Article de Périodique
Lifetime sexual violence and tobacco, alcohol, and cannabis use among French adults: A national survey (2026)
Auteur(s) :
DELMAS, N. ;
PASQUEREAU, A. ;
RICHARD, J. B. ;
NGUYEN-THANH, V. ;
EL-KHOURY LESUEUR, F.
Année
2026
Page(s) :
art. 103547
Langue(s) :
Anglais
Domaine :
Alcool ; Drogues illicites ; Tabac / e-cigarette
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
FRANCE
Thésaurus mots-clés
ALCOOL
;
TABAC
;
CANNABIS
;
VIOLENCE
;
ABUS SEXUEL
;
BAROMETRE SANTE
;
FACTEUR DE RISQUE
;
ETUDE TRANSVERSALE
;
SEXE
;
POPULATION GENERALE
Résumé :
OBJECTIVE: Sexual violence can lead to significant health impacts, including higher risk of substance use. This study examines the association between lifetime experiences of sexual violence and substance use in a large nation-wide sample of French adults.
METHODS: Data were drawn from the 2017 Health Barometer, a cross-sectional survey of 25,319 French adults aged 18-75, conducted in Mainland France between January and July 2017. Five substance use outcomes were examined: daily tobacco use, heavy drinking, regular binge drinking, monthly cannabis use, and problematic cannabis use. Multivariable logistic regression models were used to assess the association between sexual violence and each of these outcomes.
RESULTS: A total of 9.5% of women and 2% of men reported having experienced sexual violence. In adjusted analyses, lifetime experience of sexual violence was associated with increased odds of all five substance use outcomes. Lifetime sexual violence was also linked to study outcomes in stratified analyses by sex, with particularly strong associations for monthly cannabis use (women aOR = 2.53, 1.90-3.34; men aOR = 2.10, 1.37-3.16).
CONCLUSIONS: These findings support the need for integrated care addressing both sexual violence history and substance use among sexual violence victims-survivors. [Author's abstract]
Highlights:
Lifetime sexual violence associated with higher odds of multiple substance outcomes.
Sexual violence was linked to daily smoking, heavy drinking, and weekly binge drinking.
Past-month cannabis use showed the largest association in both men and women.
Both single and repeated sexual violence were associated with increased substance use risk.
METHODS: Data were drawn from the 2017 Health Barometer, a cross-sectional survey of 25,319 French adults aged 18-75, conducted in Mainland France between January and July 2017. Five substance use outcomes were examined: daily tobacco use, heavy drinking, regular binge drinking, monthly cannabis use, and problematic cannabis use. Multivariable logistic regression models were used to assess the association between sexual violence and each of these outcomes.
RESULTS: A total of 9.5% of women and 2% of men reported having experienced sexual violence. In adjusted analyses, lifetime experience of sexual violence was associated with increased odds of all five substance use outcomes. Lifetime sexual violence was also linked to study outcomes in stratified analyses by sex, with particularly strong associations for monthly cannabis use (women aOR = 2.53, 1.90-3.34; men aOR = 2.10, 1.37-3.16).
CONCLUSIONS: These findings support the need for integrated care addressing both sexual violence history and substance use among sexual violence victims-survivors. [Author's abstract]
Highlights:
Lifetime sexual violence associated with higher odds of multiple substance outcomes.
Sexual violence was linked to daily smoking, heavy drinking, and weekly binge drinking.
Past-month cannabis use showed the largest association in both men and women.
Both single and repeated sexual violence were associated with increased substance use risk.
Affiliation :
Sorbonne Université, INSERM, Pierre Louis Institute of Epidemiology and Public Health, IPLESP, Social Epidemiology, Mental Health and Addictions, ESSMA, Paris, France.
Santé publique France, Saint-Maurice, France.
Santé publique France, Saint-Maurice, France.
Historique