Departments of Community Health Sciences and Psychiatry, University of Manitoba, Winnipeg, Canada.
Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Child Abuse Negl. 2020 Aug;106:104504. doi: 10.1016/j.chiabu.2020.104504. Epub 2020 May 8.
Adverse childhood experiences (ACEs) are common and related to substance use problems in adulthood. Less is known about these relationships in adolescence and if experiencing ACEs in addition to peer victimization (or bullying) would have an interaction or cumulative effect on the odds of adolescent substance use.
Data were used from the Well-Being and Experiences Study (The WE Study), a cross-sectional survey of adolescents aged 14-17 years (n = 1002) in Manitoba, Canada collected between July 2017 and October 2018. Statistical methods included descriptive statistics and logistic regression models.
The prevalence of experiencing any of the 12 ACEs was 75.1 %. The prevalence of any peer victimization (monthly or more often) was 24.1 %. All individual ACEs were associated with increased odds of substance use. No significant interaction effects between ACEs and peer victimization on substance use were found. Significant cumulative effects were found, indicating that experiencing both ACEs and peer victimization, compared with experiencing ACEs only, significantly increased the odds of substance use among adolescents.
The odds of substance use becomes significantly greater if the adolescent with a history of ACEs also experiences peer victimization. Further research aimed at effective prevention of ACEs, peer victimization, and substance use is needed.
不良的童年经历（ACEs）很常见，并且与成年后的物质使用问题有关。在青少年时期，人们对这些关系的了解较少，并且如果在经历 ACEs 的同时还遭受同伴侵害（或欺凌），是否会对青少年物质使用的可能性产生相互作用或累积效应。
数据来自福利和经历研究（The WE Study），这是一项针对加拿大马尼托巴省 14-17 岁青少年（n=1002）的横断面调查，于 2017 年 7 月至 2018 年 10 月期间收集。统计方法包括描述性统计和逻辑回归模型。
经历任何 12 种 ACE 的比例为 75.1%。每月或更频繁遭受同伴侵害的比例为 24.1%。所有 ACE 都与物质使用的几率增加有关。在 ACE 和同伴侵害对物质使用的影响方面没有发现显著的交互作用。发现了显著的累积效应，表明与仅经历 ACE 相比，经历 ACE 和同伴侵害的青少年物质使用的几率显著增加。
如果有 ACE 病史的青少年也经历同伴侵害，那么物质使用的几率会显著增加。需要进一步研究有效的 ACE、同伴侵害和物质使用预防措施。
