Lake Stephanie, Wood Evan, Dong Huiru, Dobrer Sabina, Montaner Julio, Kerr Thomas
British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, Canada; School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Drug Alcohol Rev. 2015 Jan;34(1):4-9. doi: 10.1111/dar.12133. Epub 2014 Mar 18.
Childhood emotional abuse is a known risk factor for various poor social and health outcomes. While people who inject drugs (IDU) report high levels of violence, in addition to high rates of childhood maltreatment, the relationship between childhood emotional abuse and later life violence within this population has not been examined.
Cross-sectional data were derived from an open prospective cohort of IDU in Vancouver, Canada. Childhood emotional abuse was measured using the Childhood Trauma Questionnaire. We used multivariate logistic regression to examine potential associations between childhood emotional abuse and being a recent victim or perpetrator of violence.
Between December 2005 and May 2013, 1437 IDU were eligible for inclusion in this analysis, including 465 (32.4%) women. In total, 689 (48.0%) reported moderate to severe history of childhood emotional abuse, whereas 333 (23.2%) reported being a recent victim of violence and 173 (12.0%) reported being a recent perpetrator of violence. In multivariate analysis, being a victim of violence (adjusted odds ratio = 1.49, 95% confidence interval 1.15-1.94) and being a perpetrator of violence (adjusted odds ratio = 1.58, 95% confidence interval 1.12-2.24) remained independently associated with childhood emotional abuse.
We found high rates of childhood emotional abuse and subsequent adult violence among this sample of IDU. Emotional abuse was associated with both victimisation and perpetration of violence. These findings highlight the need for policies and programmes that address both child abuse and historical emotional abuse among adult IDU.
儿童期情感虐待是导致各种不良社会和健康后果的已知风险因素。虽然注射吸毒者报告称遭受暴力的比例很高，且童年期虐待发生率也很高，但该人群中儿童期情感虐待与晚年暴力行为之间的关系尚未得到研究。
横断面数据来自加拿大温哥华一个针对注射吸毒者的开放前瞻性队列。使用儿童创伤问卷测量儿童期情感虐待情况。我们采用多变量逻辑回归分析来研究儿童期情感虐待与近期成为暴力受害者或实施暴力者之间的潜在关联。
2005年12月至2013年5月期间，1437名注射吸毒者符合纳入本分析的条件，其中包括465名（32.4%）女性。总计689名（48.0%）报告有中度至重度儿童期情感虐待史，而333名（23.2%）报告近期为暴力受害者，173名（12.0%）报告近期为暴力实施者。在多变量分析中，成为暴力受害者（调整后的优势比=1.49，95%置信区间1.15 - 1.94）和成为暴力实施者（调整后的优势比=1.58，95%置信区间1.12 - 2.24）仍与儿童期情感虐待独立相关。
我们发现该注射吸毒者样本中儿童期情感虐待及随后成人暴力行为的发生率很高。情感虐待与暴力受害和暴力实施均相关。这些发现凸显了制定应对成人注射吸毒者中儿童虐待和既往情感虐待问题的政策与项目的必要性。
