Estimating the number of children in households with substance use disorders in Germany

Abstract Background Parental substance misuse is reported to endanger the health and psychological development of children and adolescents. The aim of the present study was to address conceptual and methodological problems in estimating the number of children affected by parental substance misuse (C...

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Autores principales:	Ludwig Kraus, Alfred Uhl, Josefine Atzendorf, Nicki-Nils Seitz
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Children Adolescents Parental substance misuse Estimation Germany Pediatrics RJ1-570 Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/df87b103b98c4fe490d2f1a9ece10595
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spelling	oai:doaj.org-article:df87b103b98c4fe490d2f1a9ece105952021-11-08T11:04:32ZEstimating the number of children in households with substance use disorders in Germany10.1186/s13034-021-00415-01753-2000https://doaj.org/article/df87b103b98c4fe490d2f1a9ece105952021-11-01T00:00:00Zhttps://doi.org/10.1186/s13034-021-00415-0https://doaj.org/toc/1753-2000Abstract Background Parental substance misuse is reported to endanger the health and psychological development of children and adolescents. The aim of the present study was to address conceptual and methodological problems in estimating the number of children affected by parental substance misuse (CaPSM) and offer a novel approach based on survey data. Methods Data came from the 2018 German Epidemiological Survey of Substance Abuse (ESA) among 18- to 64-year-olds (n = 9267) and from population statistics. DSM-IV diagnostic criteria were used to assess substance use disorder (SUD) related to tobacco, alcohol, cannabis, cocaine or amphetamine. Based on the number of household members, the number of children below age 18 years and the information on SUD status of the respondent living in this household, the number of children currently living in households with at least one member with SUD was estimated. Results In 2018, there were 13,597,428 children younger than 18 years living in Germany. Of these, 6.9–12.3% (935,522–1,673,103) were estimated to currently live in households where at least one adult had a tobacco use disorder, 5.1–9.2% (688,111–1,257,345) in households where at least one adult had an alcohol use disorder and 0.6–1.2% (87,817–158,401) in households where at least one adult had a disorder related to the use of illicit drugs. The total number of children currently living with SUD adults in their household was estimated at 11.2–20.2% (1,521,495–2,751,796). Conclusions Available estimates are difficult to interpret and to compare due to a lack of clear case definitions and methodological approaches with various biases and limitations. Future estimates need to provide precise case definitions and standard approaches.Ludwig KrausAlfred UhlJosefine AtzendorfNicki-Nils SeitzBMCarticleChildrenAdolescentsParental substance misuseEstimationGermanyPediatricsRJ1-570PsychiatryRC435-571ENChild and Adolescent Psychiatry and Mental Health, Vol 15, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Children Adolescents Parental substance misuse Estimation Germany Pediatrics RJ1-570 Psychiatry RC435-571
spellingShingle	Children Adolescents Parental substance misuse Estimation Germany Pediatrics RJ1-570 Psychiatry RC435-571 Ludwig Kraus Alfred Uhl Josefine Atzendorf Nicki-Nils Seitz Estimating the number of children in households with substance use disorders in Germany
description	Abstract Background Parental substance misuse is reported to endanger the health and psychological development of children and adolescents. The aim of the present study was to address conceptual and methodological problems in estimating the number of children affected by parental substance misuse (CaPSM) and offer a novel approach based on survey data. Methods Data came from the 2018 German Epidemiological Survey of Substance Abuse (ESA) among 18- to 64-year-olds (n = 9267) and from population statistics. DSM-IV diagnostic criteria were used to assess substance use disorder (SUD) related to tobacco, alcohol, cannabis, cocaine or amphetamine. Based on the number of household members, the number of children below age 18 years and the information on SUD status of the respondent living in this household, the number of children currently living in households with at least one member with SUD was estimated. Results In 2018, there were 13,597,428 children younger than 18 years living in Germany. Of these, 6.9–12.3% (935,522–1,673,103) were estimated to currently live in households where at least one adult had a tobacco use disorder, 5.1–9.2% (688,111–1,257,345) in households where at least one adult had an alcohol use disorder and 0.6–1.2% (87,817–158,401) in households where at least one adult had a disorder related to the use of illicit drugs. The total number of children currently living with SUD adults in their household was estimated at 11.2–20.2% (1,521,495–2,751,796). Conclusions Available estimates are difficult to interpret and to compare due to a lack of clear case definitions and methodological approaches with various biases and limitations. Future estimates need to provide precise case definitions and standard approaches.
format	article
author	Ludwig Kraus Alfred Uhl Josefine Atzendorf Nicki-Nils Seitz
author_facet	Ludwig Kraus Alfred Uhl Josefine Atzendorf Nicki-Nils Seitz
author_sort	Ludwig Kraus
title	Estimating the number of children in households with substance use disorders in Germany
title_short	Estimating the number of children in households with substance use disorders in Germany
title_full	Estimating the number of children in households with substance use disorders in Germany
title_fullStr	Estimating the number of children in households with substance use disorders in Germany
title_full_unstemmed	Estimating the number of children in households with substance use disorders in Germany
title_sort	estimating the number of children in households with substance use disorders in germany
publisher	BMC
publishDate	2021
url	https://doaj.org/article/df87b103b98c4fe490d2f1a9ece10595
work_keys_str_mv	AT ludwigkraus estimatingthenumberofchildreninhouseholdswithsubstanceusedisordersingermany AT alfreduhl estimatingthenumberofchildreninhouseholdswithsubstanceusedisordersingermany AT josefineatzendorf estimatingthenumberofchildreninhouseholdswithsubstanceusedisordersingermany AT nickinilsseitz estimatingthenumberofchildreninhouseholdswithsubstanceusedisordersingermany
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Estimating the number of children in households with substance use disorders in Germany

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