The Relationship between Interviewer Characteristics and Physical and Sexual Abuse Disclosures among Substance Users: A Multilevel Analysis

2001 ◽  
Vol 31 (4) ◽  
pp. 867-888 ◽  
Author(s):  
René M. Dailey ◽  
Ronald E. Claus
Keyword(s):  
Substance Abuse ◽  
Sexual Abuse ◽  
Logistic Regressions ◽  
Race Ethnicity ◽  
Clustering Effect ◽  
Unexplained Variance ◽  
Abuse Characteristics ◽  
Abuse Treatment ◽  
The Relationship ◽  
Physical And Sexual Abuse

Data were collected at assessment for substance abuse treatment from 22 interviewers and 8,276 clients to assess the relationship between interviewer characteristics and disclosure of physical and sexual abuse. Characteristics examined were client and interviewer gender, race/ethnicity, and age. Multilevel regressions that adjusted for the clustering of clients within interviewers were compared to unadjusted logistic regressions to determine the effect of response similarity within clusters. Clustering accounted for only 2–5% of the unexplained variance; however, ignoring the clustering effect generated several misleading results. Adjusted models indicated that clients were more likely to disclose physical abuse to Caucasian interviewers than to African American interviewers and more likely to disclose sexual abuse to female interviewers than to male interviewers. Matching clients and interviewers on gender, race, and age did not increase disclosures of either physical or sexual abuse.

scholarly journals Associations between adverse childhood experiences and acquired brain injury, including traumatic brain injuries, among adults: 2014 BRFSS North Carolina

2018 ◽  
Vol 25 (6) ◽  
pp. 514-520 ◽  
Author(s):  
Angie S Guinn ◽  
Katie A Ports ◽  
Derek C Ford ◽  
Matt Breiding ◽  
Melissa T Merrick
Keyword(s):  
Mental Illness ◽  
North Carolina ◽  
Sexual Abuse ◽  
Brain Injury ◽  
Adverse Childhood Experiences ◽  
Acquired Brain Injury ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Race Ethnicity ◽  
The Relationship

Adverse childhood experiences (ACEs) can negatively affect lifelong health and opportunity. Acquired brain injury (ABI), which includes traumatic brain injury (TBI) as well as other causes of brain injury, is a health condition that affects millions annually. The present study uses data from the 2014 North Carolina Behavioral Risk Factor Surveillance System to examine the relationship between ACEs and ABI. The study sample included 3454 participants who completed questions on both ABI and ACEs. Multivariable logistic regression models were used to determine the relationship between ACEs and ABI as well as ACEs and TBI. Sexual abuse, emotional abuse, physical abuse, household mental illness and household substance abuse were significantly associated with ABI after adjusting for age, race/ethnicity, gender and employment. Compared with those reporting no ACEs, individuals reporting three ACEs had 2.55 times the odds of having experienced an ABI; individuals reporting four or more ACEs had 3.51 times the odds of having experienced an ABI. Examining TBI separately, those who experienced sexual abuse, physical abuse, household mental illness and had incarcerated household members in childhood had greater odds of reported TBI, after adjusting for age, race/ethnicity, gender and income. Respondents reporting three ACEs (AOR=4.16, 95% CI (1.47 to 11.76)) and four or more ACEs (AOR=3.39, 95% CI (1.45 to 7.90)) had significantly greater odds of reporting TBI than respondents with zero ACEs. Prevention of early adversity may reduce the incidence of ABI; however, additional research is required to elucidate the potential pathways from ACEs to ABI, and vice versa.

Neuropsychological correlates of adolescent substance abuse: Four-year outcomes

1999 ◽  
Vol 5 (6) ◽  
pp. 481-493 ◽  
Author(s):  
SUSAN F. TAPERT ◽  
SANDRA A. BROWN
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Drug Withdrawal ◽  
Neuropsychological Functioning ◽  
Treatment Programs ◽  
Drug Involvement ◽  
Abuse Treatment ◽  
Neuropsychological Impairments ◽  
The Relationship

Alcohol and other drug use are common in youth, but neurocognitive sequelae are unclear. This study examines the relationship between neuropsychological functioning and protracted substance use in adolescence. One hundred fifteen adolescents, ages 13 to 19 years, were recruited from inpatient substance abuse treatment programs and followed for 4 years. Adolescents were administered a comprehensive battery of neuropsychological tests and evaluated on substance use involvement during treatment, and at 6-month, 1-year, 2-year, and 4-year follow-up time points. Protracted substance abuse over the 4 years of follow-up was associated with significantly poorer subsequent functioning on tests of attention. In addition, alcohol and drug withdrawal accounted for significant variance in visuospatial functioning, above and beyond demographic, educational, and health variables in detoxified late adolescents and young adults. Results suggest that alcohol and drug withdrawal may be a more powerful marker of protracted neuropsychological impairments than other indices of youthful alcohol and drug involvement. (JINS, 1999, 5, 481–493.)

Resilience among secondary school students in South-Western Nigeria; association with abuse and neglect

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Oluwapelumi Adeyera ◽  
Obioma Uchendu ◽  
Eme Owoaje
Keyword(s):  
Sexual Abuse ◽  
Secondary School ◽  
Health Issues ◽  
School Students ◽  
Cross Sectional ◽  
Abuse And Neglect ◽  
Physical Neglect ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Physical And Sexual Abuse

Abstract Introduction Resilience, which aids coping and adjustment, prevents the development of mental health issues for individuals exposed to adversities. Abuse and neglect are some of the adversities that affect the health of adolescents. This study examined the relationship between abuse, neglect and resilience of adolescents. Methods The study adopted a cross-sectional design among 522 secondary school adolescents using interviewer-administered semi-structured questionnaires. Information on socio-demographics, abuse, neglect and resilience were elicited. Associations were tested with significance set at 5%. Results The mean age of respondents was 15.9 ± 1.5, 301 (57.7%) were females and 144 (27.6%) were from polygamous homes. Two hundred and forty-three (46.4%) had high resilience, 141 (27.0%) moderate resilience and 138 (26.6%) had low resilience. Psychological, physical and sexual abuse were reported among 238 (45.7%), 168 (32.1%) and 45 (8.6%) adolescents, respectively, while 71 (13.6%) and 134 (25.8%) experienced psychological and physical neglect, respectively. Adolescents who experienced physical abuse and sexual abuse were about 2 and 2.5 times less likely, respectively, to have high resilience than those who did not experience physical and sexual abuse. Conclusion Abuse and neglect negatively influence resilience of adolescents. Interventions targeted at reducing abuse and neglect should be incorporated in adolescent health protocols to increase their resilience.

Sign in / Sign up

Export Citation Format

Share Document