Forster M, Rogers C J, Tinoco S, Benjamin S, Lust K, Grigsby T J
Myriam Forster, Department of Health Sciences, California State University, Northridge. 18111 Nordhoff St. Northridge, California, CA 91330, USA.
Myriam Forster, Department of Health Sciences, California State University, Northridge. 18111 Nordhoff St. Northridge, California, CA 91330, USA.
Addict Behav. 2023 Jan;136:107484. doi: 10.1016/j.addbeh.2022.107484. Epub 2022 Sep 3.
Despite increasing college campus prevention efforts, and identification of effective strategies to reduce drinking, reducing alcohol related negative consequences (ARNC, e.g., regrets, blackouts, self- and other- injury, law enforcement exposure, sexual assault, and considering suicide) continues to be a challenge. While college students with a history of adverse childhood experiences (ACE) are at greater risk for alcohol misuse, research regarding the association between ACE and ARNC remains limited.
Data are responses of currently drinking students on the American College Health Association-National College Health Assessment (ACHA-NCHA II) and College Student Health Survey (CSHS), administered in 2018 to students in California and Minnesota (N = 6,667).
On average, students reported one ARNC (SD = 1.30) although 13 % experienced three or more different types of ARNC in the past year. Every ACE was associated with a 19 % to 41 % increase in the IRR of ARNC. Students with 1-3 ACE experienced significantly more types of ARNC events (IRR 1.55, 95 % CI: 1.44-1.67) than students with no ACE and students with ≥ 4 ACE experienced statistically significantly more types of ARNC events (IRR 2.04, 95 % CI: 1.82-2.31) than their peers with 1-3 or no ACE. The ACE-ARNC relationship did not vary by drinking frequency or binge drinking.
The consistent ACE - ARNC relationship across drinking behaviors suggests alcohol consumption does not fully explain the association between ACE and ARNC and that early adversity heightens vulnerability for ARNC. Implications for future prevention and intervention efforts are discussed.
尽管大学校园预防工作不断加强，且已确定了减少饮酒的有效策略，但减少与酒精相关的负面后果（ARNC，例如后悔、失忆、自我伤害和他人伤害、接触执法部门、性侵犯以及考虑自杀）仍然是一项挑战。虽然有童年不良经历（ACE）史的大学生酒精滥用风险更高，但关于ACE与ARNC之间关联的研究仍然有限。
数据来自于2018年对加利福尼亚州和明尼苏达州的学生进行的美国大学健康协会-全国大学生健康评估（ACHA-NCHA II）和大学生健康调查（CSHS）中当前饮酒学生的回答（N = 6667）。
平均而言，学生报告了一项ARNC（标准差 = 1.30），尽管13%的学生在过去一年中经历了三种或更多不同类型的ARNC。每一项ACE都与ARNC发生率比值（IRR）增加19%至41%相关。有1 - 3项ACE的学生经历的ARNC事件类型显著多于没有ACE的学生（IRR 1.55，95%置信区间：1.44 - 1.67），有≥4项ACE的学生经历的ARNC事件类型在统计学上显著多于有1 - 3项ACE或没有ACE的同龄人（IRR 2.04，95%置信区间：1.82 - 2.31）。ACE与ARNC的关系不因饮酒频率或暴饮而有所不同。
饮酒行为中ACE与ARNC之间的一致关系表明，饮酒并不能完全解释ACE与ARNC之间的关联，早期逆境会增加ARNC的易感性。讨论了对未来预防和干预工作的启示。
