This study examined the moderating role of alcohol use on the association between adverse childhood experiences (ACEs) and intimate partner violence (IPV) perpetration among Black men in the United States. We conducted bivariate and logistic regression analyses using data from Wave 2 of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC). Bivariate results revealed significant relationships between eight of the 10 ACE factors physical neglect; emotional, physical and sexual abuse; witnessing a mother being abused; and having a parent guardian with an alcohol and drug problem and who was incarcerated and IPV perpetration. Similarly, examination of the relationship between ACEs and alcohol use in adulthood also revealed significant associations, with the exception of exposure to emotional neglect, emotional and sexual abuse, and witnessing a mother being abused. Findings from the logistic regression models revealed that alcohol use significantly moderated the relationship between ACEs and IPV perpetration, but only for men exposed to 1, 2, and ≥4 adversities in childhood. However, alcohol use appeared to exacerbate the relationship between ACEs and IPV perpetration for men without childhood adversity. Implications for practice, policy, and areas for further research are discussed.

本研究探讨了酒精使用对美国黑人男性不良童年经历 (ACE) 和亲密伴侣暴力 (IPV) 犯罪之间关联的调节作用。我们使用来自全国酒精及相关疾病流行病学调查 (NESARC) 第 2 波的数据进行了双变量和逻辑回归分析。双变量结果揭示了 10 个 ACE 因素中的 8 个与身体忽视之间的显着关系；情感、身体和性虐待；目睹母亲被虐待；父母监护人有酗酒和吸毒问题，被监禁和实施 IPV。同样，对 ACE 与成年期酒精使用之间关系的研究也发现了显着的关联，除了暴露于情感忽视、情感和性虐待之外，并目睹一位母亲被虐待。逻辑回归模型的结果显示，酒精使用显着缓和了 ACE 与 IPV 实施之间的关系，但仅适用于儿童时期暴露于 1、2 和 4 次以上逆境的男性。然而，对于没有童年逆境的男性来说，饮酒似乎加剧了 ACE 与 IPV 犯罪之间的关系。讨论了对实践、政策和进一步研究领域的影响。