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在一个具有全国代表性的纵向样本中,大麻使用与亲密伴侣暴力之间的关系。

The relationship between marijuana use and intimate partner violence in a nationally representative, longitudinal sample.

机构信息

College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy, University of Florida, Gainesville, FL 32610-0177, USA.

出版信息

J Interpers Violence. 2012 May;27(8):1562-78. doi: 10.1177/0886260511425787. Epub 2011 Nov 11.

Abstract

Intimate partner violence is a significant public health problem, as these behaviors have been associated with a number of negative health outcomes including illicit drug use, physical injury, chronic pain, sexually transmitted diseases, depression, and posttraumatic stress disorder. The current study examined the association between marijuana use and intimate partner violence using a longitudinal survey of adolescents and young adults ages 15 to 26 years. Data were obtained from 9,421 adolescents in the National Longitudinal Study of Adolescent Health (Add Health) Waves 1 through 4 (1995-2008). Marijuana use was measured in the past year at each wave and participants were categorized as "users" or "nonusers." Partner violence was constructed using six items (three pertaining to victimization and three concerning perpetration) from Wave 4 (2007-2008). Using these six items, participants were categorized as "victims only," "perpetrators only," or "victims and perpetrators." Survey multinomial regression was used to examine the relationship between marijuana use and intimate partner violence. Consistent use of marijuana during adolescence was most predictive of intimate partner violence (OR = 2.08, p < .001). Consistent marijuana use (OR = 1.85, p < .05) was related to an increased risk of intimate partner violence perpetration. Adolescent marijuana use, particularly consistent use throughout adolescence, is associated with perpetration or both perpetration of and victimization by intimate partner violence in early adulthood. These findings have implications for intimate partner violence prevention efforts, as marijuana use should be considered as a target of early intimate partner violence intervention and treatment programming.

摘要

亲密伴侣暴力是一个严重的公共卫生问题,因为这些行为与许多负面健康结果有关,包括非法药物使用、身体伤害、慢性疼痛、性传播疾病、抑郁和创伤后应激障碍。本研究使用对 15 至 26 岁青少年和年轻人的纵向调查,调查了大麻使用与亲密伴侣暴力之间的关联。数据来自青少年健康纵向研究(Add Health)第 1 至 4 波(1995-2008 年)的 9421 名青少年。大麻使用在每一波中都在过去一年进行了测量,参与者被分为“使用者”或“非使用者”。伴侣暴力使用第 4 波(2007-2008 年)的六个项目(三个与受害有关,三个与实施有关)构建。使用这六个项目,参与者被分为“仅受害者”、“仅肇事者”或“受害者和肇事者”。使用调查多项式回归检查大麻使用与亲密伴侣暴力之间的关系。青少年时期持续使用大麻最能预测亲密伴侣暴力(OR=2.08,p<.001)。持续使用大麻(OR=1.85,p<.05)与亲密伴侣暴力实施的风险增加有关。青少年大麻使用,特别是整个青春期的持续使用,与成年早期亲密伴侣暴力的实施或受害有关。这些发现对亲密伴侣暴力预防工作具有启示意义,因为应将大麻使用视为早期亲密伴侣暴力干预和治疗计划的目标。

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