Dowling Brockton A, Grigsby Timothy J, Ziomek Gregory J, Schnarrs Philip W
School of Medicine, West Virginia University, 64 Medical Center Drive, PO Box 9100, Morgantown, WV, 26506, USA.
Department of Social and Behavioral Health, University of Nevada, 4505 S. Maryland Parkway, Las Vegas, Nevada, 89154, USA.
Drug Alcohol Depend Rep. 2022 Dec 9;6:100129. doi: 10.1016/j.dadr.2022.100129. eCollection 2023 Mar.
The impacts of Adverse Childhood Experiences (ACEs) on behavioral, mental, and physical health have been extensively investigated. As such, it is paramount to synthesize their quantified effects, especially within vulnerable populations. The goal of this scoping review was to collect, summarize, and synthesize existing research on ACEs and substance use (SU) in adult sexual and gender minority (SGM) populations.
WebofScience, APA PsychInfo, LGBTQ+ Life (EBSCO), Google Scholar, and PubMed electronic databases were searched. We included reports published between 2014 and 2022 that assessed SU outcomes, ACEs in adult (18+) SGM populations, in the United States (US). We excluded those in which SU was not an outcome, measured community-based abuse or neglect, or investigated adulthood trauma. Data were extracted using the Matrix Method and categorized across three SU outcomes.
Twenty reports were included in the review. Nineteen employed a cross-sectional design and 80% focused on a single SGM group (transgender women, bisexual Latino men, etc.). Nine of 11 manuscripts found SU frequency and quantity were higher among ACE exposed participants. Three of four studies found ACE exposure to correlate with substance use problems and substance misuse. Four of five studies found ACE exposure to be correlated with substance use disorders.
Longitudinal research is needed to comprehend the impact of ACE on SU within the diverse subgroups of SGM adults. Investigators should prioritize the use of standard operationalizations of ACE and SU to improve comparability across studies and include diverse samples from the SGM community.
童年不良经历（ACEs）对行为、心理和身体健康的影响已得到广泛研究。因此，综合其量化影响至关重要，尤其是在弱势群体中。本范围综述的目的是收集、总结和综合关于成年性少数和性别少数（SGM）人群中ACEs与物质使用（SU）的现有研究。
检索了Web of Science、美国心理学会心理学文摘数据库（APA PsychInfo）、LGBTQ+生活（EBSCO）、谷歌学术和PubMed电子数据库。我们纳入了2014年至2022年期间发表的报告，这些报告评估了美国成年（18岁以上）SGM人群中的SU结果和ACEs。我们排除了那些SU不是结果、衡量基于社区的虐待或忽视或调查成年期创伤的报告。使用矩阵法提取数据，并按三种SU结果进行分类。
该综述纳入了20份报告。19份采用横断面设计，80%关注单一SGM群体（跨性别女性、双性恋拉丁裔男性等）。11篇手稿中有9篇发现，暴露于ACEs的参与者中SU的频率和数量更高。四项研究中有三项发现ACE暴露与物质使用问题和物质滥用相关。五项研究中有四项发现ACE暴露与物质使用障碍相关。
需要进行纵向研究，以了解ACE对成年SGM不同亚组中SU的影响。研究人员应优先使用ACE和SU的标准操作定义，以提高研究之间的可比性，并纳入来自SGM社区的多样化样本。
