Adverse Childhood Experiences, Ethnicity, and Substance Use among College Students: Findings from a Two-State Sample

被引:53
作者
Forster, Myriam [1 ]
Rogers, Chris J. [2 ]
Benjamin, Stephanie M. [1 ]
Grigsby, Timothy [3 ]
Lust, Katherine [4 ,5 ]
Eisenberg, Marla E. [6 ]
机构
[1] Calif State Univ Northridge, Dept Hlth Sci, 18111 Nordhoff St, Northridge, CA 91330 USA
[2] Univ Southern Calif, Dept Prevent Med, Inst Hlth Promot & Dis Prevent, Los Angeles, CA 90089 USA
[3] Univ Texas San Antonio, Dept Kinesiol Hlth & Nutr, San Antonio, TX USA
[4] Univ Minnesota, Boynton Hlth, Minneapolis, MN USA
[5] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN USA
[6] Univ Minnesota, Dept Pediat, Minneapolis, MN 55455 USA
关键词
Adverse childhood experiences; ethnicity; substance use; college students; POSTTRAUMATIC-STRESS-DISORDER; ILLICIT DRUG-USE; EMERGING ADULTHOOD; ALCOHOL-USE; RACIAL/ETHNIC DIFFERENCES; PERCEIVED DISCRIMINATION; HOUSEHOLD DYSFUNCTION; PHYSICAL ABUSE; PUBLIC-HEALTH; MENTAL-HEALTH;
D O I
10.1080/10826084.2019.1650772
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Objectives: Despite college students reporting high rates of substance use and adverse childhood experiences (ACE), few studies have examined ACE-related substance use patterns with diverse student samples. We estimated the prevalence of ACE and substance use and investigated ethnic differences in the relationship between ACE and substance use among college students from two states. Design: Data are responses (N = 7,148) on the National College Health Assessment (in California) and the College Student Health Survey (in Minnesota). Multivariable regression models assessed the associations between individual and accumulated ACE and alcohol, tobacco, marijuana, and illicit substance use and binge drinking (adjusting for age, gender, depression, and state) among non-Hispanic White, Hispanic, African American/Black, Asian Pacific Islanders, multiracial, and other students. Interaction terms were calculated to test for ethnic differences. Results: In the month preceding the survey, 22% of students used marijuana, 28% used tobacco, 75% drank alcohol; 6% used an illicit drug in the past year and 30% acknowledged past 2-week binge drinking. Although ACE were associated with all substance use behaviors (AORs ranged from 1.19 to 1.54, p < .001), there was significant ethnic variation in ACE exposure (40-52%) and the dose-response relationship between ACE and marijuana and tobacco use and binge drinking. Conclusions: The variability in ACE-related substance use patterns across ethnic groups highlights the need for research that advances our understanding of sociocultural influences in trauma response and the role that campus communities could have in the development of culturally sensitive services that address this issue.
引用
收藏
页码:2368 / 2379
页数:12
相关论文
共 85 条
[1]   An overview of posttraumatic stress disorder in African Americans [J].
Alim, Tanya N. ;
Charney, Dennis S. ;
Mellman, Thomas A. .
JOURNAL OF CLINICAL PSYCHOLOGY, 2006, 62 (07) :801-813
[2]   Adverse childhood experiences and substance use among Hispanic emerging adults in Southern California [J].
Allem, Jon-Patrick ;
Soto, Daniel W. ;
Baezconde-Garbanati, Lourdes ;
Unger, Jennifer B. .
ADDICTIVE BEHAVIORS, 2015, 50 :199-204
[3]   The enduring effects of abuse and related adverse experiences in childhood - A convergence of evidence from neurobiology and epidemiology [J].
Anda, RF ;
Felitti, VJ ;
Bremner, JD ;
Walker, JD ;
Whitfield, C ;
Perry, BD ;
Dube, SR ;
Giles, WH .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 2006, 256 (03) :174-186
[4]   Adverse childhood experiences and smoking during adolescence and adulthood [J].
Anda, RF ;
Croft, JB ;
Felitti, VJ ;
Nordenberg, D ;
Giles, WH ;
Williamson, DF ;
Giovino, GA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (17) :1652-1658
[5]   Adverse, childhood experiences, alcoholic parents, an later risk of alcoholism and depression [J].
Anda, RF ;
Whitfield, CL ;
Felitti, VJ ;
Chapman, D ;
Edwards, VJ ;
Dube, SR ;
Williamson, DF .
PSYCHIATRIC SERVICES, 2002, 53 (08) :1001-1009
[6]   Adverse childhood experiences and chronic obstructive pulmonary disease in adults [J].
Anda, Robert F. ;
Brown, David W. ;
Dube, Shanta R. ;
Bremner, J. Douglas ;
Felitti, Vincent J. ;
Giles, Wayne H. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2008, 34 (05) :396-403
[7]  
[Anonymous], 2017, QuickFacts United States
[8]  
[Anonymous], 2012, REPORT ATTORNEY GENE
[9]  
[Anonymous], 2016006 NCES US DEP
[10]   Racial/ethnic differences in physician distrust in the United States [J].
Armstrong, Katrina ;
Ravenell, Karima L. ;
McMurphy, Suzanne ;
Putt, Mary .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (07) :1283-1289