@article{ref1,
title="Does child maltreatment predict alcohol use disorders in young adulthood? A cohort study of linked notifications and survey data",
journal="Addiction",
year="2019",
author="Kisely, Stephen R. and Mills, R. and Strathearn, L. and Najman, J. M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND AND AIMS: Most studies of the association between child maltreatment and subsequent problem alcohol use are retrospective. We studied the association of prospectively substantiated child maltreatment with problem alcohol use in adulthood. <br><br>DESIGN: We used a prospective cohort record linkage correlational design using data from a statutory child protection agency of prospectively substantiated child maltreatment linked to a birth cohort from a major metropolitan maternity hospital. SETTING: The Mater-University of Queensland Study of Pregnancy in Brisbane, Australia. PARTICIPANTS: Of the 3762 young people at the 21-year follow-up, 169 (4.5%) had a history of substantiated maltreatment by 16 years. This was most commonly emotional abuse (n=90). MEASUREMENTS: The main outcome was heavy alcohol use at the 21-year follow-up, defined as 4+ standard drinks per day. Secondary outcomes were lifetime and 12-month diagnoses of alcohol use disorders in 3762 participants who completed the Composite International Diagnostic Interview-Auto (CIDI-Auto) version. Predictor variables were physical, sexual and emotional abuse, as well as neglect. <br><br>FINDINGS: At follow-up, 407 of the 3762 participants reported heavy alcohol use (10.8%). On adjusted analyses, participants who had experienced emotional abuse were significantly more likely to report heavy alcohol use at the time of interview (OR<sub>adj</sub> =1.86; 95%CI=1.04-3.32; p=0.037). Neglect was associated with a lifetime CIDI diagnosis of an alcohol use disorder. Other types of child maltreatment were not significantly associated with any of the outcomes. <br><br>CONCLUSIONS: Prospectively identified experience of childhood emotional abuse and neglect appears to be positively associated with problem alcohol use at age 21.<br><br>This article is protected by copyright. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0965-2140",
doi="10.1111/add.14794",
url="http://dx.doi.org/10.1111/add.14794"
}