Childhood Sexual Abuse and Age at Initiation of Injection Drug Use

American journal of public health - Tập 95 Số 4 - Trang 703-709 - 2005
Danielle C. Ompad1, Robin M. Ikeda1, Nina Shah1, Crystal M. Fuller1, Susan L. Bailey1, Edward V. Morse1, Peter R. Kerndt1, Carey B. Maslow1, Yingfeng Wu1, David Vlahov1, Richard S. Garfein1, Steffanie A. Strathdee1
1At the time of this study, Danielle C. Ompad, Nina Shah, Steffanie Strathdee, and David Vlahov were with the Department of Epidemiology, Johns Hopkins School of Hygiene and Public Health, Baltimore, Md. Danielle C. Ompad and David Vlahov were also with Center for Urban Epidemiologic Studies at the New York Academy of Medicine, New York, NY. Crystal M. Fuller and Yingfeng Wu are with Center for Urban Epidemiologic Studies at the New York Academy of Medicine. C. M. Fuller is also with the Department of...

Tóm tắt

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.

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Tài liệu tham khảo

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