ABSTRACT

Background

Adverse Childhood Experiences (ACEs) show predictive utility concerning binge drinking. However, the literature is limited by 1. a focus on cumulative ACEs with little regard to specific domains, 2. a focus on those with the highest ACE scores, and 3. little consideration for gender differences. These approaches are problematic as ACE categories are fundamentally different, yet little distinction is given to specific ACE domains. The current study investigates which individual and dual ACE domain combinations are associated with binge drinking.

Methods

Data were obtained from the Behavioral Risk Factor Surveillance System (2011-2017; N = 80,391). A series of ANCOVAs were conducted to determine the association between single and dual combination ACE domains and binge drinking.

Results

Results show gendered effects of ACEs on binge drinking such that at 0, 1, and 2 ACEs, males reported statistically higher rates. For males with exactly two ACEs, combinations of either sexual abuse or family incarceration presented the highest levels of binge drinking- with the highest mean binge drinking score being the exact combination of the two. This contrasts with males with 1 ACE, where experiencing family incarceration or sexual abuse, as a single domain, did not represent significant risk above the average of having a single ACE.

Conclusions

Results suggest that males may be resilient to either of these domains as singular events, yet when found in combination, may present a synergistic effect that increases the likelihood of binge drinking. Due to lower overall binge drinking rates, no significant patterns were found among females.

中文翻译：

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单个和双重 ACE 域对狂饮的影响：按性别进行比较

摘要

背景

童年不良经历 (ACE) 显示了有关暴饮暴食的预测效用。然而，文献受限于 1. 关注累积 ACE，很少考虑特定领域，2. 关注具有最高 ACE 分数的那些，以及 3. 很少考虑性别差异。这些方法是有问题的，因为 ACE 类别根本不同，但对特定 ACE 域几乎没有区别。目前的研究调查了哪些个人和双 ACE 域组合与酗酒有关。

方法

数据来自行为风险因素监测系统 (2011-2017; N  = 80,391)。进行了一系列 ANCOVA 以确定单和双组合 ACE 域与狂饮之间的关联。

结果

结果显示 ACE 对狂饮的性别影响，因此在 0、1 和 2 个 ACE 时，男性报告的比例更高。对于恰好有两个 ACE 的男性，性虐待或家庭监禁的组合表现出最高水平的酗酒——最高平均酗酒得分是两者的确切组合。这与具有 1 个 ACE 的男性形成对比，其中经历家庭监禁或性虐待作为一个单一领域，并不代表比拥有单个 ACE 平均水平更高的显着风险。

结论

结果表明，男性可能对这些领域中的任何一个都具有弹性作为单一事件，但当发现组合时，可能会产生协同效应，增加暴饮暴食的可能性。由于总体酗酒率较低，因此在女性中没有发现显着的模式。