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Impact and relationship of childhood experiences and substance abuse in a population of Baghdad City, Iraq

机译:儿童经历和药物滥用对伊拉克巴格达市人口的影响和关系

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Adverse childhood experiences (ACEs) (e.g. abuse, neglect, violence between parents or caregivers, and community violence) are associated with higher rates of depression, tobacco use, alcoholism, illicit drug use and attempted suicide among adult population. The objective of this study is to identify the relationship of childhood experiences to substance use during adulthood in a sample from Baghdad city. A multistage sampling technique was used to choose respondents from primary health care centers and universities. Childhood experiences were measured by applying a modified standardized Adverse Childhood Experiences International Questionnaire (ACE-IQ) to inquire about the negative childhood experiences (household dysfunction and abuse, and exposure to community and collective violence) and positive childhood experiences presented by bonding to family. A total of 1040 subjects were surveyed and 1000 responded, making a response rate of 96.2%. The mean score of household dysfunction and abuse is significantly higher among those with a positive history of taking sedative drugs (24.1) compared to those with a negative history (12.3). The association between sedative drugs use and the score of household dysfunction and abuse is rated as a strong association. A strong association was found between history of alcohol drinking and a higher score of household dysfunction and abuse. The mean score of bonding to family (76.2) is significantly higher among those with a negative history of sedative drug use compared to the mean score of bonding to family of subjects with a positive history of sedative drug use (65.3). It can be concluded from this study that sedative drug use is strongly associated with household dysfunction and abuse, the same is for alcohol drinking. Special national programs, including prevention and intervention strategies, are needed to build resilience among people targeting early adverse childhood experiences and their consequences.South East Asia Journal of Public Health Vol.5(1) 2015: 25-32
机译:童年时期的不良经历(ACE)(例如虐待,忽视,父母或照顾者之间的暴力行为以及社区暴力)与成年人口中的抑郁症,吸烟,酗酒,非法药物使用和自杀未遂的发生率较高相关。这项研究的目的是从巴格达市的一个样本中确定童年经历与成年期间吸毒的关系。使用多阶段抽样技术从初级保健中心和大学中选择受访者。通过应用修改后的标准化国际不良儿童经历调查表(ACE-IQ)来评估儿童经历,以调查负面的儿童经历(家庭功能障碍和虐待,以及遭受社区和集体暴力的影响)以及与家庭联系带来的积极的儿童经历。总共对1040名受试者进行了调查,有1000名得到了答复,答复率为96.2%。服用镇静药物史阳性的人(24.1)的家庭功能障碍和虐待的平均得分明显高于阴性史(12.3)的家庭。镇静药物的使用与家庭功能障碍和滥用评分之间的关​​联被认为是强关联。饮酒史与较高的家庭功能障碍和滥用程度之间存在很强的关联。与使用镇静药物史阳性的受试者的家庭平均得分相比,在使用镇静药物史阴性的受试者中的家庭平均得分(76.2)要高得多。从这项研究可以得出结论,镇静药物的使用与家庭功能障碍和滥用密切相关,饮酒也是如此。需要特别的国家计划,包括预防和干预策略,以在针对儿童早期不良经历及其后果的人群中建立适应力。东南亚公共卫生杂志2015年第5(1)期:25-32

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