Duke Naomi N
Division of General Pediatrics and Adolescent Health, University of Minnesota Department of Pediatrics, Minneapolis, MN, USA.
Am J Health Behav. 2018 Sep 1;42(5):85-99. doi: 10.5993/AJHB.42.5.8.
Adolescent health behaviors may be linked to elevated morbidity and mortality in adulthood. This study examines relationships between broad concepts for adverse childhood experiences (ACEs) and adolescent substance use outcomes among youth participating in a statewide, school-based survey. Data are from 8, 9, and 11 graders participating in the 2016 Minnesota Student Survey (N = 126,868). Logistic regression was used to determine whether 10 types of adversity related to abuse, household dysfunction, and food and housing hardship, and 7 types of bully victimization were associated with youth tobacco, alcohol, and marijuana use after adjustment for demographics, risk perceptions, academic engagement, parent communication, self-esteem, and health perceptions. Individual and cumulative measures for adversity were significantly associated with youth increased odds of early substance initiation, binge drinking, and daily tobacco, alcohol, and marijuana use, even with adjustment for demographics and other contextual factors. Findings suggest a significant link between broad concepts for ACEs and adolescent tobacco, alcohol, and marijuana use. Consideration of information related to ACEs may inform timing and content of substance use prevention and intervention activities directed at youth.
青少年的健康行为可能与成年后的发病率和死亡率升高有关。本研究调查了参与一项全州范围的校内调查的青少年中，童年不良经历（ACEs）的宽泛概念与青少年物质使用结果之间的关系。数据来自参与2016年明尼苏达学生调查的8年级、9年级和11年级学生（N = 126,868）。在对人口统计学、风险认知、学业参与度、亲子沟通、自尊和健康认知进行调整后，使用逻辑回归来确定与虐待、家庭功能失调以及食物和住房困难相关的10种逆境类型，以及7种欺凌受害类型是否与青少年吸烟、饮酒和使用大麻有关。即使对人口统计学和其他背景因素进行了调整，逆境的个体和累积测量指标仍与青少年过早开始使用物质（药物）、暴饮、每日吸烟、饮酒和使用大麻的几率增加显著相关。研究结果表明，ACEs的宽泛概念与青少年吸烟、饮酒和使用大麻之间存在显著联系。考虑与ACEs相关的信息可能为针对青少年的物质使用预防和干预活动的时机和内容提供参考。
