This study analyzed the association between different types of violence victimization and ultra-processed food (UPF) consumption and explored the mediating role of alcohol, tobacco, and illicit drug use on these associations. Cross-sectional study with Brazilian students aged 13–17. Participants reported their UPF consumption, bullying and physical aggression victimization, and use of alcohol, tobacco, and illicit drugs in the last month. Generalized linear regression models and mediation analyses were adjusted for the main confounders. A total of 96,396 adolescent students (52.2% female) were analyzed. In adjusted analyses, the number of UPF consumed was higher in those experiencing bullying victimization (β = 0.18; 95% confidence interval, CI: 0.09, 0.27), aggression from parents or guardians (β = 0.27; 95% CI: 0.16, 0.38) and aggression from others (β = 0.31; 95% CI: 0.13, 0.49). The adjusted mediation models showed that these associations were partially mediated by alcohol, tobacco and illicit drug use. Among adolescents, exposure to violence victimization might potentially drive a rise in the consumption of UPF. Such associations are partially influenced by an increased use of psychoactive substances.

本研究分析了不同类型的暴力受害与超加工食品（UPF）消费之间的关联，并探讨了酒精、烟草和非法药物使用对这些关联的中介作用。针对 13-17 岁巴西学生的横断面研究。参与者报告了上个月的 UPF 消费、欺凌和身体攻击行为以及酒精、烟草和非法药物的使用情况。针对主要混杂因素调整了广义线性回归模型和中介分析。共有 96,396 名青少年学生（52.2% 为女性）接受了分析。在调整后的分析中，遭受欺凌（β=0.18；95%置信区间，CI：0.09，0.27）、父母或监护人攻击（β=0.27；95%CI：0.16，0.38）的人消耗的UPF数量较高）和来自他人的攻击性（β = 0.31；95% CI：0.13，0.49）。调整后的中介模型表明，这些关联部分是由酒精、烟草和非法药物使用介导的。在青少年中，遭受暴力侵害可能会导致 UPF 消费量的增加。这种关联部分受到精神活性物质使用增加的影响。