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Am J Public Health. 2005 Apr;95(4):703-9.

Childhood sexual abuse and age at initiation of injection drug use.

Author information

  • 1New York Academy of Medicine, Center for Urban Epidemiologic Studies, 1216 Fifth Avenue, New York, NY 10029, USA. dompad@nyam.org

Abstract

OBJECTIVES:

We examined the relation between childhood sexual abuse and injection drug use initiation among young adult injection drug users.

METHODS:

We used mixed effect linear models to compare age at first injection among 2143 young injection drug users by first sexual abuse age categories.

RESULTS:

The participants were predominantly male (63.3%) and White (52.8%). Mean age and age at first injection were 23.7 and 19.6 years, respectively; 307 participants (14.3%) reported childhood sexual abuse. After adjustment for gender, race/ethnicity, noninjection drug use before first injection drug use, and recruitment site, childhood sexual abuse was independently associated with younger age at first injection.

CONCLUSIONS:

Childhood sexual abuse was associated with earlier initiation of injection drug use. These data emphasize the need to integrate substance abuse prevention with postvictimization services for children and adolescents.

PMID:
15798133
[PubMed - indexed for MEDLINE]
PMCID:
PMC1449244
Free PMC Article
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