國家衛生研究院 NHRI:Item 3990099045/15952
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    題名: Association linking adverse childhood experiences with unhealthy intimate relationships among women who used illegal drugs in community
    其他題名: 社區女性非法藥物使用者童年逆境經歷與不良親密關係之相關性探討
    作者: Siew, R;Rei, W;Hsieh, TW;Chen, CY
    貢獻者: Center for Neuropsychiatric Research
    摘要: Objectives: This study investigated the association between adverse childhood experiences (ACEs) and unhealthy intimate relationships among community-dwelling women of reproductive age (16-45 years) who use illegal drugs in Taiwan. Methods: Based on a cross-sectional study design, data were collected using computer-assisted self-interviewing questionnaires (n=219) from September 2021 to May 2023. A 10-item checklist was used to assess the three domains of ACEs (i.e., household dysfunctions, neglect, and abuse). Unhealthy intimate relationships include early sexual initiation, sexualized drug use (SDU)/chemsex, and intimate violence victimization (IPV). Logistic regression analysis was used to evaluate the association estimates. Results: 75.3% had experienced at least one ACEs and 38.8% had four or more ACEs. Exposure to 4+ACEs may increase the odds of early sexual initiation by 101%, and the corresponding risks for SDU/ chemsex and IPV were 126% and 368%, respectively. Having a substance-using family member in the household was associated with early sexual initiation (adjusted odds ratio [aOR]=2.45). Witnessing domestic violence (aOR=3.08) and sexual abuse (aOR=3.55) were strongly associated with SDU/chemsex, while parental divorce/separation (aOR=2.21), emotional neglect (aOR=2.63), and emotional abuse (aOR=2.13) were strongly associated with increased IPV. Conclusions: These findings indicate that childhood adversity is common in women who use drugs. The observed increased risk of unhealthy intimate relationships associated with ACEs may highlight the need to address ACEs in addiction intervention or treatment to reduce unfavorable outcomes.
    日期: 2024-04
    關聯: Taiwan Journal of Public Health. 2024 Apr;43(2):169-182.
    Link to: http://dx.doi.org/10.6288/TJPH.202404_43(2).112128
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85196803732
    顯示於類別:[陳娟瑜(2004-2010)] 期刊論文

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