Master of Public Health Student, Aarhus University , Aarhus, Denmark.
CEO Allorfik, Information Center on Addiction , Nuuk, Greenland.
Int J Circumpolar Health. 2021 Dec;80(1):1849909. doi: 10.1080/22423982.2020.1849909.
This study aims to investigate the association between earlier sexual abuse and polysubstance abuse among persons in alcohol, drug and gambling addiction treatment in Greenland. The study included 431 individuals treated in 2017-2019. Data on exposure (sexual abuse), outcome (polysubstance abuse), and potential confounders (age, sex, school education, further education, labour market affiliation, physical abuse and emotional abuse) were extracted from The National Database on Substance Abuse Treatment. Polysubstance abuse was defined as both smoking cannabis more than once a week and having an AUDIT score >15. Logistic regression was used to estimate odds ratios (ORs). In total, 61% reported having been sexually abused. Women were more often sexually abused and had more often been physically and emotionally abused when compared to men. Polysubstance abuse (OR 2.06, 95% CI: 1.22; 3.48) and cannabis abuse (OR 1.89, 95% CI: 1.20; 2.98), but not alcohol abuse, were more frequent in sexually abused when compared to non-victims of sexual abuse. This study found polysubstance abuse to be more frequent in sexually abused treatment seekers. It is recommended that the findings are taken into account in the planning of treatment services and in training of counsellors.
本研究旨在探讨格陵兰酒精、毒品和赌博成瘾治疗中心人群中早期性虐待与多种物质滥用之间的关联。该研究纳入了 2017-2019 年期间接受治疗的 431 名个体。从国家药物滥用治疗数据库中提取了暴露（性虐待）、结果（多种物质滥用）和潜在混杂因素（年龄、性别、学校教育、继续教育、劳动力市场关系、身体虐待和情感虐待）的数据。多种物质滥用被定义为每周吸食大麻超过一次和 AUDIT 得分>15。采用逻辑回归估计比值比（OR）。共有 61%的人报告曾遭受过性虐待。与男性相比，女性更常遭受性虐待，更常遭受身体和情感虐待。与非性虐待受害者相比，性虐待者更常出现多种物质滥用（OR 2.06，95%CI：1.22；3.48）和大麻滥用（OR 1.89，95%CI：1.20；2.98），但酒精滥用则不然。本研究发现，性虐待者中多种物质滥用更为常见。建议在规划治疗服务和培训顾问时考虑这些发现。
