Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence.
Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence.
复制标题
DOI：
10.1016/j.jadohealth.2005.06.006
复制
发表时间：
2006-01-01
影响因子：
7.6
通讯作者：
Anda, R. F.
中科院分区：
文献类型：
--
作者：
Dube, S. R.;Miller, J. W.;Anda, R. F.
目的：酒精是最常见和最常用的药物，在整个生命周期内都有可能造成多种有害影响。因为开始饮酒的早期年龄会增加这种潜力，而且已经制定了试图推迟酒精使用的计划和法律，所以我们研究了多重不良童年经历(ACE)与曾经饮酒的可能性和开始饮酒的年龄之间的关系。方法：这是一项对加利福尼亚州8417名成人健康维护组织(HMO)成员的回顾性队列研究，他们完成了一项关于ACE的调查，调查内容包括童年虐待和忽视、成长过程中伴随着各种形式的家庭功能障碍以及青春期和成年期的酒精使用。测量的主要结果是曾经饮酒的人和开始饮酒的年龄，分为四个年龄段：≤14岁(青春期早期)，15~17岁(青春期中期)，18~20岁(青春期晚期)；以年龄≥21岁为参照物。研究还考察了从1900年开始的四个出生队列中，儿童不良经历总数(血管紧张素转换酶评分)和早期开始饮酒(≤14年)之间的关系。结果：89%的队列报告曾经饮酒；除身体疏忽外，所有个体都增加了饮酒的风险(p
Purpose: Alcohol is the most common and frequently used drug and has the potential to cause multiple deleterious effects throughout the lifespan. Because early age at initiation of alcohol use increases this potential and programs and laws are in place to attempt to delay the onset of alcohol use, we studied the relationship between multiple adverse childhood experiences (ACEs) and both the likelihood of ever drinking and the age at initiating alcohol use. Methods: This was a retrospective cohort study of 8417 adult health maintenance organization (HMO) members in California who completed a survey about ACEs, which included childhood abuse and neglect, growing up with various forms of household dysfunction and alcohol use in adolescence and adulthood. The main outcomes measured were ever drinking and age at initiating alcohol use among ever-drinkers for four age categories: ≤14 years (early adolescence), 15 to 17 years (mid adolescence), and 18 to 20 years (late adolescence); age ≥21 years was the referent. The relationship between the total number of adverse childhood experiences (ACE score) and early initiation of alcohol use (≤14 years) among four birth cohorts dating back to 1900 was also examined. Results: Eighty-nine percent of the cohort reported ever drinking; all individual ACEs except physical neglect increased the risk of ever using alcohol (p