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The long-term effects of childhood maltreatment experiences on subsequent illicit drug use and drug-related problems in young adulthood
Authors:Shi Huang  Edward Trapido  Lora Fleming  Kristopher Arheart  Lee Crandall  Michael French  Shandey Malcolm  Guillermo Prado
Affiliation:1. Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, 1120 NW 14th street, 10th floor, Miami, FL 33136, United States;2. Department of Sociology, University of Miami, 121F Merrick Building, 5202 University Drive, Coral Gables, FL 33146, United States;3. College of Health, Education, and Human Development, Clemson University, 503 Edwards Hall, Clemson, SC 29634, United States;4. School of Public Health, Louisiana State University, 615 Poydras Street, New Orleans, LA 70112, United States;1. Department of Genetics, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;2. Department of Statistics, Instituto de Matemática, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;3. Biostatistics Unit, Grupo de Pesquisa e Pós-graduação, Hospital de Clínicas de Porto Alegre, Brazil;4. Postgraduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil;5. Developmental Cognitive Neuroscience Research Group (GNCD), Biomedical Research Institute (IPB), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Brazil;1. School of Social Work, University of Southern California, Los Angeles, California;2. Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California;3. Department of Psychology, University of Southern California, Los Angeles, California;1. University of the West Indies, Mona Campus, Mona, Jamaica;2. University of Panama, Panama City, Panama;3. Universidad Nacional Autónoma de Nicaragua, UNAN-León, León, Nicaragua;4. Universidad de Los Llanos, Villavicencio, Colombia;5. Pontificia Universidad Javeriana de Bogotá, Bogatá, Colombia;6. Universidad Evangélica de El Salvador, San Salvador, El Salvador;7. Universdad de la República Oriental del Uruguay, Montevideo, Uruguay;8. Inter-American Drug Abuse Control Commission, Washington, DC, USA;9. Centre for Addiction and Mental Health, Toronto, Canada;10. University of Toronto, Toronto, Canada;11. Health Canada, Ottawa, Canada;12. McMaster University, Hamilton, Canada;1. Laboratoire de psychopathologie et processus de santé (LPPS), institut de psychologie, université Paris Descartes, Sorbonne Paris Cité, 71, avenue Édouard-Vaillant, 92774 Boulogne-Billancourt, France;2. École supérieure du professorat et de l’éducation de l’académie de Versailles, université de Cergy, 95000 Pontoise, France;1. Department of Epidemiological and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente, Calzada México Xochimilco 101, Colonia San Lorenzo Huipulco, Mexico City 14370, Mexico;2. Institute for Applied Mathematical and Systems Research, National Autonomous University of Mexico, Ciudad Universitaria, Mexico City 04510, Mexico
Abstract:ObjectivesThe objective of this study was to examine the associations between (a) childhood maltreatment (i.e., physical abuse, sexual abuse, and neglect) and subsequent illicit drug use and (b) childhood maltreatment and drug-related problems in young adulthood.MethodsWave 1 and Wave 3 public-use data from the National Longitudinal Study of Adolescent Health were used. Logistic regressions, controlling for adolescent drug use and other important family and peer contextual processes, were estimated to determine the associations between (a) childhood maltreatment experiences and subsequent illicit drug use and (b) childhood maltreatment and drug-related problems in young adulthood.ResultsAmong the participants, 31.9% reported some form of childhood maltreatment. Childhood physical abuse was associated with a 37% (OR = 1.37; 95% CI = 1.04, 1.80) increase in illicit drug use during the 30 days prior to the Wave 3 survey, a 48% (OR = 1.48; 95% CI = 1.16, 1.89) increase in illicit drug use during the year prior to the Wave 3 survey, and a 96% (OR = 1.96; 95% CI = 1.40, 2.76) increase in drug-related problems in young adulthood. The latter two associations persisted even after controlling for illicit drug use in adolescence. Neglect among females was associated with a higher likelihood of past year illicit drug use in young adulthood (OR = 1.31; 95% CI = 1.002, 1.71). However, this association was not significant once the effect of illicit drug use in adolescence was statistically controlled for.ConclusionsThe present findings suggest that childhood maltreatment is related to subsequent illicit drug use and drug-related problems in young adulthood and that some of these associations differ by gender. Implications for preventive intervention are discussed.
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