Childhood Adverse Events and Health Outcomes Among Methamphetamine-Dependent Men and Women

  • Nena P. Messina
  • Patricia Marinelli-Casey
  • Maureen Hillhouse
  • Alfonso Ang
  • Jeremy Hunter
  • Richard Rawson
Article

DOI: 10.1007/s11469-008-9154-4

Cite this article as:
Messina, N.P., Marinelli-Casey, P., Hillhouse, M. et al. Int J Ment Health Addiction (2008) 6: 522. doi:10.1007/s11469-008-9154-4

Abstract

To describe the prevalence of childhood adverse events (CAEs) among methamphetamine-dependent men and women, and assess the relationship of cumulative CAEs to health problems. Data for 236 men and 351 women were analyzed assessing CAEs. Dependent variables included 14 self-reported health problems or psychiatric symptom domains. Mental health was assessed via the Mini-International Neuropsychiatric Interview. Medical conditions were collected using the Health Status Survey. Women reported more cumulative exposure to CAEs than men (28% vs. 13%, p < 0.01). Regressions showed the impact of CAEs on health is strong for both men and women. Yet, women were more likely than men to have 7 out of 14 health problems, independent of their reported abuse (ranging from a positive OR for suicidality = 1.63 to a positive OR for bladder/bowel disease = 6.09). Substance abuse treatment programs should prioritize individual treatment plans and enhance multi-agency collaborations to provide referrals and community networks that offer clients appropriate trauma-based psychiatric and/or medical treatment.

Keywords

Childhood abuse and household dysfunction Gender Methamphetamine Mental health Physical health 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Nena P. Messina
    • 1
  • Patricia Marinelli-Casey
    • 1
  • Maureen Hillhouse
    • 1
  • Alfonso Ang
    • 1
  • Jeremy Hunter
    • 1
  • Richard Rawson
    • 1
  1. 1.Semel Institute for Neuroscience and Human BehaviorUniversity of California, Los AngelesLos AngelesUSA