Jordan P Davis1, Joan S Tucker2, Bradley D Stein3, Elizabeth J D'Amico2. 1. Suzanne Dworak-Peck School of Social Work, USC Center for Artificial Intelligence in Society, USC Center for Mindfulness Science, USC Institute for Addiction Science, University of Southern California, United States of America. Electronic address: jordanpd@usc.edu. 2. RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, United States of America. 3. RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213, United States of America.
Abstract
BACKGROUND: Few studies have investigated how adverse childhood experiences are associated with substance use patterns during young adulthood, a crucial developmental period. OBJECTIVE: 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. PARTICIPANTS AND SETTING: The current study utilized wave 8-wave 11 data of a longitudinal cohort study (N = 2880). METHODS: 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. RESULTS: 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. CONCLUSION: 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.
BACKGROUND: Few studies have investigated how adverse childhood experiences are associated with substance use patterns during young adulthood, a crucial developmental period. OBJECTIVE: 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. PARTICIPANTS AND SETTING: The current study utilized wave 8-wave 11 data of a longitudinal cohort study (N = 2880). METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Authors: Emma K Adam; Laura Chyu; Lindsay T Hoyt; Leah D Doane; Johanne Boisjoly; Greg J Duncan; P Lindsay Chase-Lansdale; Thomas W McDade Journal: J Adolesc Health Date: 2011-04-22 Impact factor: 5.012
Authors: Annekatrin Steinhoff; Laura Bechtiger; Denis Ribeaud; Manuel P Eisner; Boris B Quednow; Lilly Shanahan Journal: Front Behav Neurosci Date: 2022-01-27 Impact factor: 3.558