Childhood Adverse Events and Health Outcomes Among Methamphetamine-Dependent Men and Women
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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.
KeywordsChildhood abuse and household dysfunction Gender Methamphetamine Mental health Physical health
We would like to give a special thanks to the many treatment, research, and statistical staff who helped collect and analyze data, as well as to those who volunteered to be in the study.
This study was supported by Grants TI 11440-01, TI 11427-01, TI 11425-01, TI 11443-01, TI 11484-01, TI 11441-01, TI 11410-01, and TI 11411-01 provided by the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services. The findings and conclusions of this paper are those of the authors and do not necessarily represent the official policies of the funding agencies.
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