexual assault in a sample of male veterans reporting alcohol misuse and to further explore potential differences in alcohol use patterns and alcohol-related characteristics in those with and without a history of sexual assault. We also explored the types of illicit drugs being used in the past 90 days and whether a clinical sample of male veterans reporting sexual assault are at greater odds of using these substances when compared with their peers with no history of sexual assault.
Data were collected on a nationwide sample (N = 880) of male veterans receiving care in Veterans Administration outpatient mental health clinics.
We found that 9.5% of our sample reported a history of sexual assault, and those with this history reported increased alcohol consumption, a greater number of alcohol-related consequences, and an increased likelihood of using an illicit substance in the past 90 days. The most commonly used illicit substances were cannabis, cocaine, and opiates. Those with sexual assault histories were also more likely to report risk factors that may exacerbate the negative effects of any level of alcohol consumption.
Our findings highlight the burden of alcohol and illicit drug use among male veterans and suggest that substance use disorder treatment settings may be a context in which prevalence of a history of sexual assault is high. Our findings further support prior call for universal screening for sexual assault among this population.
许多研究都记录了女性物质使用与性侵犯史之间的联系；然而，很少有研究探讨男性中这种关系。本研究的目的是探讨报告酗酒的男性退伍军人样本中的性侵犯发生率，并进一步探讨有和没有性侵犯史的人群中酒精使用模式和与酒精相关特征的潜在差异。我们还探讨了过去 90 天内使用的非法药物类型，以及报告性侵犯的临床男性退伍军人样本与没有性侵犯史的同龄人相比，使用这些物质的可能性是否更大。
在退伍军人事务部门诊心理健康诊所接受治疗的全国性男性退伍军人样本（N=880）中收集数据。
我们发现，我们样本中的 9.5%报告了性侵犯史，而有此病史的人报告饮酒量增加、更多的酒精相关后果，以及在过去 90 天内使用非法物质的可能性增加。最常使用的非法物质是大麻、可卡因和鸦片类药物。有性侵犯史的人也更有可能报告可能加剧任何程度饮酒负面影响的风险因素。
我们的发现强调了男性退伍军人中酒精和非法药物使用的负担，并表明物质使用障碍治疗环境可能是性侵犯史发生率较高的环境。我们的发现进一步支持了在这一人群中普遍筛查性侵犯的先前呼吁。
