Daily patterns of substance use and violence among a high-risk urban emerging adult sample: Results from the Flint Youth Injury Study☆

Details

• Alternative Title:
  Addict Behav
• Personal Author:
  Carter, Patrick M. ; Cranford, James A. ; Buu, Anne ; Walton, Maureen A. ; Zimmerman, Marc A. ; Goldstick, Jason ; Ngo, Quyen ; Cunningham, Rebecca M.
• Description:
  Objective: ; Interpersonal violence is a significant public health problem, with substance use a key risk factor. Intensive longitudinal methods (ILMs) provide data on daily patterns/relationships between substance use and violence, informing prevention. Prior daily research has not focused on these relationships among urban minority samples. ; Methods: ; Within an RCT comparing ILM assessment/schedule methods, 162-participants completed daily IVR (n = 81) or SMS (n = 81) assessments measuring 19 substance use and violence (partner/non-partner) behaviors daily for 90-days. GLMMs characterized between- and within-person predictors of daily violence. ; Results: ; Participants 48.7%-female; age = 24.4; 62.3%-African-American; 66.7%-public assistance completed an average of 46.5 daily reports SD = 26.7. Across 90-days, alcohol was characterized by episodic weekend use (average = 10 days-of-use, 34.4% drinking-days involved binge-drinking), while marijuana use was continuous (average = 27 days-of-use; 1.7 times/day), with no weekend differences. Among 118-violent conflicts, 52.5% occurred on weekends; 57.6% were with non-partners/peers; 61.0% involved perpetration/57.6% victimization; and 52.5% involved severe violence. For violence conflicts, 27.1% were preceded by alcohol/22.9% preceded by drug use. Between-person predictors of daily violence included retaliatory attitudes (AOR = 3.2) and anxiety (AOR = 1.1). Within-person predictors included weekends (AOR = 1.6), binge drinking (AOR = 1.9), non-medical prescription opioid use (AOR = 3.5) and illicit drug use (AOR = 8.1). ; Conclusion: ; Among a high-risk urban minority sample, we found that higher baseline retaliatory attitudes and anxiety, as well as same-day binge drinking, non-medical prescription opioid use, and illicit drug use were associated with daily violence, likely reflecting both pharmacological and socio-contextual factors. Addressing substance use and retaliatory violence with tailored prevention efforts may aid in decreasing negative interpersonal violence outcomes.
• Subjects:
  • Article
  • Intensive longitudinal data
  • Daily substance use/violence
  • Emergency medicine
  • Youth violence
  • Adult
  • Black or African American
  • Female
  • Humans
  • Longitudinal Studies
  More +
• Source:
  Addict Behav. 101:106127
• Pubmed ID:
  31645000
• Pubmed Central ID:
  PMC6999833
• Document Type:
  Journal Article
• Funding:
  K23 DA039341/DA/NIDA NIH HHSUnited States/ ; R49CE002099/ACL/ACL HHSUnited States/ ; R01 DA035183/DA/NIDA NIH HHSUnited States/ ; U01 CE002698/CE/NCIPC CDC HHSUnited States/ ; R03 AA025449/AA/NIAAA NIH HHSUnited States/ ; R01 DA024646/DA/NIDA NIH HHSUnited States/
• Volume:
  101
• Download URL:
  https://stacks.cdc.gov/view/cdc/122896/cdc_122896_DS1.pdf
• File Type:
  [PDF - 487.40 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:4bd1fc47fe72b76d1aa4536451064800a7e88ca10ce42b8f66cdc8f11c030d13