Alcohol misuse and violent behavior: Findings from a 30-year longitudinal study
Alcohol misuse and violent behavior: Findings from a 30-year longitudinal study
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DOI：
10.1016/j.drugalcdep.2011.09.023
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发表时间：
2012-04-01
影响因子：
4.2
通讯作者：
Horwood, L. John
中科院分区：
文献类型：
--
作者：
Boden, Joseph M.;Fergusson, David M.;Horwood, L. John
背景：本研究调查了新西兰出生队列中30岁以下酒精滥用/依赖（AAD）与暴力犯罪和亲密伴侣暴力（IPV）之间的关系。方法：结果包括：暴力犯罪、暴力受害和身体IPV犯罪和受害的测量。该研究还使用了AAD症状的测量方法；时间动态协变量因素包括生活压力，其他物质使用，心理健康状况，同伴和伴侣物质使用和犯罪，以及失业。使用条件固定效应回归模型对数据进行分析，并辅以时间动态协变量因素来控制混淆。结果：有5种或5种以上AAD症状者的暴力行为发生率是无症状者的4.10 - 11.85倍，但这些关联没有性别差异。对未观察到的固定效应和时间动态协变量因素的关联进行调整，降低了暴力犯罪、暴力受害和IPV犯罪的关联程度，有五种或五种以上AAD症状的人的暴力结局率比没有症状的人高1.91-3.58倍。然而，在固定效应和时间动态协变量因素的控制下，AAD症状与物理IPV受害之间的关联降至无统计学意义（IRR = 0.73, 95% Cl: 0.51-1.06）。结论：结果表明酒精滥用与暴力犯罪/受害和IPV犯罪之间存在因果关系，估计表明酒精使用障碍约占该队列中报告的暴力犯罪/受害和IPV犯罪的4.6-9.3%。2011爱思唯尔爱尔兰有限公司版权所有。
Background: This study examined the associations between measures of alcohol abuse/dependence (AAD) and violent offending and intimate partner violence (IPV) to age 30 in a New Zealand birth cohort.Methods: Outcomes included: measures of violent offending, violence victimization, and physical IPV perpetration and victimization. The study also used measures of AAD symptoms; and time-dynamic covariate factors including life stress, other substance use, mental health status, peer and partner substance use and offending, and unemployment. Data were analysed using conditional fixed effects regression modelling augmented by time-dynamic covariate factors to control for confounding.Results: Those with five or more AAD symptoms had unadjusted rates of violence outcomes that ranged from 4.10 to 11.85 times higher than those with no symptoms, but these associations did not differ by gender. Adjustment of the associations for both unobserved fixed effects and time-dynamic covariate factors reduced the magnitude of the associations for violent offending, violence victimization and IPV perpetration, with those with five or more AAD symptoms having rates of violence outcomes that were 1.91-3.58 times higher than those with no symptoms. However, control for both fixed effects and time-dynamic covariate factors reduced the associations between AAD symptoms and physical IPV victimization to statistical non-significance (IRR = 0.73, 95% Cl: 0.51-1.06).Conclusions: The results suggest a causal association between alcohol misuse and violent offending/victimization and IPV perpetration, with estimates suggesting that alcohol use disorder accounted for approximately 4.6-9.3% of the reported violent offending/victimization and IPV perpetration in the cohort. (C) 2011 Elsevier Ireland Ltd. All rights reserved.