Adverse childhood experiences-including parental and familial factors such as parental substance abuse, parental mental health problems, parental incarceration, parental unemployment and family violence, and personal factors such as physical, sexual, and emotional abuse- have been shown to strongly affect health risk behaviours in adulthood in the general population and are thus important in the health status of an individual. However, studies of people who use injection drugs have generally focused on disease seroprevalence and risk behaviours without considering their psychosocial histories.<p>
In the 2000 Regina Seroprevalence and Risk Behaviours Study, 255 people who use injection drugs completed a standardized, confidential, and anonymous interview which included questions on adverse childhood experiences and injection-related and sexual risk behaviours. Associations among and between participants' reported adverse childhood experiences and subsequent risk behaviours were tested. Demographic factors were also considered, and general linear models of factors associated with risk behaviours were developed. <p>
The rates of adverse childhood experiences and risk behaviours reported were very high. Several of the adverse childhood experiences studied were related to increased risk behaviours. The factors associated with injection-related risk behaviours were similar to those associated with sexual risk behaviours. The impact of adverse childhood experiences on risk behaviours was found to be cumulative; the more adverse childhood experiences the participants reported, the more risk behaviours they also reported.
This information provides a unique opportunity to address these problems in the treatment and prevention of injection drug use. Supplementary research is needed to further elucidate the factors associated with high-risk behaviours in people who use injection drugs.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:SSU.etd-06242008-111505 |
| Date | 08 August 2008 |
| Creators | Hay, Karen Janet |
| Contributors | Tan, Leonard, Mahajarine, Nazen, Leis, Anne |
| Publisher | University of Saskatchewan |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://library.usask.ca/theses/available/etd-06242008-111505/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Saskatchewan or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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