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性少数青年成年人的童年不良经历与亲密伴侣暴力:酒精后果和歧视的作用

Adverse Childhood Experiences and Intimate Partner Violence Among Sexual Minority Young Adults: The Roles of Alcohol Consequences and Discrimination.

作者信息

Grocott Lauren R, Liuzzi Michael T, Harris Julia C, Stuart Gregory L, Shorey Ryan C

机构信息

University of Wisconsin-Milwaukee, USA.

University of Tennessee-Knoxville, USA.

出版信息

J Interpers Violence. 2025 Aug;40(15-16):3621-3638. doi: 10.1177/08862605241284050. Epub 2024 Sep 29.

DOI:10.1177/08862605241284050
PMID:39344027
Abstract

Adverse childhood experiences (ACEs) are associated with intimate partner violence (IPV) perpetration. A posited mechanism explaining the link between ACEs and IPV is alcohol use consequences. Yet, few studies have examined this relationship among sexual minority young adults or how chronic and unique discrimination due to their marginalized identity (i.e., minority stress) may influence these associations. This study examined whether alcohol use consequences mediated the relationship between ACEs and IPV perpetration, and whether minority stress moderated this mediated relationship. Sexual minority young adults who used alcohol in the past month ( = 344; age 18-25) in a dating relationship completed a survey on ACEs, IPV, alcohol and minority stress. We hypothesized: (a) alcohol use consequences would mediate the association between ACEs and IPV perpetration and (b) higher discrimination would moderate the mediation of alcohol use consequences in the relationship between ACEs and IPV perpetration. ACEs (  0.74,   .010) and alcohol use consequences (  0.64,   .007), were significantly associated with psychological, but not physical, IPV perpetration. Alcohol use consequences did not mediate the association between ACEs and any IPV type. In addition, everyday discrimination was not a significant moderator. ACEs and alcohol use consequences contribute to the risk for IPV perpetration among sexual minority young adults. Future research is needed to determine how alcohol use consequences may impact risk for IPV perpetration among those who have experienced ACEs.

摘要

童年不良经历(ACEs)与亲密伴侣暴力(IPV)行为有关。一种解释ACEs与IPV之间联系的假定机制是饮酒后果。然而,很少有研究探讨性少数年轻成年人中的这种关系,或者他们因边缘化身份(即少数群体压力)而遭受的长期且独特的歧视如何可能影响这些关联。本研究考察了饮酒后果是否介导了ACEs与IPV行为之间的关系,以及少数群体压力是否调节了这种介导关系。在过去一个月内饮酒的处于恋爱关系中的性少数年轻成年人(n = 344;年龄18 - 25岁)完成了一项关于ACEs、IPV、饮酒和少数群体压力的调查。我们假设:(a)饮酒后果将介导ACEs与IPV行为之间的关联,以及(b)更高程度的歧视将调节饮酒后果在ACEs与IPV行为关系中的介导作用。ACEs(β = 0.74,p = 0.010)和饮酒后果(β = 0.64,p = 0.007)与心理层面而非身体层面的IPV行为显著相关。饮酒后果并未介导ACEs与任何类型IPV之间的关联。此外,日常歧视并非显著的调节因素。ACEs和饮酒后果会增加性少数年轻成年人实施IPV行为的风险。未来需要开展研究以确定饮酒后果如何可能影响有过ACEs经历者实施IPV行为的风险。

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