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Childhood Conduct Problems and Other Early Risk Factors in Rural Adult Stimulant Users
Author(s) -
Kramer Teresa L.,
Han Xiaotong,
Leukefeld Carl,
Booth Brenda M.,
Edlund Carrie
Publication year - 2008
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/j.1748-0361.2009.00198.x
Subject(s) - stimulant , substance abuse , logistic regression , context (archaeology) , bivariate analysis , psychiatry , psychology , methamphetamine , young adult , medicine , clinical psychology , developmental psychology , statistics , mathematics , paleontology , biology
Context: Understanding childhood risk factors associated with adult substance use and legal problems is important for treatment and prevention. Purpose: To examine the relationship of early substance use, conduct problems before age 15, and family history of substance abuse on adult outcomes in rural, stimulant users. Methods: Adult cocaine and methamphetamine users (N = 544) in rural Arkansas and Kentucky were interviewed. Data were analyzed using both bivariate analyses and multiple logistic and log‐linear regression models, with dependent variables being any substance abuse/dependence, stimulant abuse/dependence, total number of arrests since age 18 and days incarcerated since age 18. Findings: One third reported 3 or more conduct disorder problems prior to age 15; half reported initiation of substances (excluding alcohol) before age 15; and 60% reported family history of substance problems. All 3 variables were associated with adult substance abuse/dependence but only the latter two were associated with stimulant abuse/dependence. Conclusions: This study highlights early risk factors for adult substance abuse/dependence among rural stimulant users.