The relevant research of adverse childhood experiences and “risky drinking” in children of alcoholics in China

Objective: To determine whetheradverse childhood experiences (ACEs) of children of alcoholics (COA) were associated with their current “risky drinking”. Methods: This case-control study used the Alcohol Use Disorder Identification Test (AUDIT, cutoff is 7) to divide the participants into two groups, a “risky drinking group" (N=53) and a "non-risky drinking group" (N=97). Demographic data, Adverse Childhood Experiences-International Questionnaire (ACE-IQ), the Hamilton Anxiety Rating Scale (HAMA), the Hamilton Depression Rating Scale (HAMD) and the Mini-International Neuropsychiatric Interview (MINI) were used for assessment. The specific relationships between ACEs and “risky drinking” were explored. Results: Respondents ranged in age from 29.70±6.72 years; 74.5% were females; 94.7% were of Han nationality; 56.7% had a level of education above high school; 12% had no formal or stable job. The “risky drinking” group was more likely to have experienced a major depressive episode ( P ＜0.05), nonalcohol psychoactive substance use disorder and bulimia nervosa ( P <0.01), and they also experienced more physical abuse( P ＜0.05), community violence ( P ＜0.01) and collective violence ( P ＜0.05). In a single factor logistic regression, physical abuse, community violence and collective violence were associated with a two to eleven fold increase in “risky drinking” in the adult COA, and in multiple factor logistic regression, community violence showed a graded relationship with “risky drinking”. Conclusion: The childhood adverse experiences contribute to “risky drinking” in COA. This finding in the Chinese context have significant implications for prevention not only in China but in other cultures. There must be greater awareness of the role of ACEs in the perpetuation of alcoholism.