Alcohol Research Group, Public Health Institute, Emeryville, USA.
School of Public Health, University of California, Berkeley, USA.
Drug Alcohol Rev. 2018 Mar;37(3):365-374. doi: 10.1111/dar.12591. Epub 2017 Aug 21.
Study aims were to examine: (i) how physical and sexual victimisation in early life are associated with alcohol's harm from others; and (ii) whether respondents' current drinking is a mediator of the association between early life victimisation and alcohol's harm from others among men and women.
Data were from national computer-assisted telephone interviews, using the landline sample (3335 men and 3520 women ages ≥18) from the 2010 US National Alcohol Survey. Harms from someone else's drinking included family/marital problems, financial troubles, assault and vandalism in the past 12 months. Victimisation was measured with severe physical abuse or sexual assault before age 18.
Severe physical or sexual victimisation before age 18 was reported by 3.4% of men and 8.1% of women. Significantly more men (5.2%) than women (2.4%) reported assault by other drinkers, and significantly more women reported family/marital (5.3%) and financial problems (2.8%) than did men (2.6 and 1% respectively). Severe early life victimisation was robustly associated with a greater likelihood of experiencing past-year harms from other drinkers for both men and women. Men's drinking partially mediated associations between early life victimisation and recent assaults and vandalism by other drinkers.
Early life victimisation may increase risk of harms from someone else's drinking. Health services and interventions that screen for histories of victimisation may help decrease risk of later harms from others' drinking. Reductions in drinking among men with histories of victimisation also could help reduce their exposure to such harms. [Kaplan LM, Greenfield TK, Karriker-Jaffe KJ. Examination of associations between early life victimisation and alcohol's harm from others.
研究目的是检验:(i)早年的身体和性虐待与他人饮酒造成的伤害有何关联;(ii)受访者当前的饮酒是否是早年受虐与他人饮酒造成的伤害之间关联的中介因素,无论这种关联存在于男性还是女性之中。
数据来自于国家计算机辅助电话访谈,使用了来自 2010 年美国全国酒精调查的固定电话样本(3335 名男性和 3520 名年龄≥18 岁的女性)。他人饮酒造成的伤害包括过去 12 个月内的家庭/婚姻问题、经济问题、袭击和破坏行为。早年受虐通过 18 岁之前的严重身体虐待或性侵犯来衡量。
3.4%的男性和 8.1%的女性报告称在 18 岁之前曾遭受过严重的身体或性虐待。显著更多的男性(5.2%)比女性(2.4%)报告称受到其他饮酒者的袭击,而显著更多的女性报告称家庭/婚姻(5.3%)和经济问题(2.8%)比男性多(分别为 2.6%和 1%)。严重的早年受虐与男性和女性过去一年中因他人饮酒而遭受伤害的可能性显著增加有关。男性饮酒部分中介了早年受虐与最近他人饮酒所致袭击和破坏行为之间的关联。
早年受虐可能会增加他人饮酒造成伤害的风险。筛查受虐史的卫生服务和干预措施可能有助于降低以后因他人饮酒而造成伤害的风险。有受虐史的男性减少饮酒也可能有助于减少他们接触此类伤害的风险。