Adverse childhood experiences and stimulant use disorders among adults in the United States
| Autor: | Sarah Bacon, Shichao Tang, Christopher M. Jones, Hsien-Chang Lin, April Wisdom, Debra Houry |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Logistic regression Article 03 medical and health sciences 0302 clinical medicine Adverse Childhood Experiences Risk Factors Environmental health Epidemiology medicine Prevalence Humans Biological Psychiatry business.industry United States 030227 psychiatry Stimulant Psychiatry and Mental health Logistic Models Methamphetamine use Cocaine use Social consequence business 030217 neurology & neurosurgery |
| Zdroj: | Psychiatry Res |
| Popis: | Recent data indicate a resurgence of stimulant use and harms in the United States; thus, there is a need to identify risk factors to inform development of effective prevention strategies. Prior research suggests adverse childhood experiences (ACEs) are common among individuals using stimulants and may be an important target for prevention. National Epidemiological Survey on Alcohol and Related Conditions was used to estimate prevalence of ACEs among U.S. adults using amphetamine-type stimulants (ATS), cocaine, or both. Multivariable logistic regression examined associations between ACEs and stimulant use and use disorders. Among adults reporting lifetime ATS use, 22.1% had ≥4 ACEs, 24.9% had 2-3 ACEs, 22.4% had 1 ACE, 30.6% reported no ACEs. Among adults with lifetime ATS use disorder, 29.3% reported ≥4 ACEs, 28.7% reported 2-3 ACEs, 21.6% reported 1 ACE, and 20.4% reported no ACEs. Multivariable logistic regression found a significant relationship between number of ACEs and stimulant use and use disorders. In conclusion, we found a strong relationship between increasing ACE exposures and stimulant use and use disorders. Advancing comprehensive strategies to prevent ACEs and treating underlying trauma among those using stimulants holds great promise to reduce stimulant use and its health and social consequences in the United States. |
| Databáze: | OpenAIRE |
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