Intimate partner violence as a predictor of substance use outcomes among women: A systematic review.

Intimate partner violence as a predictor of substance use outcomes among women: A systematic review.
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亲密的伴侣暴力作为女性物质使用结果的预测指标:系统评价。

DOI:
10.1016/j.addbeh.2021.107214
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发表时间:
2022-04
影响因子:
4.4
通讯作者:
Bazzi, Angela R.
Bazzi, Angela R.
中科院分区:
医学2区
文献类型:
--
作者:
Ogden, Shannon N.;Dichter, Melissa E.;Bazzi, Angela R.

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虽然亲密伴侣暴力(IPV)的经验和妇女之间的物质使用的相关性已经得到了很好的建立,有没有或如何IPV影响随后的物质使用行为或治疗成功的共识。为了确定研究差距和对物质使用治疗的影响,我们进行了一项系统性综述,以确定和检查IPV作为女性后续物质使用行为,物质使用障碍(SUD)和治疗结果的预测因子的证据。我们纳入了2010 - 2020年间发表的研究,这些研究评估了IPV经历作为随后物质使用行为的预测因子(即,开始使用、增加使用)、SUD诊断或治疗结果(即,治疗不彻底、复发)。从576个独特的记录中,我们纳入了10项研究(4项纵向研究,4项横断面研究,2项定性研究)。酒精使用和酒精使用障碍是最常见的研究结果(n = 6);关于IPV与随后的酒精结果相关的意义,研究结果喜忧参半。三项研究检查了非法药物的使用,发现身体和性IPV预测了可卡因/可卡因的使用,并与SUD诊断相关。四项检查SUD治疗结果的研究发现,IPV阻碍了治疗参与和完成,增加了复发的可能性。据我们所知,这是第一次系统回顾文献IPV作为预测物质使用行为和治疗结果的妇女。研究结果强调,需要多样化的SUD治疗模式,将IPV筛查和转诊到适当的服务纳入其规划,以改善SUD管理和妇女的整体健康和福祉。
Although the correlation between experience of intimate partner violence (IPV) and substance use among women has been well-established, there is no consensus on whether or how IPV impacts subsequent substance use behaviors or treatment success. To identify research gaps and implications for substance use treatment, we conducted a systematic review to identify and examine evidence on IPV as a predictor of subsequent substance use behaviors, substance use disorders (SUD), and treatment outcomes among women. We included studies published between 2010-2020 that assessed IPV experiences as a predictor of subsequent substance use behaviors (i.e., use initiation, increased use), SUD diagnosis, or treatment outcomes (i.e., incomplete treatment, relapse) among women. From 576 unique records, we included 10 studies (4 longitudinal, 4 cross-sectional, 2 qualitative). Alcohol use and alcohol use disorder were the most commonly studied outcomes (n=6); findings were mixed regarding the significance of IPV being associated with subsequent alcohol outcomes. Three studies examined illicit drug use, finding that physical and sexual IPV predicted crack/cocaine use and were associated with SUD diagnoses. Four studies examining SUD treatment outcomes found IPV to impede treatment engagement and completion, increasing the likelihood of relapse. To our knowledge, this is the first systematic review of the literature on IPV as a predictor of substance use behaviors and treatment outcomes among women. Findings highlight the need for diverse SUD treatment modalities to incorporate IPV screening and referral to appropriate services into their programming to improve SUD management and the overall health and wellbeing of women.
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