Center for Health Sciences, Center for Rural Health, Oklahoma State University, 1111 W 17(th)St., Tulsa, OK, 74107, United States.
Center for Health Sciences, Center for Rural Health, Oklahoma State University, 1111 W 17(th)St., Tulsa, OK, 74107, United States.
Drug Alcohol Depend. 2019 May 1;198:76-79. doi: 10.1016/j.drugalcdep.2019.01.024. Epub 2019 Feb 27.
Past research identified individuals who experienced adverse childhood experiences (ACEs) are at a higher risk of drug use. There is evidence to suggest that identifying as a man who has sex with other men (MSM) may increase the likelihood of drug use when adverse childhood experiences are prevalent. However, research has not addressed if this association is present in both rural and urban MSM, as other studies found that rurality/urbanity is a key determinant in detrimental outcomes for MSM. The current study uses ACEs as an independent variable in comparing rural and urban MSM's self-reported marijuana use.
Participants included 156 MSM residing in Oklahoma. Linear regression was used to test ACEs' associations with reported marijuana use. To explore nuanced differences between rural and urban populations, split sample regressions were conducted.
ACEs were statistically associated with reported marijuana use in the full sample. However, after splitting the sample, ACEs only predicted reported marijuana use in the urban and not in the rural sample.
Results suggest ACEs may affect rural and urban MSM dissimilarly. It is unclear, however, if rural MSM engage in maladaptive behaviors other than marijuana use, or if factors associated with urban environments make urban MSM more vulnerable to illicit drug use when ACEs are high. Regardless, trauma informed programming targeting MSM should consider geographic locale as an influential factor. Further investigation is needed with regards to geographic locale, ACEs, and other illicit drug use in MSM populations.
过去的研究表明，经历过不良童年经历（ACEs）的人更有可能使用毒品。有证据表明，当不良童年经历普遍存在时，自我认同为男男性行为者（MSM）可能会增加使用毒品的可能性。然而，研究尚未确定这种关联是否存在于农村和城市 MSM 中，因为其他研究发现，城乡差异是 MSM 不良后果的一个关键决定因素。本研究将 ACEs 作为一个自变量，比较了农村和城市 MSM 自我报告的大麻使用情况。
参与者包括 156 名居住在俄克拉荷马州的 MSM。线性回归用于测试 ACEs 与报告的大麻使用之间的关联。为了探索农村和城市人群之间的细微差异，进行了样本分割回归。
ACEs 与全样本中报告的大麻使用呈统计学关联。然而，在样本分割后，ACEs 仅预测了城市 MSM 而非农村 MSM 中报告的大麻使用。
结果表明，ACEs 可能对农村和城市 MSM 产生不同的影响。然而，尚不清楚农村 MSM 是否会从事除大麻使用以外的适应不良行为，或者与城市环境相关的因素是否会使 ACEs 较高的城市 MSM 更容易使用非法毒品。无论如何，针对 MSM 的创伤知情计划应考虑地理位置作为一个影响因素。需要进一步调查 MSM 人群中的地理位置、ACEs 和其他非法药物使用情况。
