Abstract
Examination of childhood risk factors for injection drug use may provide clues as to why people progress to injection drug use and it can promote identification of at-risk youth. We surveyed current injection drug users (IDUs) and individuals who never injected drugs (non-IDUs), recruited through street outreach and snowball sampling in Denver, CO. Between March 2000 and October 2003, 601 subjects (339 IDUs and 262 non-IDUs) participated in structured interviews. We examined self-reported factors in childhood that may have been influential in whether one progressed to drug injection later in life. These indicators included age at drug and alcohol initiation, childhood risk behavior, parental monitoring, family stability, and other family problems. Differences between IDUs and non-IDUs were assessed using unadjusted tests and logistic regression. Results of the data analysis indicated that IDUs were significantly younger when they first used both alcohol and marijuana, they reported higher childhood risk behavior scores, and they had less parental monitoring and less family stability as children than non-IDUs. This research may assist clinicians in defining factors that put youth at risk for problems associated with injection drug use.
Similar content being viewed by others
References
Anthony, J. C., & Petronis, K. R. (1995). Early-onset drug use and risk of later drug problems. Drug & Alcohol Dependence, 40, 9–15.
Booth, R. E. (1995). The use of indicator and observational data for estimating hidden populations: Drug users in Denver, 1991–94. Rockville, MD: US Department of Health and Human Services.
Booth, R. E., & Koester, S. K. (1996). Issues and approaches to evaluating HIV outreach interventions. Journal of Drug Issues, 26, 525–539.
Chassin, L., Pitts, S. C., DeLucia, C., & Todd, M. (1999). A longitudinal study of children alcoholics: Predicting young adult substance use disorders, anxiety, and depression. Journal of Abnormal Psychology, 108, 106–119.
Chassin, L., Rogosch, F., & Barrera, M. (1991). Substance use and symptomatology among adolescent children of alcoholics. Journal of Abnormal Psychology, 100, 449–463.
Chilcoat, H. D., & Anthony, J. C. (1996). Impact of parent monitoring on initiation of drug use through late childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 91–100.
Clark, D. B., Cornelius, J. R., Kirisci, L., & Tarter, R. E. (2005). Childhood risk categories for adolescent substance involvement: A general liability typology. Drug and Alcohol Dependence, 77, 13–21.
Colorado Department of Public Health and Environment, S. H. S. (2005). HIV /AIDS in Colorado: Integrated Epidemiological Profile of HIV and AIDS Prevention and Care Planning Reported though June 2003 2004. Denver, CO: Author.
Des Jarlais, D. C., Paone, D., Milliken, J., Turner, C. F., Miller, H., Gribble, J., et al. (1999). Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: A quasi-randomised trial. The Lancet, 353(9165), 1657–1661.
Dinwiddie, S. H., Reich, T., & Cloninger, C. R. (1992). Patterns of lifetime drug use among intravenous drug users. Journal of Substance Abuse, 4, 1–11.
Duncan, S. C., Duncan, T. E., Biglan, A., & Ary, D. (1998). Contributions of the social context to the development of adolescent substance use: A multivariate latent growth modeling approach. Drug and Alcohol Dependence, 50, 57–71.
Garfein, R., Monterroso E. R., Tong T. C., Vlahov D., Des Jarlais D. C., Selwyn P., et al. (2004). Comparison of HIV infection risk behvarios among injectrion drug users from East and West coast US cities. Journal of Urban Health, 81, 260–267.
Greydanus, D. E., & Patel, D. R. (2005). The adolescent and substance abuse: Current concepts. Current Problems in Pediatric and Adolescent Health Care, 35, 78–98.
Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64–105.
Heckathorn, D. (1997). Respondent-driven samping: A new approach to the study of hidden populations. Social Problems, 44, 174–199.
Heimer, R., Clair, S., Grau, L., Bluthenthal, R., Marshall, P., & Singer, M. (2002). Hepatitis-associated knowledge is low and risks are high among HIV-aware injection drug users in three US cities. Addiction, 97, 1277–1287.
Johnson, J. L., & Leff, M. (1999). Children of substance abusers: Overview of research findings. Pediatrics, 103, 1085–1099.
Kandel, D. B., & Logan, J. A. (1984). Patterns of drug use from adolescence to young adulthood: Periods of risk for intiation, continued use and discontinuation. American Journal of Public Health, 74, 660–666.
Kandel, D., & Yamaguchi, K. (1993). From beer to crack: Developmental patterns of drug involvement. American Journal of Public Health, 83, 851–855.
Kandel, D. B. (1982). Epidemiological and psychosocial perspectives on adolescent drug use. Journal of the American Academy of Child Psychiatry, 21, 328–347.
Kandel, D. B., & Andrews, K. (1987). Process of adolescent socialization by parents and peers. International Journal of the Addictions, 22, 319–342.
Knight, D. K., Broome, K. M., Cross, D. R., & Simpson, D. D. (1998). Antisocial tendency among drug-addicted adults: Potential long-term effects of parental absence, support, and conflict during childhood. American Journal of Drug and Alcohol Abuse, 24.
Knight, D. K., Cross, D. R., Giles-Sims, J., & Simpson, D. D. (1995). Psychosocial functioning among adult drug users: The role of parental absence, support, and conflict. The International Journal of the Addictions, 30, 1271–1288.
Kosterman, R., Hawkins, J. D., Guo, J., Catalano, R. F., & Abbott, R. D. (2000). The dynamics of alcohol and marijuana initiation: Patterns and predictors of first use in adolescence. American Journal of Public Health, 90, 360–66.
Kumpfer, K. L., & Turner, C. W. (1991). The social ecology model of adolescent substance abuse: Implications for prevention. International Journal of the Addictions, 25, 435–463.
Latkin, C. A., Vlahov, D., & Anthony, J. C. (1993). Socially desirable responding and self-reported HIV infection risk behaviors among intravenous drug users. Addiction, 88, 517–526.
Lessler, J. T., Caspar, R. A., Penne, M. A., & Barker, P. R. (2000). Developing computer assisted interviewing (CAI) for the National Household Survey on Drug Abuse. Journal of Drug Issues, 30, 9–34.
Macoby, E. E. (1992). The role of parents in the socialization of children: An historical overview. Developmental Psychology, 28, 1006–1017.
Magnani, R., Sabin, K., Saidel, T., & Heckathorn, D. (2005). Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS, 19(Supplement 2), S67-S72.
Mayfield, D., McLeod, G., & Hall, P. (1974). The CAGE questionnaire: Validation of a new alcoholism instrument. American Journal of Psychiatry, 131, 1121–1123.
McDermott, D. (1984). The relationship of parental drug use and parents’ attitude concerning adolescent drug use to adolescent drug use. Adolescence, 19, 89–97.
National Institute on Drug Abuse. (2005a). NIDA InfoFacts: Costs to society. Rockville, MD: US Department of Health and Human Services.
National Institute on Drug Abuse. (2005b). NIDA InfoFacts: High school and youth trends. Rockville, MD: US Department of Health and Human Services.
Needle, R., Fisher, D. G., Weatherby, N., Chitwood, D., Brown, B., Cesari, H., et al. (1995). Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors, 9, 242–250.
Nurco, D. N., Kinlock, T. W., O’Gracy, K. E., & Hanlon, T. E. (1998). Differential contributions of family and peer factors to the etiology of narcotic addiction. Drug and Alcohol Dependence, 51, 229–237.
Olson, D. H. (1986). Circumplex Model VII: Validation studies and FACES III. Journal of Family Process, 25, 337–51.
Patterson, G. R., DeBaryshe, B. D., & Ramsey, E. (1989). A developmental perspective on antisocial behavior. American Psychologist, 44, 329–335.
Rosenblum, A., Magura, S., Fong, C., Cleland, C., Norwood, C., Casella, D., et al. (2005). Substance use among young adolescents in HIV-affected families: Resiliency, peer deviance, and family functioning. Substance Use and Misuse, 40, 581–603.
Rounsaville, B. J., Kosten, T. R., Weissman, M. M., Prusoff, B., Pauls, D., Anton, S. F., et al. (1991). Psychiatric disorders in relatives of probands with opiate addiction. Archives of General Psychiatry, 48, 33–42.
Shillington, A. M., Cottler, L. B., Mager, D. E., & Compton, W. M. III. (1995). Self-report stability for substance use over 10 years: Data from the St. Louis Epidemiologic Catchment Study. Drug and Alcohol Dependence, 40, 103–109.
Steinberg, L., Fletcher, A., & Darling, N. (1994). Parental monitoring and peer influences on adolescent substance use. Pediatrics, 93(6 suppl 2), 1060–1064.
Suh, T., Mandell, W., Latkin, C., & Kim, J. (1997). Social network characteristics and injecting HIV-risk behaviors among street injection drug users. Drug and Alcohol Dependence, 47, 137–143.
Thompson, S. K., & Collins, L. M. (2002). Adaptive sampling in research on risk-related behaviors. Drug and Alcohol Dependence, 68(Suppl), S57–S67.
Turner, C. F., Ku, L., Rogers, S. M., Lindberg, L. D., Pleck, J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873.
Watters, J. K., & Biernacki, P. (1989). Targeted sampling: Options for the study of hidden populations. Social Problems, 36, 416–430.
Weatherby, N. L., Needle, R., Cesari, H., Booth, R., McCoy, C. B., Watters, J. K., et al. (1994). Validity of self-reported drug use among injection drug users and crack cocaine users recruited through street outreach. Evaluation and Program Planning, 17, 347–355.
Weinberg, N. Z., Rahdert, E., Colliver, J. D., & Glantz, M. D. (1998). Adolescent substance abuse: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 252–261.
Weissman, M. M., McAvay, G., Goldstein, R. B., Nunes, E. V., Verdeli, H., & Wickramaratne, P. J. (1999). Risk/protective factors among addicted mothers’ offspring: A replication study. American Journal of Drug and Alcohol Abuse, 25, 661–679.
Whitbeck, L. B. (1999). Primary socialization theory: It all begins with the family. Substance Use & Misuse, 34, 1025–1032.
Wiebel, W. W. (1993). The Indigenous Leader Outreach Model: Intervention Manual. Rockville, MD: National Institute on Drug Abuse.
Williams, M. L., Freeman, R. C., Bowen, A. M., & Saunders, L. (1998). The acceptability of a computer HIV/AIDS risk assessment to not-in-treatment drug users. AIDS Care, 10, 701–711.
Wills, T. A., Vaccaro, D., & McNamara, G. (1992). The role of life events, family support, and competence in adolescent substance use: A test of vulnerability and protective factors. American Journal of Community Psychology, 20, 349–374.
Acknowledgement
Support for this research was provided by the National Institute on Drug Abuse DA12813.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Corsi, K.F., Winch, P.J., Kwiatkowski, C.F. et al. Childhood Factors that Precede Drug Injection: Is there a Link?. J Child Fam Stud 16, 808–818 (2007). https://doi.org/10.1007/s10826-006-9127-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-006-9127-9