Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
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DOI：
10.1371/journal.pone.0255875
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Kerr T
中科院分区：
文献类型：
--
作者：
Sagram J;Lee W;Choi J;Milloy MJ;Hayashi K;DeBeck K;Wood E;Kerr T
暴力受害在使用非法药物(PWUD)的人中很常见，是与健康有关的重大伤害的来源之一。然而，很少有人注意到先期的残障儿童创伤如何可能导致成年后受害的风险。本研究旨在探讨儿童期身体虐待与成年残障人士遭受身体攻击之间的关系。数据来自2005年至2018年加拿大温哥华PWUD的三个预期队列。儿童期身体虐待使用童年创伤问卷进行评估。在调整了潜在的混杂因素后，使用广义线性混合模型来估计儿童期身体虐待和随后的暴力受害之间的关系。在2960名PWUD患者中，1018名(34.39%)为女性参与者，1030名(34.8%)参与者报告有中到重度儿童期身体虐待史，949名(32.06%)参与者报告最近遭受暴力侵害。在多因素分析中，在调整潜在混杂因素后，儿童期身体虐待(调整后的优势比[AOR]=1.34，95%可信区间[CI]：1.23~1.46)仍然与暴力受害行为独立相关。这项研究发现，儿童期身体虐待的发生率很高，这与在这种情况下残障人士随后遭受暴力伤害的风险更高有关。需要为有儿童期身体虐待史的残疾儿童提供更多支持，以减少现有的暴力脆弱性，包括筛查和治疗儿童创伤以及相关的暴力预防。
Violent victimization is common among people who use illegal drugs (PWUD) and is a source of significant health-related harm. However, little attention has been paid to how antecedent childhood trauma among PWUD may contribute to the risk of victimization in adulthood. This study sought to examine the relationship between childhood physical abuse and victimization by physical assault among adult PWUD. Data were derived from three prospective cohorts of PWUD in Vancouver, Canada between 2005 and 2018. Childhood physical abuse was assessed using the Childhood Trauma Questionnaire. Generalized linear mixed modeling was used to estimate the relationship between childhood physical abuse and subsequent violent victimization, after adjustment for potential confounders. Among 2960 PWUD, including 1018 (34.39%) female participants, 1030 (34.8%) participants reported a history of moderate to severe childhood physical abuse, and 949 (32.06%) participants reported recent violent victimization at baseline. In a multivariate analysis, childhood physical abuse (Adjusted Odds Ratio [AOR] = 1.34, 95% confidence interval [CI]: 1.23–1.46) remained independently associated with violent victimization after adjustment for potential confounders. This study found a high prevalence of childhood physical abuse and that this was associated with a higher risk of subsequent violent victimization among PWUD in this setting. Greater support for PWUD with a history of childhood physical abuse is needed to decrease existing vulnerability to violence, including screening for and treatment of childhood trauma and related violence prevention.
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影响因子：
2.8
作者：
Gostecnik, Christian;Slavic, Tanja Repic;Cvetek, Robert
通讯作者：
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影响因子：
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作者：
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作者：
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通讯作者：
Anda, RF
DOI：
10.1207/s15374424jccp3304_17
发表时间：
2004-12-01
影响因子：
4.2
作者：
Cohen, JA;Mannarino, AP
通讯作者：
Mannarino, AP