女同性恋者童年期不良经历与成年期物质使用行为的相关性分析

朱标; 丁昌棉; 蒋清青; 翟萌曦; 田家玮; 俞斌; 燕虹

文章摘要

朱标,丁昌棉,蒋清青,翟萌曦,田家玮,俞斌,燕虹.女同性恋者童年期不良经历与成年期物质使用行为的相关性分析[J].中华流行病学杂志,2022,43(2):248-253

女同性恋者童年期不良经历与成年期物质使用行为的相关性分析

Associations between adverse childhood experiences and adulthood substance use among lesbians

收稿日期:2021-08-12 出版日期:2022-02-16

DOI：10.3760/cma.j.cn112338-20210812-00636

中文关键词: 女同性恋物质使用童年期不良经历

英文关键词: Lesbians Substance use Adverse childhood experiences

基金项目:国家自然科学基金（81673196）

作者	单位	E-mail
朱标	武汉大学公共卫生学院, 武汉 430072
丁昌棉	德宏傣族景颇族自治州人民医院病案管理科, 芒市 678400
蒋清青	武汉大学公共卫生学院, 武汉 430072
翟萌曦	武汉大学公共卫生学院, 武汉 430072
田家玮	武汉大学公共卫生学院, 武汉 430072
俞斌	武汉大学公共卫生学院, 武汉 430072
燕虹	武汉大学公共卫生学院, 武汉 430072	yanhmjxr@whu.edu.cn

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中文摘要:

目的了解女同性恋者童年期不良经历（ACE）与成年期物质使用行为的状况，探究二者间的关系，为识别高风险人群、制定针对性干预措施提供依据。方法 2018年7-12月在北京市女同性恋社会组织的协助下，采用方便抽样方法，从参加例行的艾滋病自愿咨询检测服务、外展活动以及同伴推荐的女同性恋者中招募研究对象。应用问卷星（www.wjx.cn）进行问卷调查，调查内容包括社会人口学特征、ACE以及物质使用行为等。采用logistic回归模型分析女同性恋者ACE与物质使用行为的关系。使用SPSS 22.0软件进行统计学分析。结果调查对象共294名女同性恋者，性取向为同性恋和双性恋的分别占81.3%（239/294）和18.7%（55/294）。曾有过ACE者占55.8%（164/294），其中经历过虐待、忽视和家庭功能障碍者分别占33.3%（98/294）、24.5%（72/294）和32.7%（96/294）。最近30 d有吸烟行为占55.1%（162/294），最近3个月有物质使用行为和至少每周饮酒分别占11.2%（33/294）和22.8%（67/294）。女同性恋者ACE与成年期物质使用行为的多因素logistic回归分析结果显示，相比于无ACE的女同性恋者，有ACE的女同性恋者的成年期吸烟（OR=1.87，95%CI：1.13~3.08）、饮酒（OR=2.13，95%CI：1.18~3.84）和使用物质（OR=3.33，95%CI：1.29~8.61）的行为风险较高。其中，经历童年期家庭功能障碍的女同性恋者成年后吸烟（OR=2.60，95%CI：1.46~4.62）和饮酒（OR=2.65，95%CI：1.44~4.87）的行为风险较高；相比于童年期无虐待经历者，童年期有虐待经历者的成年期物质使用行为的风险较高（OR=3.17，95%CI：1.26~7.96）。结论女同性恋者具有较普遍的吸烟、饮酒行为以及成年期物质使用行为，并与其ACE具有相关性。

英文摘要:

Objective To investigate the associations between adverse childhood experiences (ACE) and substance use behaviors among lesbians to provide a scientific basis for high-risk population identification and formulation of targeted intervention measures. Methods Lesbians who participated in routine AIDS voluntary counseling, testing services, activities, and peer recommendations were recruited from July to December 2018, with the help of LesPark in Beijing. Convenient sampling method was used. Demographic characteristics, ACE, and substance use behaviors of subjects were investigated using an online platform powered by www.wjx.cn. Subsequently, the associations between ACE and adulthood substance use behaviors were evaluated using the logistic regression model. The SPSS 22.0 was used for statistical analysis. Results A total of 294 lesbians were recruited in the study, 81.3% (239/294) of them were lesbians, and 18.7% (55/294) were bisexuals. Besides, 55.8% (164/294) of subjects reported they had had ACE, with proportions of lesbians experiencing abuse, neglect, and family dysfunction as 33.3% (98/294), 24.5% (72/294), and 32.7% (96/294), respectively. 55.1% (162/294) of the lesbians reported they had smoked in the past 30 days, 11.2% (33/294) reported having drug-use behavior in the past three months, and 22.8% (67/294) claimed drinking alcohol weekly. Multivariate logistic regression analysis showed that lesbians with ACE were at high risks to smoke (OR=1.87, 95%CI: 1.13-3.08), drink (OR=2.13, 95%CI: 1.18-3.84), and use drugs (OR=3.33, 95%CI: 1.29-8.61) in adulthood. Moreover, lesbians with childhood family dysfunction were at higher risk of smoking cigarettes (OR=2.60, 95%CI: 1.46-4.62) and drinking alcohol (OR=2.65, 95%CI: 1.44-4.87). At the same time, those with abuse experience were at higher risk of drug use (OR=3.17, 95%CI: 1.26-7.96). Conclusions Substance use behaviors, including cigarette smoking, drinking alcohol, and drugs use, were common among lesbians. Positive associations were found between ACE and adulthood substance use behaviors.

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