Peer and Community Influences on Adolescent Substance Use in the Context of Adverse Childhood Experiences

Sociological Perspectives ◽

10.1177/07311214211018718 ◽

2021 ◽

pp. 073112142110187

Author(s):

Haley Stritzel

Keyword(s):

Substance Use ◽

Drug Use ◽

Adverse Childhood Experiences ◽

Illicit Drug ◽

Illicit Drug Use ◽

Peer Influences ◽

Childhood Experiences ◽

Community Influences ◽

Adverse Childhood ◽

Peer Substance Use

Both adverse childhood experiences (ACEs) and peer influences consistently predict early tobacco, alcohol, and illicit drug use. However, less research considers how peer and community influences contribute to or modify the association between ACEs and early substance use. This study addresses these gaps in the literature by analyzing multilevel, longitudinal data from the Project on Human Development in Chicago Neighborhoods (PHDCN; N = 1,912). Unstructured socializing and peer substance use largely explained the association between ACEs and drinking, smoking cigarettes, and illicit drug use in the past month. A history of ACEs magnified the association between peer substance use and the number of cigarettes smoked. Collective efficacy also shaped the associations between peer influences, ACEs, and substance use, but in different ways depending on the substance use outcome analyzed.

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Childhood Abuse, Neglect, and Household Dysfunction and the Risk of Illicit Drug Use: The Adverse Childhood Experiences Study

PEDIATRICS ◽

10.1542/peds.111.3.564 ◽

2003 ◽

Vol 111 (3) ◽

pp. 564-572 ◽

Cited By ~ 964

Author(s):

S. R. Dube ◽

V. J. Felitti ◽

M. Dong ◽

D. P. Chapman ◽

W. H. Giles ◽

...

Keyword(s):

Drug Use ◽

Childhood Abuse ◽

Adverse Childhood Experiences ◽

Illicit Drug ◽

Illicit Drug Use ◽

Childhood Experiences ◽

Household Dysfunction ◽

Adverse Childhood

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Adverse childhood experiences and illicit drug use in adolescents: Findings from a national addictions treatment population in Singapore

Journal of Substance Use ◽

10.1080/14659891.2017.1348558 ◽

2017 ◽

Vol 23 (1) ◽

pp. 86-91 ◽

Cited By ~ 4

Author(s):

Brenda Gomez ◽

Chao Xu Peh ◽

Christopher Cheok ◽

Song Guo

Keyword(s):

Drug Use ◽

Adverse Childhood Experiences ◽

Illicit Drug ◽

Illicit Drug Use ◽

Childhood Experiences ◽

Addictions Treatment ◽

Adverse Childhood ◽

Treatment Population

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Adverse childhood experiences are associated with illicit drug use among pregnant women with middle to high socioeconomic status: Findings from the All Our Families Cohort

10.21203/rs.3.rs-33576/v2 ◽

2020 ◽

Author(s):

Cheryl L. Currie ◽

Suzanne C Tough

Keyword(s):

Drug Use ◽

Pregnant Women ◽

Adverse Childhood Experiences ◽

Illicit Drug ◽

Illicit Drug Use ◽

Fold Increase ◽

Childhood Experiences ◽

Adverse Childhood ◽

The Impact ◽

In Pregnancy

Abstract Background: Adverse childhood experiences (ACEs) are associated with illicit drug use among pregnant women who are socioeconomically vulnerable. While it is assumed that the impact of ACEs on illicit drug use in pregnancy is reduced among women with higher socioeconomic status (SES), this assumption is not well tested in the literature. The objective of this study was to examine the impact of maternal ACEs on illicit drug use in a community-based sample of pregnant women with middle to high SES. Methods: This study is a secondary analysis of a prospective cohort study that collected data from 1,660 women during and after pregnancy in Calgary, Canada between 2008-2011 using mailed surveys. Illicit drug use in pregnancy was self-reported by women at 34-36 weeks gestation. An established scale examined maternal ACEs before 18 years. Logistic regression models and 95% confidence intervals tested associations between maternal ACE scores and illicit drug use in pregnancy. Results: Overall, 3.1% of women in this predominantly married, well-educated, middle and upper middle income sample reported illicit drug use in pregnancy. Women with 2-3 ACEs had more than a two-fold increase, and women with 4 or more ACEs had almost a four-fold increase in illicit drug use in pregnancy, relative to women with 0-1 ACEs after adjustment for confounders. Exposure to child abuse was more consistently associated with illicit drug use in pregnancy than exposure to household dysfunction in childhood. Conclusions: Maternal ACEs were common and associated with a moderate increase in the odds of illicit drug use in pregnancy among Canadian women with middle to high SES.

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Adverse Childhood Experiences are Associated with illicit drug use among pregnant women with middle to high socioeconomic status: Findings from the All Our Families Cohort

10.21203/rs.3.rs-33576/v1 ◽

2020 ◽

Author(s):

Cheryl L. Currie ◽

Suzanne C Tough

Keyword(s):

Drug Use ◽

Pregnant Women ◽

Adverse Childhood Experiences ◽

Illicit Drug ◽

Illicit Drug Use ◽

Fold Increase ◽

Childhood Experiences ◽

Adverse Childhood ◽

The Impact ◽

In Pregnancy

Abstract Background: Adverse childhood experiences (ACEs) are associated with illicit drug use among pregnant women who are socioeconomically vulnerable. While it is assumed that the impact of ACEs on illicit drug use is reduced among pregnant women who are well educated and have higher socioeconomic status, this assumption has not been well tested in the literature. The objective of this study was to examine the impact of maternal ACEs on illicit drug use among pregnant women who are well-educated women, have middle to high household incomes, and seeking regular prenatal care. Findings can inform clinicians about potential associations between ACEs and drug use in pregnancy within a population that they are frequently in contact with. Methods: This study is a secondary analysis of a prospective cohort study that collected data from 1,680 women during and after pregnancy in Calgary, Canada between 2008-2011 using mailed surveys. Illicit drug use in pregnancy was self-reported by women at 34-36 weeks gestation. An established scale examined maternal ACEs before 18 years. Logistic regression models and 95% confidence intervals tested associations between maternal ACE scores and illicit drug use in pregnancy. Results: Overall, 3.3% of women in this predominantly married, well-educated, middle and upper middle income sample (mean age 31 years) reported illicit drug use in pregnancy. Women with 2-3 ACEs had more than a two-fold increase, and women with 4 or more ACEs had almost a four-fold increase in illicit drug use in pregnancy, relative to women with 0-1 ACEs after adjustment for confounders. Exposure to child abuse was more consistently associated with illicit drug use in pregnancy than exposure to household dysfunction in childhood. Conclusions: Findings combine with others to speak to the public health significance of maternal ACEs on substance use among expectant mothers across the socioeconomic spectrum; particularly child abuse. This information, can be used by women and the clinicians serving them, to better understand the role that ACEs could play in their decision to use illicit drugs in pregnancy.

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Adverse childhood experiences are associated with at-risk drinking, cannabis and illicit drug use in females but not males: an Emergency Department study

The American Journal of Drug and Alcohol Abuse ◽

10.1080/00952990.2020.1823989 ◽

2020 ◽

Vol 46 (6) ◽

pp. 739-748

Author(s):

Carol B. Cunradi ◽

Raul Caetano ◽

Harrison J. Alter ◽

William R. Ponicki

Keyword(s):

At Risk ◽

Emergency Department ◽

Drug Use ◽

Adverse Childhood Experiences ◽

Illicit Drug ◽

Illicit Drug Use ◽

Childhood Experiences ◽

Adverse Childhood

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Adverse childhood experiences are associated with illicit drug use among pregnant women with middle to high socioeconomic status: findings from the All Our Families Cohort

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03591-1 ◽

2021 ◽

Vol 21 (1) ◽

Cited By ~ 1

Author(s):

Cheryl L. Currie ◽

Suzanne C. Tough

Keyword(s):

Drug Use ◽

Pregnant Women ◽

Adverse Childhood Experiences ◽

Illicit Drug ◽

Illicit Drug Use ◽

Fold Increase ◽

Childhood Experiences ◽

Adverse Childhood ◽

The Impact ◽

In Pregnancy

Abstract Background Adverse childhood experiences (ACEs) are associated with illicit drug use among pregnant women who are socioeconomically vulnerable. While it is assumed that the impact of ACEs on illicit drug use in pregnancy is reduced among women with higher socioeconomic status (SES), this assumption is not well tested in the literature. The objective of this study was to examine the impact of maternal ACEs on illicit drug use in a community-based sample of pregnant women with middle to high SES. Methods This study is a secondary analysis of a prospective cohort study that collected data from 1660 women during and after pregnancy in Calgary, Canada between 2008 and 2011 using mailed surveys. Illicit drug use in pregnancy was self-reported by women at 34–36 weeks gestation. An established scale examined maternal ACEs before 18 years. Logistic regression models and 95% confidence intervals tested associations between maternal ACE scores and illicit drug use in pregnancy. Results Overall, 3.1% of women in this predominantly married, well-educated, middle and upper middle income sample reported illicit drug use in pregnancy. Women with 2–3 ACEs had more than a two-fold increase, and women with 4 or more ACEs had almost a four-fold increase in illicit drug use in pregnancy, relative to women with 0–1 ACEs after adjustment for confounders. Exposure to child abuse was more consistently associated with illicit drug use in pregnancy than exposure to household dysfunction in childhood. Conclusions Maternal ACEs were common and associated with a moderate increase in the odds of illicit drug use in pregnancy among Canadian women with middle to high SES.

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