TY - JOUR
T1 - Childhood abuse and neglect and transitions in stages of alcohol involvement among women
T2 - A latent transition analysis approach
AU - La Flair, Lareina N.
AU - Reboussin, Beth A.
AU - Storr, Carla L.
AU - Letourneau, Elizabeth
AU - Green, Kerry M.
AU - Mojtabai, Ramin
AU - Pacek, Lauren R.
AU - Alvanzo, Anika A.H.
AU - Cullen, Bernadette
AU - Crum, Rosa M.
N1 - Funding Information:
Data analyses were supported by grants ( F31AA018935 ) and ( AA016346 ) from the National Institute on Alcohol and Alcoholism .
PY - 2013/10/1
Y1 - 2013/10/1
N2 - Background: Childhood abuse and neglect have been linked with alcohol disorders in adulthood yet less is known about the potential of early trauma to influence transitions in stages of alcohol involvement among women. Study aims were to (1) identify stages of women's alcohol involvement, (2) examine the probability of transitions between stages, and (3) investigate the influence of four domains of childhood abuse and neglect (sexual abuse, physical abuse, neglect, and witness to domestic violence), assessed individually and as poly-victimization, on transitions. Methods: The sample consisted of 11,750 adult female current drinkers identified in Wave 1 (2001-2002) and re-interviewed in Wave 2 (2004-2005) of the National Epidemiological Survey on Alcohol and Related Conditions. Results: Three stages of alcohol involvement emerged from latent class analysis of 11 DSM-IV abuse/dependence criteria: severe (1.5% at Wave 1, 1.9% at Wave 2), hazardous (13.6% at Wave 1, 16.0% at Wave 2), and non-problem drinking (82.1% at Wave 1, 84.5% at Wave 2). Adjusted latent transition analyses determined transition probabilities between stages across waves. Women reporting any childhood abuse and neglect were more likely to advance from the non-problem drinking class at Wave 1 to severe (AOR=3.90, 95% CI=1.78-8.53) and hazardous (AOR=1.56, 95% CI=1.22-2.01) drinking classes at Wave 2 relative to women without this history. Associations were also observed between individual domains and transition from no problems to severe alcohol stage. Conclusions: Results suggest a long-term impact of childhood abuse and neglect as drivers of progression in women's alcohol involvement.
AB - Background: Childhood abuse and neglect have been linked with alcohol disorders in adulthood yet less is known about the potential of early trauma to influence transitions in stages of alcohol involvement among women. Study aims were to (1) identify stages of women's alcohol involvement, (2) examine the probability of transitions between stages, and (3) investigate the influence of four domains of childhood abuse and neglect (sexual abuse, physical abuse, neglect, and witness to domestic violence), assessed individually and as poly-victimization, on transitions. Methods: The sample consisted of 11,750 adult female current drinkers identified in Wave 1 (2001-2002) and re-interviewed in Wave 2 (2004-2005) of the National Epidemiological Survey on Alcohol and Related Conditions. Results: Three stages of alcohol involvement emerged from latent class analysis of 11 DSM-IV abuse/dependence criteria: severe (1.5% at Wave 1, 1.9% at Wave 2), hazardous (13.6% at Wave 1, 16.0% at Wave 2), and non-problem drinking (82.1% at Wave 1, 84.5% at Wave 2). Adjusted latent transition analyses determined transition probabilities between stages across waves. Women reporting any childhood abuse and neglect were more likely to advance from the non-problem drinking class at Wave 1 to severe (AOR=3.90, 95% CI=1.78-8.53) and hazardous (AOR=1.56, 95% CI=1.22-2.01) drinking classes at Wave 2 relative to women without this history. Associations were also observed between individual domains and transition from no problems to severe alcohol stage. Conclusions: Results suggest a long-term impact of childhood abuse and neglect as drivers of progression in women's alcohol involvement.
KW - Alcohol
KW - Alcohol abuse
KW - Alcoholism
KW - Childhood abuse and neglect
KW - Drinking
KW - Latent transition analysis
KW - NESARC
KW - Women and alcohol
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U2 - 10.1016/j.drugalcdep.2013.03.012
DO - 10.1016/j.drugalcdep.2013.03.012
M3 - Article
C2 - 23639389
AN - SCOPUS:84883553074
SN - 0376-8716
VL - 132
SP - 491
EP - 498
JO - Drug and alcohol dependence
JF - Drug and alcohol dependence
IS - 3
ER -