Home > Childhood adversities and substance misuse among the incarcerated: implications for treatment and practice in correctional settings.

Marotta, Phillip L . (2017) Childhood adversities and substance misuse among the incarcerated: implications for treatment and practice in correctional settings. Substance Use & Misuse, 52 (6)

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC53828...

BACKGROUND: Incarcerated populations have high rates of childhood adversities and substance use problems. Moreover, childhood adversities are well-documented predictors of substance misuse.

OBJECTIVE: To investigate the impact of childhood sexual and physical abuse, caregiver abuse of drugs or alcohol, and time spent in foster care on several substance misuse outcomes.

METHODS: Data comes from a sample of 16,043 incarcerated men and women in the United States Survey of Inmates in State and Federal Facilities. Bivariate analyses revealed differences by sex in childhood adversities and socioeconomic characteristics. Logistic regression analyses assessed the data for a link between childhood adversities and substance misuse after adjusting for other variables. Analyses were stratified by sex to show differences in predictors of substance misuse between men and women.

RESULTS: Childhood adversities increased the risk of many substance misuse outcomes. The prevalence of physical abuse, sexual abuse, foster care, and caretaker abuse of drugs or alcohol were greatest for inmates who reported injecting and sharing drugs. Growing up with a caregiver that used drugs or alcohol was a consistent predictor of increased risk of substance misuse for men and women. However, childhood sexual abuse increased risk for only women.

CONCLUSIONS: Inmates who experience physical abuse, sexual abuse, foster care involvement and caretakers who use drugs and alcohol are at an increased risk of substance misuse, injecting drug use and syringe sharing. Implications suggest correctional HIV prevention and substance misuse programs must address unresolved trauma and important gender differences.


Item Type:Evidence resource
Drug Type:Alcohol
Intervention Type:AOD disorder, AOD prevention, AOD disorder harm reduction
Date:12 May 2017
Page Range:pp. 717-733
Volume:52
Number:6
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Problem substance use
A Substance use, abuse, and dependence > Prevalence > Substance use behaviour
B Substances > Alcohol
G Health and disease > Disorder by cause > Emotional trauma
J Health care, prevention and rehabilitation > Risk and protective factors > Risk factors
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Health care programme or facility > Prison-based health service
MM-MO Crime and law > Justice system > Correctional system and facility > Prison
T Demographic characteristics > Prison Inmate (prisoner)
T Demographic characteristics > Offender
T Demographic characteristics > Child of person who uses substances
VA Geographic area > United States

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