Department of Social and Behavioral Sciences, College of Public Health, Temple University, Phildelphia, Pennsylvania, USA.
Junior Board Cancer Resource Library, Christiana Care, Newark, Delaware, USA.
BMJ Open. 2023 May 17;13(5):e066796. doi: 10.1136/bmjopen-2022-066796.
Adverse childhood experiences (ACEs) are stressful or traumatic events experienced before the age of 18 years old. ACEs have been associated with an increased risk for substance use in adulthood. While an abundance of research has examined psychosocial factors that explain the link between ACEs and psychoactive substance use, little is known about the additional influence of the urban neighbourhood environment, including community-level factors, that influence the risk of substance use among populations with a history of ACEs.
The following databases will be systematically searched: PubMed, Embase, Web of Science, Cochrane, PsycInfo, CINAHL, Clinicaltrials.gov and TRIP medical databases. After the title and abstract screening and full-text screening, we will also conduct a manual search of the reference sections of included articles and include relevant citations. Eligibility criteria include peer-reviewed articles that focus on populations with at least one ACE, factors from the urban neighbourhood community, such as elements from the built environment, presence of community service programmes, quality and vacancy of housing, neighbourhood level social cohesion, and neighbourhood level collective efficacy or crime. Included articles should also include terms such as 'substance abuse', 'prescription misuse' and 'dependence'. Only studies written or translated into the English language will be included.
This systematic and scoping review will focus on peer-reviewed publications and does not require ethics approval. Findings will be available for clinicians, researchers and community members via publications and social media. This protocol describes the rationale and methods for the first scoping review to inform future research and community-level intervention development that targets substance use among populations who have experienced ACEs.
CRD42023405151.
不良童年经历（ACEs）是指 18 岁以下经历的压力或创伤性事件。ACEs 与成年后物质使用的风险增加有关。虽然大量研究已经检查了解释 ACEs 和精神活性物质使用之间联系的心理社会因素，但对于城市社区环境（包括社区层面的因素）对有 ACEs 史的人群物质使用风险的额外影响知之甚少。
将系统搜索以下数据库：PubMed、Embase、Web of Science、Cochrane、PsycInfo、CINAHL、Clinicaltrials.gov 和 TRIP 医学数据库。在标题和摘要筛选以及全文筛选之后，我们还将对纳入文章的参考文献部分进行手动搜索，并纳入相关引文。纳入标准包括关注至少有一个 ACE 的人群的同行评审文章，以及城市社区社区的因素，如建筑环境的元素、社区服务计划的存在、住房的质量和空缺、邻里层面的社会凝聚力以及邻里层面的集体效能或犯罪。纳入的文章还应包括“药物滥用”、“处方滥用”和“依赖”等术语。仅包括以英文撰写或翻译的文章。
本系统评价和范围界定综述将重点关注同行评审出版物，不需要伦理批准。研究结果将通过出版物和社交媒体提供给临床医生、研究人员和社区成员。本方案描述了首次范围界定综述的基本原理和方法，以指导未来的研究和社区层面的干预措施发展，针对有 ACEs 史的人群的物质使用问题。
PROSPERO 注册号：CRD42023405151。
