Department of Anthropology, Northern Arizona University.
Department of Health Sciences and Center for Health Equity Research, Northern Arizona University.
Int J Prison Health. 2021;17(2):142-155. doi: 10.1108/ijph-06-2020-0038. Epub 2021 May 28.
To characterize the relationship between adverse childhood experiences (ACEs) and substance use among people incarcerated in a county jail.
DESIGN/METHODOLOGY/APPROACH: A questionnaire was administered to 199 individuals incarcerated in a Southwest county jail as part of a social-epidemiological exploration of converging co-morbidities in incarcerated populations. Among 96 participants with complete ACEs data, the authors determined associations between individual ACEs items and a summative score with methamphetamine (meth), heroin, other opiates, and cocaine use and binge drinking in the 30 days prior to incarceration using logistic regression.
People who self-reported use of methamphetamine, heroin, other opiates, or cocaine in the 30 days prior to incarceration had higher average ACEs scores. Methamphetamine use was significantly associated with living with anyone who served time in a correctional facility and with someone trying to make them touch sexually. Opiate use was significantly associated with living with anyone who was depressed, mentally ill, or suicidal; living with anyone who used illegal street drugs or misused prescription medications; and if an adult touched them sexually. Binge drinking was significantly associated with having lived with someone who was a problem drinker or alcoholic.
Significant associations between methamphetamine use and opiate use and specific adverse childhood experiences suggest important entry points for improving jail and community programming.
Our findings point to a need for research to understand differences between methamphetamine use and opiate use in relation to particular adverse experiences during childhood, and a need for tailored intervention for people incarcerated in jail.
描述在县监狱中被监禁的人群中，不良童年经历（ACEs）与物质使用之间的关系。
方法/方法论/方法：作为对被监禁人群中同时发生的多种共病的社会流行病学探索的一部分，向西南县监狱的 199 名被监禁者发放了一份问卷。在 96 名具有完整 ACEs 数据的参与者中，作者使用逻辑回归确定了个体 ACEs 项目与综合评分之间的关联，以及与被监禁前 30 天内使用冰毒（冰毒）、海洛因、其他阿片类药物和可卡因以及狂饮的关系。
自我报告在被监禁前 30 天内使用冰毒、海洛因、其他阿片类药物或可卡因的人 ACEs 评分较高。冰毒使用与与任何在惩教设施服刑的人或试图让他们进行性接触的人同住显著相关。阿片类药物使用与与任何患有抑郁症、精神病或自杀的人、与任何使用非法街头毒品或滥用处方药物的人或与任何对其进行性接触的人同住显著相关。狂饮与与任何酗酒或酗酒的人同住显著相关。
冰毒使用和阿片类药物使用与特定的不良童年经历之间存在显著关联，这表明需要改进监狱和社区方案，以改善监狱和社区方案。
我们的研究结果表明，需要进行研究以了解与儿童期特定不良经历有关的冰毒使用和阿片类药物使用之间的差异，并需要为被监禁的人提供有针对性的干预措施。
