Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.

<h4>Background</h4>Violent victimization is common among people who use illegal drugs (PWUD) and is a source of significant health-related harm. However, little attention has been paid to how antecedent childhood trauma among PWUD may contribute to the risk of victimization in adulthood....

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Autores principales:	Julie Sagram, William Lee, JinCheol Choi, M-J Milloy, Kanna Hayashi, Kora DeBeck, Evan Wood, Thomas Kerr
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2fedd508686f4b5abc74481f0861eb07
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spelling	oai:doaj.org-article:2fedd508686f4b5abc74481f0861eb072021-12-02T20:18:18ZChildhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.1932-620310.1371/journal.pone.0255875https://doaj.org/article/2fedd508686f4b5abc74481f0861eb072021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255875https://doaj.org/toc/1932-6203<h4>Background</h4>Violent victimization is common among people who use illegal drugs (PWUD) and is a source of significant health-related harm. However, little attention has been paid to how antecedent childhood trauma among PWUD may contribute to the risk of victimization in adulthood.<h4>Objective</h4>This study sought to examine the relationship between childhood physical abuse and victimization by physical assault among adult PWUD.<h4>Participants and setting</h4>Data were derived from three prospective cohorts of PWUD in Vancouver, Canada between 2005 and 2018.<h4>Methods</h4>Childhood physical abuse was assessed using the Childhood Trauma Questionnaire. Generalized linear mixed modeling was used to estimate the relationship between childhood physical abuse and subsequent violent victimization, after adjustment for potential confounders.<h4>Results</h4>Among 2960 PWUD, including 1018 (34.39%) female participants, 1030 (34.8%) participants reported a history of moderate to severe childhood physical abuse, and 949 (32.06%) participants reported recent violent victimization at baseline. In a multivariate analysis, childhood physical abuse (Adjusted Odds Ratio [AOR] = 1.34, 95% confidence interval [CI]: 1.23-1.46) remained independently associated with violent victimization after adjustment for potential confounders.<h4>Conclusions</h4>This study found a high prevalence of childhood physical abuse and that this was associated with a higher risk of subsequent violent victimization among PWUD in this setting. Greater support for PWUD with a history of childhood physical abuse is needed to decrease existing vulnerability to violence, including screening for and treatment of childhood trauma and related violence prevention.Julie SagramWilliam LeeJinCheol ChoiM-J MilloyKanna HayashiKora DeBeckEvan WoodThomas KerrPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255875 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Julie Sagram William Lee JinCheol Choi M-J Milloy Kanna Hayashi Kora DeBeck Evan Wood Thomas Kerr Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
description	<h4>Background</h4>Violent victimization is common among people who use illegal drugs (PWUD) and is a source of significant health-related harm. However, little attention has been paid to how antecedent childhood trauma among PWUD may contribute to the risk of victimization in adulthood.<h4>Objective</h4>This study sought to examine the relationship between childhood physical abuse and victimization by physical assault among adult PWUD.<h4>Participants and setting</h4>Data were derived from three prospective cohorts of PWUD in Vancouver, Canada between 2005 and 2018.<h4>Methods</h4>Childhood physical abuse was assessed using the Childhood Trauma Questionnaire. Generalized linear mixed modeling was used to estimate the relationship between childhood physical abuse and subsequent violent victimization, after adjustment for potential confounders.<h4>Results</h4>Among 2960 PWUD, including 1018 (34.39%) female participants, 1030 (34.8%) participants reported a history of moderate to severe childhood physical abuse, and 949 (32.06%) participants reported recent violent victimization at baseline. In a multivariate analysis, childhood physical abuse (Adjusted Odds Ratio [AOR] = 1.34, 95% confidence interval [CI]: 1.23-1.46) remained independently associated with violent victimization after adjustment for potential confounders.<h4>Conclusions</h4>This study found a high prevalence of childhood physical abuse and that this was associated with a higher risk of subsequent violent victimization among PWUD in this setting. Greater support for PWUD with a history of childhood physical abuse is needed to decrease existing vulnerability to violence, including screening for and treatment of childhood trauma and related violence prevention.
format	article
author	Julie Sagram William Lee JinCheol Choi M-J Milloy Kanna Hayashi Kora DeBeck Evan Wood Thomas Kerr
author_facet	Julie Sagram William Lee JinCheol Choi M-J Milloy Kanna Hayashi Kora DeBeck Evan Wood Thomas Kerr
author_sort	Julie Sagram
title	Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
title_short	Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
title_full	Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
title_fullStr	Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
title_full_unstemmed	Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.
title_sort	childhood physical abuse and subsequent violent victimization among people who use illegal drugs in vancouver, canada.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/2fedd508686f4b5abc74481f0861eb07
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Childhood physical abuse and subsequent violent victimization among people who use illegal drugs in Vancouver, Canada.

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