Adverse childhood experiences and personal alcohol abuse as an adult
Adverse childhood experiences and personal alcohol abuse as an adult
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DOI：
10.1016/s0306-4603(01)00204-0
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发表时间：
2002-09-01
影响因子：
4.4
通讯作者：
Croft, JB
中科院分区：
文献类型：
--
作者：
Dube, SR;Anda, RF;Croft, JB
成人酗酒与童年虐待和家庭功能障碍有关。然而，关于多重不良童年经历(ACE)与父母酗酒结合在一起对以后酗酒风险的贡献的信息很少。HMO成年成员完成了一份关于儿童虐待、父母酗酒和成长过程中家庭功能障碍的问卷，以回顾评估8个A与成人酒精滥用风险的独立关系。在分层Logistic回归模型中使用A的数量来评估它们在父母是否存在酒精中毒的情况下对几个成人酒精问题的影响。这八个A中的每一个都与成年后酗酒的风险更高有关。与没有ACEs的人相比，无论父母是否酗酒，酗酒、自我报告酗酒和与酗酒者结婚的风险都是存在多个ACEs的人的两到四倍。预防ACEs并对受其影响的人进行治疗可能会减少成人酒精问题的发生。(C)2002爱思唯尔科学有限公司。保留所有权利。
Adult alcohol abuse has been linked to childhood abuse and family dysfunction. However, little information is available about the contribution of multiple adverse childhood experiences (ACEs) in combination with parental alcohol abuse, to the risk of later alcohol abuse. A questionnaire about childhood abuse, parental alcoholism and family dysfunction while growing up was completed by adult HMO members in order to retrospectively assess the independent relationship of eight ACES to the risk of adult alcohol abuse. The number of ACES was used in stratified logistic regression models to assess their impact on several adult alcohol problems in the presence or absence of parental alcoholism. Each of the eight individual ACEs was associated with a higher risk alcohol abuse as an adult. Compared to persons with no ACES, the risk of heavy drinking, self-reported alcoholism, and marrying an alcoholic were increased twofold to fourfold by the presence of multiple ACES, regardless of parental alcoholism. Prevention of ACES and treatment of persons affected by them may reduce the occurrence of adult alcohol problems. (C) 2002 Elsevier Science Ltd. All rights reserved.