School of Social Work, The University of Texas at Arlington, Arlington, Texas, USA.
Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
Subst Use Misuse. 2023;58(5):637-648. doi: 10.1080/10826084.2023.2177963. Epub 2023 Feb 20.
Although studies have investigated the association between sexual violence (SV) victimization and substance use, few studies have examined the association between SV victimization and electronic vaping product (EVP) use among adolescents in the United States. The objective of this study was to examine the cross-sectional association between SV victimization and EVP use among adolescents.
Data were pooled from the 2017 and 2019 Youth Risk Behavior Survey. An analytic sample of 28,135 adolescents (51.2% female) was analyzed using binary logistic regression. The outcome variable investigated was EVP use, and the main explanatory variable was SV victimization.
Of the 28,135 adolescents, the prevalence of past 30-day EVP use and SV victimization was 22.7% and 10.8%, respectively. Controlling for other factors, adolescents who experienced SV had 1.52 times higher odds of being EVP users when compared to their counterparts who did not experience SV ( = 1.52, < .001, 95% CI = 1.27-1.82). Other factors associated with EVP use included cyberbullying victimization, symptoms of depression, and current use of cigarettes, alcohol, and marijuana.
Experiencing SV was associated with EVP use. Future studies that employ longitudinal designs may offer more insight into the mechanisms underlying the association between SV victimization and EVP use. In addition, school-based interventions that focus on sexual violence prevention and reducing substance use among adolescents are warranted.
尽管已有研究调查了性暴力（SV）受害与物质使用之间的关系，但很少有研究调查过美国青少年中 SV 受害与电子烟产品（EVP）使用之间的关系。本研究旨在检验 SV 受害与青少年 EVP 使用之间的横断面关联。
数据来自 2017 年和 2019 年的青少年风险行为调查。使用二元逻辑回归对 28135 名青少年（51.2%为女性）的分析样本进行分析。研究的结局变量是 EVP 使用，主要解释变量是 SV 受害。
在 28135 名青少年中，过去 30 天 EVP 使用和 SV 受害的流行率分别为 22.7%和 10.8%。控制其他因素后，与未经历 SV 的同龄人相比，经历 SV 的青少年使用 EVP 的几率高 1.52 倍（ = 1.52， <.001，95%CI=1.27-1.82）。与 EVP 使用相关的其他因素包括网络欺凌受害、抑郁症状以及当前使用香烟、酒精和大麻。
经历 SV 与 EVP 使用有关。采用纵向设计的未来研究可能会更深入地了解 SV 受害与 EVP 使用之间关联的机制。此外，有必要在学校开展针对青少年的预防性暴力和减少物质使用的干预措施。
