多物质依赖性
纵向研究
年轻人
潜在类模型
心理健康
毒物控制
狂饮
伤害预防
心理学
自杀预防
不利影响
医学
精神科
童年不良经历
队列研究
大麻
临床心理学
发展心理学
药物滥用
环境卫生
病理
内科学
统计
数学
作者
Jordan P. Davis,Joan S. Tucker,Bradley D. Stein,Elizabeth J. D’Amico
标识
DOI:10.1016/j.chiabu.2021.105201
摘要
Few studies have investigated how adverse childhood experiences are associated with substance use patterns during young adulthood, a crucial developmental period.The objective of this study was to extend current knowledge on the association between adverse childhood experiences and patterns of substance use among young adults. We also sought to understand how current mental health status and biological sex influences these patterns.The current study utilized wave 8-wave 11 data of a longitudinal cohort study (N = 2880).We used latent transition analysis (LTA) to understand stability and transition patterns of substance use across participants who reported adverse childhood experiences (ACEs+) versus those who did not (ACEs-). Latent class regression was used to assess contemporaneous effects of mental health and sex on classes over time.Both groups had similar patterns of substance use emerge at each timepoint: High all; Binge, tobacco, cannabis; and Steady/increasing binge drinking. ACEs+ had a higher proportion of youth in the High all class and much higher stability in this class, compared to the ACEs- group. Those in the ACES+ group were less likely to transition out of a riskier class. Mental health and sex showed differential effects across ACEs groups.Results point to increased risk of polysubstance use, including opioids and prescription medications, among those who reported adverse childhood events. Future work may explore protective, malleable, factors that may confer reduced risk of long-term polysubstance use.
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