Relationships between childhood abuse and neglect experience and HIV risk behaviors among methadone treatment drop-outs

Sung Yeon Kang, Sherry Deren, Marjorie F. Goldstein

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this study was to examine the relationships between childhood abuse/neglect experiences (sexual abuse, physical abuse, emotional abuse, and child neglect) and adult life functioning among Methadone Maintenance Treatment Program (MMTP) drop-outs. Method: 432 subjects who dropped out of MMTP were recruited in New York City in 1997-1999. Adult life functioning was measured by HIV drug and sex risk behaviors, Addiction Severity Index (ASI) composite scores, and depression. The χ2 tests, t tests, correlation, and multiple logistic regressions were performed to examine the relationships between abuse experiences and adult life functioning. Results: The prevalence of child abuse/neglect history was high among MMTP drop-outs: sexual abuse - 36%; physical abuse - 60%; emotional abuse - 57%; child physical neglect - 66%; all four experiences - 25%. As assessed via ASI composite scores, those who had been abused in childhood had significantly more medical, legal, relationship, and psychological problems than those who had not. Overall, several significant associations were found between the abuse experiences and HIV risk behaviors. Those who had experienced child neglect were more likely to be HIV positive. In multivariate analyses, childhood physical abuse was a significant predictor of having multiple sex partners while depression was significantly related to injection drug use in adulthood (p

Original languageEnglish (US)
Pages (from-to)1275-1289
Number of pages15
JournalChild Abuse and Neglect
Volume26
Issue number12
DOIs
StatePublished - Dec 1 2002

Fingerprint

Child Abuse
Methadone
Risk-Taking
risk behavior
neglect
abuse
childhood
HIV
Sex Offenses
experience
Depression
Therapeutics
addiction
sexual violence
Sexual Partners
Life Change Events
Sexual Behavior
Pharmaceutical Preparations
sex behavior
Multivariate Analysis

Keywords

  • Childhood abuse
  • Childhood neglect
  • Drugs
  • HIV risk

ASJC Scopus subject areas

  • Sociology and Political Science
  • Law
  • Education
  • Social Psychology
  • Developmental and Educational Psychology
  • Psychiatry and Mental health
  • Pediatrics, Perinatology, and Child Health

Cite this

Relationships between childhood abuse and neglect experience and HIV risk behaviors among methadone treatment drop-outs. / Kang, Sung Yeon; Deren, Sherry; Goldstein, Marjorie F.

In: Child Abuse and Neglect, Vol. 26, No. 12, 01.12.2002, p. 1275-1289.

Research output: Contribution to journalArticle

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