Childhood abuse and neglect and transitions in stages of alcohol involvement among women: A latent transition analysis approach

Abstract

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.

A prospective longitudinal model predicting early adult alcohol problems: evidence for a robust externalizing pathway

“…Childhood abuse and neglect were insufficiently predictive of AP to warrant inclusion in the final model, contrary to previous studies’ reports of their relationship with AP (Herrenkohl et al 2013; La Flair et al 2013; Mezquita et al 2014; Potthast et al 2014). We also found no support for a unique relationship between scores on the SRE scale and AP, despite evidence that SRE scores are related to earlier drinking measures and peer drinking in this sample (Schuckit et al 2008 a , b ).…”

Influences of behavior and academic problems at school entry on marijuana use transitions during adolescence in an African-American sample

“…It has been used extensively to estimate stage-sequential models of drug use over time (e.g. Lee et al, 2013; LaFlair et al, 2013; Chung et al, 2013; Lanza and Bray 2010). We controlled for student-level covariates of gender, free or reduced cost lunch status, and intervention status in the LTA model.…”

Neighborhood Environment and Urban African American Marijuana Use during High School

“…It has been used extensively to estimate stage-sequential models of drug use over time. [38][39][40][41] We controlled for student-level covariates of sex and free or reduced cost lunch status, as well as intervention status in the LTA model. Mediation by perceived harm and depressed mood was assessed by including, separately, each variable in a LTA model with measures of neighborhood environment and potential confounders between the relationship of transitions in marijuana use and neighborhood environment.…”