Alcohol and tobacco use among maltreated and non-maltreated adolescents in a birth cohort

Mills, Ryan, Alati, Rosa, Strathearn, Lane and Najman, Jake M. (2014) Alcohol and tobacco use among maltreated and non-maltreated adolescents in a birth cohort. Addiction, 109 4: 672-680. doi:10.1111/add.12447

Author Mills, Ryan
Alati, Rosa
Strathearn, Lane
Najman, Jake M.
Title Alcohol and tobacco use among maltreated and non-maltreated adolescents in a birth cohort
Journal name Addiction   Check publisher's open access policy
ISSN 0965-2140
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/add.12447
Open Access Status DOI
Volume 109
Issue 4
Start page 672
End page 680
Total pages 9
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Language eng
Subject 2701 Medicine (miscellaneous)
2738 Psychiatry and Mental health
Abstract Aims: This study examines whether child maltreatment experience predicts adolescent tobacco and alcohol use. Methods: The subjects were participants in the Mater-University Study of Pregnancy (MUSP), a birth cohort of 7223, of whom 5158 (71.4%) were available for analysis at the 14-year follow-up. Child protection history was obtained from the state's child protection agency and confidentially linked. Exposure to reported child maltreatment was the primary predictor variable. The outcome variables were self-reported smoking and alcohol use. Associations were adjusted for potential confounders. Results: Reported child maltreatment was associated with early adolescent smoking [odds ratio (OR) 1.76, 95% confidence interval (CI)=1.32-2.34] after adjustment for socio-demographic variables and coexisting alcohol use. Both neglect/emotional abuse (OR 2.03, 95% CI=1.20-3.42) and neglect/emotional abuse that included physical abuse (OR 1.85, 95% CI=1.19-2.88) were associated with smoking after full adjustment, including for coexisting alcohol use. After full adjustment, including coexisting smoking, only child neglect/emotional abuse predicted early adolescent alcohol use (OR 1.78, 95% CI=1.06-2.97), but not the other types of maltreatment. Conclusions: Reported child maltreatment predicts early adolescent smoking after adjusting for alcohol use, but does not predict alcohol use after adjustment for smoking. Both smoking and alcohol use are predicted by reported child neglect. Early adolescent smoking is also predicted by multi-type maltreatment that includes physical abuse.
Keyword Alcohol
Birth cohort
Child abuse
Child maltreatment
Child neglect
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID APP1012485
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
School of Medicine Publications
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