scholarly journals Estimating the number of children in households with substance use disorders

2020 ◽  
Author(s):  
Ludwig Kraus ◽  
Alfred Uhl ◽  
Josefine Atzendorf ◽  
Nicki-Nils Seitz
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Illicit Drugs ◽  
Close Contact ◽  
Epidemiological Survey ◽  
Related Disorder ◽  
Number Of Children ◽  
Dsm Iv ◽  
Household Members ◽  
Definition Of

Abstract Background Parental substance misuse is reported to endanger the health and psychological development of children and adolescents. The aim of the present study was to estimate the number of children currently affected by substance use disorders (SUDs) of any adult living in the same household. Methods Data came from the 2018 German Epidemiological Survey of Substance Abuse (ESA) among 18-64-year-olds (n = 9,267) and from population statistics. DSM-IV diagnostic criteria were used to assess SUD (abuse or dependence) related to tobacco, alcohol, cannabis, cocaine or amphetamine. Based on the number of household members, the number of children below the age 18 years and the information on SUD status of the respondent living in this household, the number of children in households with at least one member with SUD was estimated. Results In 2018, there were 13,597,428 children younger than 18 years living in Germany. Of these, 5.2–7.9% (686,482–696,279) were estimated to live in households where at least one adult had an alcohol-related disorder, 5.0–7.4% (674,065–690,792) in households where at least one adult was tobacco dependent and 0.38–1.05% (93,229–142,141) in households where at least one adult had a disorder related to the use of illicit drugs. The total number of children in close contact with SUD adults was estimated at 7.4–11.2% (1,000,725–1,522,667). Conclusions The large number of children affected by adults with SUD has implications for identification and prevention. Substantial variation in estimates, resulting from differences in methods, definition of exposure and exposure to whom, calls for international standardization in order to make estimates comparable.

scholarly journals Estimating the number of children in households with substance use disorders in Germany

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ludwig Kraus ◽  
Alfred Uhl ◽  
Josefine Atzendorf ◽  
Nicki-Nils Seitz
Keyword(s):  
Substance Use ◽  
Illicit Drugs ◽  
Substance Misuse ◽  
Epidemiological Survey ◽  
Case Definitions ◽  
Number Of Children ◽  
Novel Approach ◽  
Methodological Problems ◽  
Dsm Iv ◽  
Household Members

Abstract Background Parental substance misuse is reported to endanger the health and psychological development of children and adolescents. The aim of the present study was to address conceptual and methodological problems in estimating the number of children affected by parental substance misuse (CaPSM) and offer a novel approach based on survey data. Methods Data came from the 2018 German Epidemiological Survey of Substance Abuse (ESA) among 18- to 64-year-olds (n = 9267) and from population statistics. DSM-IV diagnostic criteria were used to assess substance use disorder (SUD) related to tobacco, alcohol, cannabis, cocaine or amphetamine. Based on the number of household members, the number of children below age 18 years and the information on SUD status of the respondent living in this household, the number of children currently living in households with at least one member with SUD was estimated. Results In 2018, there were 13,597,428 children younger than 18 years living in Germany. Of these, 6.9–12.3% (935,522–1,673,103) were estimated to currently live in households where at least one adult had a tobacco use disorder, 5.1–9.2% (688,111–1,257,345) in households where at least one adult had an alcohol use disorder and 0.6–1.2% (87,817–158,401) in households where at least one adult had a disorder related to the use of illicit drugs. The total number of children currently living with SUD adults in their household was estimated at 11.2–20.2% (1,521,495–2,751,796). Conclusions Available estimates are difficult to interpret and to compare due to a lack of clear case definitions and methodological approaches with various biases and limitations. Future estimates need to provide precise case definitions and standard approaches.

A comparison of DSM-III-R, DSM-IV and ICD-10 substance use disorders diagnoses in 1922 men and women subjects in the COGA study

Addiction ◽  
1994 ◽  
Vol 89 (12) ◽  
pp. 1629-1638 ◽  
Author(s):  
MARC A. SCHUCKIT ◽  
VICTOR HESSELBROCK ◽  
JAYSON TIPP ◽  
ROBERT ANTHENELLI ◽  
KATHLEEN BUCHOLZ ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Men And Women ◽  
Women Subjects ◽  
Icd 10 ◽  
Dsm Iv

Suggestions for the DSM-IV Criteria for Substance Use Disorders

1989 ◽  
Vol 177 (5) ◽  
pp. 316
Author(s):  
Norman S. Miller ◽  
Robert B. Millman ◽  
Mark S. Gold
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Dsm Iv

scholarly journals Substance Use Disorders: A Curriculum Response

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Marian Farrell
Keyword(s):  
United States ◽  
Substance Use ◽  
Nursing Education ◽  
Substance Use Disorders ◽  
Baccalaureate Nursing ◽  
Illicit Drugs ◽  
Expert Panel ◽  
Integrated Approach ◽  
The United States ◽  
Nursing Workforce

In the United States, among individuals aged 12 or older, approximately 19.7 million people experienced a substance use disorder (SUD) related to use of alcohol or illicit drugs during 2017. Current curricula in nursing education lacks sufficient content and experiences to support a nursing workforce prepared to meet the needs of individuals experiencing substance use disorders. This article describes the scope of the problem, and offers one possible solution that synthesizes essential competencies developed by an expert panel blended with an integrated approach that includes a taxonomy of significant learning. We discuss the resulting framework created for change in baccalaureate nursing education about substance use disorders.

scholarly journals The Prevalence Of Binge Eating Disorder And Associated Psychiatric And Substance Use Disorders In A Student Population In Kenya – Towards A Public Health Approach

2021 ◽  
Author(s):  
Victoria N. Mutiso ◽  
Prof. David M. Ndetei ◽  
Esther N. Muia ◽  
Rita K. Alietsi ◽  
Lydia Onsinyo ◽  
...  
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Eating Disorder ◽  
Binge Eating ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Binge Eating Disorder ◽  
Student Population ◽  
Public Health Approach ◽  
Dsm Iv

Abstract Background: Changing lifestyles in Kenya can lead to eating related behaviors and problems. The more severe problems are likely to manifest in clinical settings, but the majority and less severe forms will remain unrecognized. There is therefore the need to take a public health awareness approach to identify cases at community level and initiate appropriate intervention. This requires characterization of Eating Disorders (ED) and its associations in the local context. Our focus will be on the more common Binge Eating Disorder (BED). The overarching objective of this study is to generate Kenyan data on BED and fill a gap that exists not only in Kenya but Africa in general. The specific aims are: (1) To document the patterns and prevalence of different symptoms of BED in a student population whose age range represents a significant proportion of the population. (2) To determine associated psychiatric and substance use disorders (3) To determine independent predictors of BED. Method: We administered to a total of 9742 participants following tools: A researcher designed socio-demographic and economic indicators questionnaire; an instrument on DSM-IV diagnosis of BED and its various symptoms; instruments to determine DSM-IV psychiatric disorders, substance abuse, affectivity, psychosis and stress indicators. The participants were high school, college and university students in four out of the 47 counties in Kenya. We used descriptive and inferential analysis to determine prevalence and association of the different variables. The independent predictors of BED were generated from the generalized linear model (p<0.05). Results: We found a prevalence of 3.2% of BED and a wide range of BED symptoms varying from 8.1% to 19.0%. There were significant (p<0.05) associations between BED with various socio-demographic variables and psychiatric and substance use disorders. However, only some of these disorders were independent predictors of BED. Conclusion: Our findings on prevalence of BED and significant associations with various psychiatric disorders and substance use disorders are similar to those obtained in HICs using similar large scale samples in non-clinical populations. Economic status is not a predictor of BED. Our findings suggest a public health approach to awareness and management.

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