Childhood Sexual Abuse and Age at Initiation of Injection Drug Use
American Journal of Public HealthPublished 29 March 2005Open access
Danielle C. Ompad, Robin M. Ikeda, Nina Shah, Crystal M. Fuller, Susan L. Bailey, Edward V. Morse
Citations154
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
OBJECTIVES: We examined the relation between childhood sexual abuse and injection drug use initiation among young adult injection drug users. METHODS: We used mixed effect linear models to compare age at first injection among 2143 young injection drug users by first sexual abuse age categories. RESULTS: The participants were predominantly male (63.3%) and White (52.8%). Mean age and age at first injection were 23.7 and 19.6 years, respectively; 307 participants (14.3%) reported childhood sexual abuse. After adjustment for gender, race/ethnicity, noninjection drug use before first injection drug use, and recruitment site, childhood sexual abuse was independently associated with younger age at first injection. CONCLUSIONS: Childhood sexual abuse was associated with earlier initiation of injection drug use. These data emphasize the need to integrate substance abuse prevention with postvictimization services for children and adolescents.
Keywords
Medicine
PubMedYouth risk behavior surveillance--United States, 1995.
2,219 Citations1996L Kann, C W Warren +5 more
YRBSS data are being used nationwide by health and education officials to improve national, state, and local policies and programs designed to reduce risks associated with the leading causes of mortality and morbidity.
Journal of School HealthYouth Risk Behavior Surveillance — United States, 2001
1,417 Citations2002Jo Anne Grunbaum, Laura Kann +5 more
Results from the 2001 national Youth Risk Behavior Survey demonstrated that numerous high school students engage in behaviors that increase their likelihood of death from these four causes: motor-vehicle crashes, other unintentional injuries, homicide, and suicide.
Archives of General PsychiatryChildhood Sexual Abuse and Adult Psychiatric and Substance Use Disorders in Women
1,252 Citations2000Kenneth S. Kendler, Cynthia M. Bulik +4 more
Results are consistent with the hypothesis that CSA is causally related to an increased risk for psychiatric and substance abuse disorders and cannot be explained by background familial factors.
American Journal of Public HealthChild sexual abuse and subsequent psychopathology: results from the National Comorbidity Survey
1,201 Citations2001Beth E. Molnar, Stephen L. Buka +1 more
CSA, whether alone or in a larger adversity cluster, is associated with substantial increased risk of subsequent psychopathology, and this study examined the relationship between child sexual abuse and subsequent onset of psychiatric disorders.
American Journal of Public HealthThe impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: findings from 3 US cities
1,050 Citations2001Rafael M. Díaz, George Ayala +3 more
The mental health difficulties experienced by many gay and bisexual Latino men in the United States are directly related to a social context of oppression that leads to social alienation, low self-esteem, and symptoms of psychologic distress.
American Journal of PsychiatryChildhood Abuse and Lifetime Psychopathology in a Community Sample
1,048 Citations2001Harriet L. MacMillan, Jan E. Fleming +8 more
A history of abuse in childhood increases the likelihood of lifetime psychopathology; this association appears stronger for women than men, and varied significantly by gender for all categories except for anxiety disorders.
American Journal of PsychiatryToward a Comprehensive Developmental Model for Major Depression in Women
954 Citations2002Kenneth S. Kendler, Charles O. Gardner +1 more
The findings suggest that the development of risk for major depression in women results from three broad pathways reflecting internalizing Symptoms, externalizing symptoms, and psychosocial adversity.
American Journal of Public HealthViral infections in short-term injection drug users: the prevalence of the hepatitis C, hepatitis B, human immunodeficiency, and human T-lymphotropic viruses.
705 Citations1996Richard S. Garfein, David Vlahov +3 more
The high rates of HCV, HBV, and HIV infections among short-term injectors emphasizes the need to target both parenteral and sexual risk reduction interventions early, and renewed efforts at primary prevention of substance abuse are indicated.
Child Abuse & NeglectGrowing up with parental alcohol abuse
527 Citations2001Shanta R. Dube, Robert F. Anda +4 more
Improved coordination of adult and pediatric health care along with related social and substance abuse services may lead to earlier recognition, treatment, and prevention of both adult alcohol abuse and adverse childhood experiences, reducing the negative sequelae of ACEs in adolescents and adults.
Journal of Studies on AlcoholChildhood sexual abuse and women's substance abuse: national survey findings.
464 Citations1997Sharon C. Wilsnack, Nancy D. Vogeltanz +2 more
Findings from this U.S. national sample support those of previous clinical studies and suggest that women's experience of sexual abuse in childhood may be an important risk factor for later substance abuse, psychopathology and sexual dysfunction.
Family Planning PerspectivesAdverse Childhood Experiences and Sexual Risk Behaviors in Women: A Retrospective Cohort Study
457 Citations2001Susan D. Hillis, Robert F. Anda +2 more
Among individuals with a history of adverse childhood experiences, risky sexual behavior may represent their attempts to achieve intimate interpersonal connections and coping with such problems represents a serious public health challenge.
American Journal of Public HealthChildhood victimization and subsequent risk for promiscuity, prostitution, and teenage pregnancy: a prospective study.
386 Citations1996Cathy Spatz Widom, Joseph B. Kuhns
Findings strongly support a relationship between childhood victimization and subsequent prostitution and the presumed causal sequence between childhood Victimization and teenage pregnancy may need to be reevaluated.
PubMedPosttraumatic stress disorder and drug disorders: testing causal pathways.
376 Citations1998Howard D. Chilcoat, Naomi Breslau
The results suggest that drug abuse or dependence in persons with PTSD might be the inadvertent result of efforts to medicate symptoms, although the possibility of shared vulnerability to PTSD and drug use disorders cannot be ruled out.
Addictive BehaviorsInvestigations of causal pathways between ptsd and drug use disorders
364 Citations1998Howard D. Chilcoat, Naomi Breslau
This article puts forth and test major causal hypotheses about the causal relationship between PTSD and substance use disorders, and presents data analytic strategies that exploit information about the temporal order of PTSD and drug use disorders to shed light on their causal relationship.
American Journal of Public HealthDomestic violence and childhood sexual abuse in HIV-infected women and women at risk for HIV
357 Citations2000Mardge H. Cohen, Catherine Deamant +7 more
The data support the hypothesis of a continuum of risk, with early childhood abuse leading to later domestic violence, which may increase the risk of behaviors leading to HIV infection.
Journal of Acquired Immune Deficiency Syndromes & Human RetrovirologyPrevalence and Incidence of Hepatitis C Virus Infection Among Young Adult Injection Drug Users
346 Citations1998Richard S. Garfein, Meg Doherty +4 more
The need for wider legal access to sterile syringes, as well as expanded community outreach education to this population of young adult injection drug users, is supported to prevent transmission of HCV.
PEDIATRICSAdverse Childhood Experiences and Sexually Transmitted Diseases in Men and Women: A Retrospective Study
323 Citations2000Susan D. Hillis, Robert F. Anda +3 more
A strong graded relationship between ACEs and a self-reported history of STDs among adults is observed and may have long-term consequences on at-risk behaviors that lead to an increased risk of sexually transmitted diseases during adulthood.
Violence and VictimsExposure to Abuse, Neglect, and Household Dysfunction Among Adults Who Witnessed Intimate Partner Violence as Children: Implications for Health and Social Services
320 Citations2002Shanta R. Dube, Robert F. Anda +3 more
The data strongly suggest that future studies, which focus on the effect of witnessing IPV on long-term health outcomes, may need to take into consideration the co-occurrence of multiple ACEs, which can also affect these outcomes.
American Journal of Public HealthDoes a History of Trauma Contribute to HIV Risk for Women of Color? Implications for Prevention and Policy
275 Citations2002Gail E. Wyatt, Héctor F. Myers +7 more
Limited material resources, exposure to violence, and high-risk sexual behaviors were the best predictors of HIV risk.
Journal of HeredityDrug Injection Among Street Youths in Montreal: Predictors of Initiation
206 Citations2003Emmanuel Roy
It was showed that injection drug use is frequent among street youths, but prevention appears possible, and independent predictors of initiation were recent episode of homelessness and having a friend who injects drugs.
Child Abuse & NeglectEmotional, behavioral, and HIV risks associated with sexual abuse among adult homosexual and bisexual men
196 Citations1994Bradford N. Bartholow, Lynda S. Doll +6 more
Sexual abuse was found to be significantly associated with mental health counseling and hospitalization, psychoactive substance use, depression, suicidal thought or actions, social support, sexual identity development, and risk of sexually transmitted diseases including HIV infection.
American Journal of Public HealthFactors associated with prevalent hepatitis C: differences among young adult injection drug users in lower and upper Manhattan, New York City
192 Citations2001Theresa Diaz, Don C. Des Jarlais +8 more
Several differences in factors associated with prevalent HCV infection existed among 2 populations of young injection drug users from the same city.
American PsychologistThe challenge of defining child sexual abuse.
185 Citations2000Jeffrey J. Haugaard
The lack of a commonly accepted definition of child sexual abuse continues to inhibit research, treatment, and advocacy efforts and strategies for developing other definitions are suggested.
Journal of Acquired Immune Deficiency Syndromes & Human RetrovirologyDeterminants of Sexual Risk-Taking Among Young HIV-Negative Gay and Bisexual Men
179 Citations1998Steffanie A. Strathdee, Robert S. Hogg +6 more
Young gay/bisexual men reporting nonconsensual sex, low social support, or nitrite use were significantly more likely to have recently had unprotected anal sex with casual partners, and HIV prevention programs aimed at youngGay/b bisexual men should include sexual abuse counselling and foster community norms supporting safer sex practices.
AddictionSocial determinants predict needle‐sharing behaviour among injection drug users in Vancouver, Canada
166 Citations1997Steffanie A. Strathdee, David M. Patrick +6 more
Social determinants, particularly a history of sexual abuse, are among the most significant predictors of needle borrowing among Vancouver's IDUs and early identification of these factors should be a component of HIV prevention programmes.
Child Abuse & NeglectThe influence of childhood sexual abuse, physical abuse, family environment, and gender on the psychological adjustment of adolescents
162 Citations2002Lori A. Meyerson, Patricia J. Long +2 more
Findings indicate that in addition to child sexual abuse and physical abuse, family conflict and cohesion are risk factors for the development of psychological distress and depression in adolescence.
Child Abuse & NeglectNine years after child sexual abuse
162 Citations2003Heather Y. Swanston, Angela Plunkett +4 more
Sexually abused young people performed more poorly than non-abused young people on psychometric tests of depression, self-esteem, anxiety, behavior, and despair, and treatment may also need to address the family's functioning and the individual's feelings of despair.
Issues in Mental Health NursingLifetime Physical and Sexual Abuse, Substance Abuse, Depression, and Suicide Attempts Among Native American Women
139 Citations2003Diane K. Bohn
Significant relationships were found among childhood abuse, substance abuse, and adult revictimization, and among cumulative lifetime abuse events, substanceabuse, and depression among 30 Native American women.
Journal of Adolescent HealthSelf-reported abuse history and adolescent problem behaviors. II. alcohol and drug use
138 Citations1999Lillian Bensley, Susan J. Spieker +2 more
Efforts to reduce substance use and abuse in adolescence, particularly heavy use and use early in adolescence), should consider the possible role of a history of maltreatment.
Child Abuse & NeglectAbuse of children in foster and residential care
135 Citations1999Georgina F. Hobbs, Chris Hobbs +1 more
Children in foster or residential care form an at risk group for maltreatment and special needs include additional measures to protect them from abuse, as examined in a city in England.
Social Science & MedicineSexual violence among a cohort of injection drug users
133 Citations2003Paula Braitstein, Kathy Li +7 more
Sexual violence, and especially child sexual abuse, is highly prevalent among this cohort, particularly among women, and there is a dose-response relationship between age at first sexual violence and most risk behaviors examined.
Child Abuse & NeglectChildhood physical and sexual abuse as risk factors for heavy drinking among African-American women: a prospective study
102 Citations2000Jana L. Jasinski, Linda M. Williams +1 more
Although the victim of multiple child sexual assaults is more likely to suffer force and penetration, these analyses suggest that it is the multiple victimization and not the force or penetration that drives the relationship between child sexual assault and drinking behaviors.
AIDS and BehaviorViolence Among Women with or at Risk for HIV Infection
96 Citations1998David Vlahov, Dina Wientge +17 more
HIV-infected women with low CD4 cell counts were less likely than the other women to experience recent violence, and while the lower rate of recent violence among those with lowCD4 cell count probably represents effects of HIV-related disability, women at highrisk for HIV remain at high risk for violence.
Archives of Sexual BehaviorComparative Data of Childhood and Adolescence Molestation in Heterosexual and Homosexual Persons
88 Citations2001Marie E. Tomeo, Donald I. Templer +2 more
In research with 942 nonclinical adult participants, gay men and lesbian women reported a significantly higher rate of childhood molestation than did heterosexual men and women.
AddictionSexual abuse and alcoholism in a female population
77 Citations1998Lena Spak, F Spak +1 more
LSA, and especially CSA under 13 years of age, are factors that should be considered in treatment of women with ADA and in psychiatric treatment ofWomen.
JAIDS Journal of Acquired Immune Deficiency SyndromesFemales Experiencing Sexual and Drug Vulnerabilities Are at Elevated Risk for HIV Infection Among Youth Who Use Injection Drugs
72 Citations2002Cari L. Miller, Patricia M. Spittal +5 more
The data show that HIV positivity among young IDUs is concentrated among females engaged in dual sexual and drug‐related risk exposure categories, and targeted interventions that take into accountSexual and drug risk for young female and Aboriginal peoples are urgently needed.
Child Abuse & NeglectChildren with reported histories of sexual abuse: utilizing multiple perspectives to understand clinical and psychosocial profiles
70 Citations2003Christine Walrath, Michele L. Ybarra +4 more
The findings indicate that the profile of children entering into Comprehensive Community Mental Health Services with reported histories of sexual abuse, as compared to those without such histories, is complex and best understood via multiple perspectives.
The British Journal of PsychiatryPathways to Opiate Addiction: An Evaluation of Differing Antecedents
69 Citations1982Bruce J. Rounsaville, Myrna M. Weissman +2 more
A typology of addicts is defined through assessment of the sequence of three types of key events: traumatic childhood events such as death of a parent or child abuse; onset of regular delinquent activity; and initiation of illicit drug use.
Obstetrics and GynecologyUrban rape survivors: Characteristics and prevalence of human immunodeficiency virus and other sexually transmitted infections
60 Citations1995K. Irwin, Brian R. Edlin +8 more
Rape was most common among sex workers, crack smokers, and the homeless, and most survivors reported HIV risk behaviors, and many were HIV-infected.
Australian & New Zealand Journal of PsychiatryEarly Developmental Experiences of Female Sex Workers: A Comparative Study
60 Citations1999Kathleen N. Potter, Judy Martin +1 more
The sex workers studied came from families with more interpersonal difficulties during childhood and adolescence than did a control community sample of similarly aged women.
Journal of Adolescent HealthAssociation between a history of childhood sexual abuse and subsequent, adolescent psychoactive substance use disorder in a sample of HIV seropositive men
55 Citations1997William R. Holmes
An association between having a sexual abuse history and having a psychoactive substance use disorder (PSUD) history and subsequently initiating injection drug use during adolescence exists in this sample of HIV seropositive men.
AddictionThe relationship between childhood sexual abuse and alcohol abuse in women ‐ a case‐control study
51 Citations1998Jillian Fleming, Paul E. Mullen +3 more
It is indicated that CSA alone is not a causative factor in the development of alcohol abuse among women and highlights the importance of examining the family background of women with alcohol problems.
AIDS Education and PreventionUntangling the Impact of Sexual Abuse on HIV Risk Behaviors Among Youths in Foster Care
51 Citations2001Diane Elze, Wendy Auslander +3 more
A significant relationship between the severity of sexual abuse and youths' recent HIV risk behaviors is demonstrated, after accounting for the contribution of other childhood trauma and emotional and behavioral problems.
Substance Use & MisuseChildhood Sexual Abuse, PTSD, and the Functional Roles of Alcohol Use Among Women Drinkers
50 Citations2003Tracy L. Simpson
The results indicate that CSA status was not associated with the alcohol-related expectancies or effects of drinking reported by women in substance user treatment, but those currently manifesting PTSD were more likely than their peers without PTSD to report greater alcohol- related expectancies of tension reduction and having experienced greater positive enhancement from drinking.
Archives of Disease in ChildhoodFollow up study eight years after diagnosis of sexual abuse
49 Citations2000Thomas E. Frothingham
A variety of problematic characteristics were found significantly more often in the abused group than the comparison group, including surname changes, removal from home, and involvement of mental health services.
EpidemiologyDoes Bleach Disinfection of Syringes Protect Against Hepatitis C Infection Among Young Adult Injection Drug Users?
48 Citations2002Farzana Kapadia, David Vlahov +7 more
It is suggested that bleach disinfection of syringes, although not a substitute for use of sterile needles or cessation of injection, may help to prevent HCV infection among injection drug users.
Violence and VictimsThe Epidemiology of Physical Attack and Rape Among Crack-Using Women
48 Citations2001Rüssel S. Falck, Jichuan Wang +2 more
Drug abuse treatment programs must be sensitive to high levels of violence victimization experienced by crack-cocaine using women, and screening women for victimization, and treating the problems that emanate from it, may help make drug abuse treatment more effective.
Journal of Substance AbusePrevalence, incidence, and correlates of chlamydia and gonorrhea among young adult injection drug users
46 Citations2001Mary H. Latka, Jennifer Ahern +7 more
Prevalence and correlates of chlamydia and gonorrhea were similar to other samples, suggesting that screening criteria need not be modified for IDU populations, and the number of behavioral correlates identified was limited.
Journal of HeredityIncidence of Violence Against HIV-Infected and Uninfected Women: Findings from the HIV Epidemiology Research (HER) Study
29 Citations2002Leslie Gruskin
In multivariate analysis, being separated or divorced, having a history of abuse in adulthood, using marijuana, using crack, and having multiple sex partners were each significantly associated with an elevated abuse rate; being older was inversely associated with abuse.
Journal of Substance AbuseSystem youth
26 Citations2001Natasha Slesnick, Melissa Meade
Findings argue that without intervention efforts targeted at identified problem behaviors, youth are at risk to continue their system involvement into adulthood.
Clinical Child and Family Psychology ReviewCritical Issues in the Assessment of Child Sexual Abuse
23 Citations1998Gloria Babiker, Martin Herbert
It is argued that there is insufficient evidence based on controlled studies or standardized normative tests to advocate any simple, unidimensional methodology for the screening task, but recommendations are put forward for the cautious, conjoint use of several procedures in a multidimensional approach to assessing child sexual abuse.