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Chronic childhood adversity and stages of substance use involvement in adolescents

dc.creatorBenjet, Corina
dc.creatorBorges, Guilherme
dc.creatorMedina-Mora, María Elena
dc.creatorMéndez, Enrique
dc.date.accessioned2017-06-30T03:52:30Z
dc.date.available2017-06-30T03:52:30Z
dc.date.issued2013
dc.identifier2344es_ES
dc.identifier.issn0376-8716es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/6989
dc.language.isoenges_ES
dc.publisherELSEVIER IRELAND LTD, ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELANDes_ES
dc.relation131 (1-2) 85-91 p.es_ES
dc.relationversión del editores_ES
dc.rightsAcceso Cerradoes_ES
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_ES
dc.subject.meshCocaine relapse outcomeses_ES
dc.subject.meshMental health surveyes_ES
dc.subject.meshDrug usees_ES
dc.subject.meshSurvival analysises_ES
dc.subject.meshSelf medicationes_ES
dc.subject.meshEarliest stageses_ES
dc.subject.meshStresses_ES
dc.subject.meshAlcoholes_ES
dc.subject.meshDependencees_ES
dc.subject.meshOpportunitieses_ES
dc.titleChronic childhood adversity and stages of substance use involvement in adolescentses_ES
dc.typeArticlees_ES
dc.contributor.affiliationNatl Inst Psychiat Ramon de la Fuente, Calzada Mexico Xochimilco 101, Mexico City 14370, DF, Mexico.es_ES
dc.contributor.emailcbenjet@imp.edu.mxes_ES
dc.relation.jnabreviadoDRUG ALCOHOL DEPENDes_ES
dc.relation.journalDrug and alcohol dependencees_ES
dc.identifier.placeClarees_ES
dc.date.published2013es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1879-0046es_ES
dc.identifier.doi10.1016/j.drugalcdep.2012.12.002es_ES
dc.description.monthJules_ES
dc.description.abstractotrodiomaBackground: Studies have shown that those who experience chronic childhood adversity have a greater likelihood of substance abuse and dependence. However, substance use disorders are first preceded by substance use, and substance use is preceded by substance use opportunities. This study aims to estimate the association of chronic adversity with different stages of substance involvement: opportunities, use given the opportunity and abuse or dependence given use. Methods: 3005 adolescents aged 12-17 were interviewed in a stratified multistage general population probability survey of Mexico City, Mexico. Substance involvement and chronic childhood adversities were assessed with the World Mental Health Composite International Diagnostic Interview Adolescent Version (WMH-CIDI-A). Discrete-time survival models were performed| their survival coefficients and standard errors were exponentiated, and reported as odds-ratios (ORs). Results: Childhood adversities were associated with alcohol opportunity, alcohol use and alcohol abuse/dependence with significant ORs for individual adversities ranging from 1.4 to 4.1. Childhood adversities were also associated with illicit drug opportunity, drug use and drug abuse/dependence with significant ORs for individual adversities ranging from 1.6 to 17.3. Having more adversities was associated with greater incremental odds of substance involvement, particularly drug use given the opportunity. Conclusions: While adversities are mostly related to transitioning into use and disorder, a few are related to substance opportunities, particularly those which were likely to make substances available through parents. Attending to the needs of youth living in adversity, particularly adversities related to parental dysfunction and child abuse should be integral to addiction prevention efforts. (C) 2012 Elsevier Ireland Ltd. All rights reserved.es_ES
dc.subject.kwAlcoholes_ES
dc.subject.kwDrogases_ES
dc.subject.kwUso de substanciases_ES
dc.subject.kwAbuso de substanciases_ES
dc.subject.kwAdversidades_ES
dc.subject.kwAdolescenciaes_ES
dc.subject.koAlcoholes_ES
dc.subject.koDrugses_ES
dc.subject.koSubstance usees_ES
dc.subject.koSubstance abusees_ES
dc.subject.koAdversityes_ES
dc.subject.koAdolescencees_ES


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