Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis

Davis, Jordan P.; Janssen, Tanja; Dworkin, Emily R.; Dumas, Tara M.; Goldbach, Jeremy T.; Monterosso, John

doi:10.1017/s0954579419000750

Cited by 12 publications

(6 citation statements)

References 85 publications

(119 reference statements)

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“…This group had a relatively high probability of transitioning into either the poly‐substance use or alcohol and cannabis use classes. This finding is consistent with prior work on poly‐victimization (Davis, Dworkin, et al, 2019), which has found similarly small class of individuals experiencing multiple forms of victimization (between 5% and 15%) and are at increased risk for substance use (Davis, Christie et al, 2019; Davis, Janssen et al, 2019), mental health problems (Turner, Shattuck, & Finkelhor, 2015), and suicidal behaviors (Turner & Finkelhor, 2012). Finally, our findings suggest that young adults with depressive symptoms may be more susceptible to negative substance use outcomes associated with verbal aggression.…”

Section: Discussionsupporting

confidence: 90%

Effects of homophobic name‐calling and verbal sexual harassment on substance use among young adults

Davis

Tucker

Dunbar

et al. 2020

Aggressive Behavior

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Verbal aggression victimization, such as homophobic name‐calling, has been linked to heavier substance use among young people, but little longitudinal research has examined how different types of victimization may affect substance use or whether certain psychosocial factors moderate these risks. In a diverse cohort (N = 2,663), latent transition analysis was used to model heterogeneity in victimization (age 19) and substance use (age 20). Four victimization (high victimization, homophobic name‐calling only, verbal sexual harassment only, and low victimization) and three substance use (poly‐substance use, alcohol, and cannabis only, low all) classes were identified. The high victimization and homophobic name‐calling only classes had the highest probabilities of transitioning into the poly‐substance use class, and the high victimization class had the highest probability of transitioning into the alcohol and cannabis only class. The probability of transitioning into the low all substance use class was highest in the low victimization class and lowest in the high victimization class. For the high victimization class, greater depressive symptoms increased the odds, and better peer relationship quality decreased the odds, of transitioning into the poly‐substance use and alcohol and cannabis only classes. For the homophobic name‐calling only class, greater depressive symptoms increased the odds of transitioning into the poly‐substance use class. Homophobic name‐calling, alone or in combination with verbal sexual harassment, is a risk factor for escalating substance use in young adulthood, especially among victims with depressive symptoms.

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Section: Discussionsupporting

confidence: 90%

Effects of homophobic name‐calling and verbal sexual harassment on substance use among young adults

Davis

Tucker

Dunbar

et al. 2020

Aggressive Behavior

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“…The majority of early theoretical and empirical work assessing effects of victimization on long-term outcomes has considered victimization in silos, investigating sexual abuse, physical abuse, or exposure to violence between parents, individually (Norman et al, 2012). However, more recently, poly-victimization theory asserts that individuals who experience multiple, or chronic, victimization types are more likely to report long-term behavioral and psychological problems, compared to any single victimization type (Davis et al, 2018; Davis, Janssen, et al, 2020; Finkelhor et al, 2007). When examining opioid misuse (defined as heroin use or nonmedical use of prescription narcotic medications), several studies have noted a dose–response relationship between victimization and opioid outcomes.…”

Section: Victimization and Substance Use: Theory And Empirical Evidencementioning

confidence: 99%

Poly-victimization and opioid use during late adolescence and young adulthood: Health behavior disparities and protective factors.

Davis¹,

Tucker²,

Dunbar³

et al. 2022

Psychology of Addictive Behaviors

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Objective: Recent work has attempted to uncover heterogeneity in experiences of victimization. However, few studies have included important trauma-related characteristics such as known perpetrator, fear of life or injury, and negative reactions to disclosure. Little focus on potentially important subgroup differences including sexual/gender identity, race/ethnicity, and socioeconomic status as well as protective factors have been assessed. Method: Participants (N = 2,880) completed four annual surveys during late adolescence and the transition to young adulthood as part of an ongoing longitudinal study. Latent class analysis was used to extract classes of victimization and trauma-related characteristics. Latent class regression was used to understand how demographic covariates were related to class membership. Finally, discrete-time survival mixture analysis was used to assess latency to opioid use from ages 17 to 24 years, and how demographic and protective factors influenced opioid use across emergent classes. Results: The four-class solution fit the data best: sexual abuse and indirect violence + high trauma characteristics (n = 79, 3.6%); high all + high trauma characteristics (n = 177; 8.1%); chronic emotional abuse + trusted perpetrator (n = 263; 12.1%); and low all (n = 1,656; 76.1%). Latent class regression results indicated differential risk of class membership by sexual/gender minority status, sex assigned at birth, race/ethnicity, and socioeconomic status. Survival analysis noted shorter latency to opioid use across all classes compared to the low all class. Self-efficacy and neighborhood cohesion emerged as important protective factors. Conclusion: Furthermore, results highlight key individual-and community-level protective factors that decrease the risk of opioid use. Public Health Significance StatementThis study shows the importance of including trauma-related characteristics and highlights important health behavior disparities that differentiate class membership. The study also shows differential risk of opioid use associated with victimization and trauma-related characteristics and the importance of selfefficacy and neighborhood cohesion in mitigating these risks.

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“…Nationwide, an estimated 172,000 (0.7%) adolescents aged 12-17 and 578,000 (1.7%) young adults aged 18-25 in the U.S. received substance use disorder treatment in the past year (Substance Abuse and Mental Health Services Administration, 2020). Adolescents and young adults in treatment present with a variety of complex problems, including victimization, dysfunctional family environments, comorbid mental health conditions, and criminal justice involvement (Chan et al, 2008; Davis et al, 2019; Tripodi & Bender, 2011). Unfortunately, in addition to these risk factors, some young people receiving treatment also report experiences of homelessness or housing instability (DiGuiseppi et al, 2020; Green et al, 2020).…”

Section: Age Sex and Sexual/gender Minority Status As Moderators Of T...mentioning

confidence: 99%

Comparing the effectiveness of three substance use interventions for youth with and without homelessness experiences prior to treatment.

DiGuiseppi¹,

Tucker²,

Prindle³

et al. 2021

Journal of Consulting and Clinical Psychology

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Objective: Many adolescents and young adults receiving substance use treatment have experienced or are at risk for homelessness. It is unknown whether specific treatment approaches are more or less effective for youth experiencing homelessness (YEH) compared to stably housed youth. The present study compared the effectiveness of the Adolescent Community Reinforcement Approach, Motivational Enhancement Therapy combined with Cognitive–Behavioral Therapy (MET/CBT), and Treatment as Usual (TAU) for these two groups. Further subgroup differences were investigated by age, sex, and sexual and gender minority status. Method: YEH (n = 855) and a matched sample of stably housed youth (n = 855) were drawn from the Global Appraisal of Individual Needs, a nationwide substance use treatment data set. Multiple-group latent change score modeling was used to examine change in substance use frequency and related problems at baseline, 3-, 6-, and 12-month follow-ups. Results: Results indicated significant declines in substance use frequency and problems during treatment for all intervention groups. The TAU group showed the greatest declines in substance use problems during treatment and the greatest declines in frequency post-treatment. Compared to stably housed youth, YEH entered treatment with greater substance use and problems, and had greater declines in substance use in the MET/CBT group only. Other differences were found by age and sex. Conclusions: Overall, all three substance use interventions appear to be effective in reducing substance use and related problems. TAU and MET/CBT may be particularly effective for YEH in treatment settings. Implications for future research and practice are discussed.

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Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis

Cited by 12 publications

References 85 publications

Effects of homophobic name‐calling and verbal sexual harassment on substance use among young adults

Effects of homophobic name‐calling and verbal sexual harassment on substance use among young adults

Poly-victimization and opioid use during late adolescence and young adulthood: Health behavior disparities and protective factors.

Comparing the effectiveness of three substance use interventions for youth with and without homelessness experiences prior to treatment.

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