The influence of childhood and early adult adversities on substance use behaviours in racial/ethnically diverse young adult women: a latent class analysis

Jessica K. Friedman, N. Jeanie Santaularia, Dunia Dadi, Darin J. Erickson, Katherine Lust, Susan M. Mason

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Childhood and adult adversities occur more frequently among women and persons of colour, possibly influencing racial/ethnic disparities in substance use behaviours. This study investigates how childhood and adult adversities cluster together by race/ethnicity and how these clusters predict binge drinking, tobacco, e-cigarette, and marijuana use. Latent class analysis (LCA) was used in a combined sample from the 2015 to 2018 Minnesota College Student Health Survey to identify clusters of childhood and adult adversities among Asian, Black, Latina, and White women aged 18–25. Each substance use outcome was regressed on each adversity cluster across each race/ethnicity group. Across all racial/ethnic groups and substance use outcomes, the high adversity cluster exhibited the greatest risk. Significant racial/ethnic disparities were observed across several substance use behaviours; these were attenuated among women with fewer adversities. The reduced substance use disparities found among those with lower adversities suggest that prevention of adversities may advance health equity.

Original languageEnglish (US)
Pages (from-to)3-14
Number of pages12
JournalInternational Journal of Injury Control and Safety Promotion
Volume29
Issue number1
DOIs
StatePublished - 2022

Bibliographical note

Funding Information:
This study was funded by Grant R21DK117466 from the National Institute for Diabetes and Digestive and Kidney Diseases (NIDDK). The authors gratefully acknowledge support from the Minnesota Population Center (P2C HD041023 & T32HD095134) funded through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). This work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development; National Institute of Diabetes and Digestive and Kidney Diseases.

Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • adverse childhood experiences (ACEs)
  • alcohol
  • latent class analysis
  • race/ethnicity
  • substance use
  • women

PubMed: MeSH publication types

  • Journal Article

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