Abstract
Child maltreatment and substance abuse are both international public health priorities. Research shows that child maltreatment increases the risk for substance use and problems. Thus, recognition of this relationship may have important implications for substance demand reduction strategies, including efforts to prevent and treat substance use and related problems. Latin America and the Caribbean is a rich and diverse region of the world with a large range of social and cultural influences. To date, relatively little work has addressed the link between child maltreatment and substance use in the region. A working group constituted by the Inter-American Drug Abuse Control Commission (CICAD) and the Centre for Addiction and Mental Health (CAMH) in June, 2010 identified this area as a priority area for a multinational research partnership. This paper summarizes existing information on drug use and child maltreatment in six participating countries, Colombia, El Salvador, Jamaica, Nicaragua, Panama and Uruguay, and considers the implications of child maltreatment prevention for demand reduction strategies to address substance use issues. A CICAD/CAMH-sponsored multinational research partnership has been formed, which will involve research on the link between child maltreatment and substance misuse, expertise exchange and resource sharing.
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References
Adlaf, E. M., & Smart, R. G. (1985). Drug use and religious affiliation, feelings and behaviour. British Journal of Addiction, 80(2), 163–171.
Asamblea Legislativa de El Salvador (2009). Consejo Nacional de la Judicatura de El Salvador. Retrieved July 18, 2010, from http://www.cnj.gob.sv/images/stories/Documentos/PDFS/LeyLEPINA.PDF
Babor, T., Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., Graham, K., et al. (2003). Alcohol: No ordinary commodity. New York: Oxford University Press.
Babor, T., Caulkins, J., Edwards, G., Fischer, B., Foxcroft, D., Humphreys, K., et al. (2010). Drug policy and the public good. New York: Oxford University Press.
Belfer, M. L., & Rohde, L. A. (2005). Child and adolescent mental health in Latin America and the Caribbean: problems, progress and policy research. Pan American Journal of Public Health, 18, 359–365.
Berk, L. (2001). Development through the lifespan (2nd ed.). Boston: Allyn and Bacon.
Brems, C., Johnson, M. E., Neal, D., & Freemon, M. (2004). Childhood abuse history and substance use among men and women receiving detoxification services. American Journal of Drug and Alcohol Abuse, 30(4), 799–821.
Cloninger, C. R., Sigvardsson, S., & Bohman, M. (1988). Childhood personality predicts alcohol abuse in young adults. Alcoholism, Clinical and Experimental Research, 12(4), 494–505.
CNA. (2006). Informe Ejecutivo Comisión National Antidrogas. San Salvador: CNA.
Committee of the Children Rights. (2004). Written answers of the government of relative Panama to the list of questions. Formulated for the committee in connection with the exam of the second periodic report of Panama MIDES. Statistical of the judicial organ.
Comunidad, A. (2009). Comunidad Andina. Retrieved July 25, 2010, from http://www.comunidadandina.org/public/Estudio_drogas.pdf.
CONAPRED, MIDES, MINSA, Kunayala Congress (2009). Juventud de KunaYala libre de drogas. Gobierno Nacional.
Conroy, E., Degenhardt, L., Mattick, R. P., & Nelson, E. C. (2009). Child maltreatment as a risk factor for opioid dependence: comparison of family characteristics and type and severity of child maltreatment with a matched control group. Child Abuse and Neglect, 33, 343–352.
Crittenden, P. M. (1996). Research on maltreating families: Implications for intervention. In J. Briere, L. Berliner, J. A. Bulkley, C. Jenny, & T. Reid (Eds.), The APSAC handbook on child maltreatment (pp. 158–174). Thousand Oaks: Sage.
DANE. (2002). Retrieved July 23, 2010, from http://biblioteca2.
Defensoría del Pueblo. (2001). Retrieved August 2, 2010, from http://www.defensoria.org.co/pdf/resoluciones/humanitaria/humanitaria8.pdf.
Diario Granma. (2010). An increase in child abuse in El Salvador revealed. Retrieved December 28, 2010, from http://www.granma.cubaweb.cu/2010/08/16/interna/artic38.html
Direccion Nacional de Estupefacientes. (2009). Retrieved August 1, 2010, from http://www.dne.gov.co/?idcategoria=627.
Dormitzer, C., Gonzalez, G., Penna, M., Bejarano, J., Obando, P., Sanchez, M., et al. (2004). The PACARDO research project: youthful drug involvement in Central America and the Dominican Republic. Revista Panamericana de Salud Publica, 15(6), 400–416.
Estudio Nacional Consumo de Drogas. (2008). Resumen Ejecutivo. Retrieved 2, 2010, from www.descentralizadrogas.gov.co.
Felix-Ortiz, M., & Newcomb, M. D. (1999). Vulnerability for drug use among Latino adolescents. Journal of Community Psychology, 27(3), 257–280.
Finkelhor, D. (1994). The international epidemiology of child sexual abuse. Child Abuse & Neglect, 18, 409–417.
Ford, J. T. (2003). Drug control: coca cultivation and eradication estimates in Colombia: GAO-03-319R, GAO Reports (pp. 1): U.S. Government Accountability Office.
FUNDASALVA. (2004). Fundación Antidrogas de El Salvador. Retrieved July 18th, 2010 from http://www.fundasalva.org.sv/home/DIAGNOSTICO%20NACIONAL%20-%20RED%20DE%20TRATAMIENTO%20REHAB.pdf.
Gallego Gómez, C. L., Medina Berna, M. T., & Montoya Vélez, L. P. (2008). Historia de abuso sexual y su relación con depresión, autoestima y consumo de sustancias psicoactivas 2007. CES Med, 22(1), 17–27.
Gantiva, C., Bello, J., Vanegas, E., & Sastoque, Y. (2009). Historia de maltrato físico en la infancia y esquemas de maladaptativos tempranos en estudiantes universitarios. (U. d. Buenaventura, Ed.).
Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. Lancet, 373(9657), 68–81.
Hartzler, B., & Fromme, K. (2003). Cognitive–behavioral profiles of college risk-takers with type II and psychopathic personality traits. Addictive Behaviors, 28(2), 315–326.
Hovdestad, W. E., Tonmyr, L., Wekerle, C., & Thornton, T. (2011). Why is childhood maltreatment associated with adolescent substance abuse? A critical review of explanatory models. International Journal of Mental Health and Addiction. doi:10.1007/s11469-011-9322-9.
Hussey, J. M., Chang, J. J., & Kotch, J. B. (2006). Child maltreatment in the United States: prevalence, risk factors, and adolescent health consequences. Pediatrics, 118, 933–942.
Instituto de Medicina Legal y Ciencias Forenses. (2000). División de Referencia de Información Pericial DRIP-Estadisticas. Retrieved July 23, 2010, from http://www.medicinalegal.gov.co/index.php?option=com_wrapper&view=wrapper&Itemid=60.
Jamaica Adolescent Reproductive Health Project. (2004). Fact sheet: youth drug use and abuse.
Junta Nacional de Drogas. (2006). II Encuesta Nacional sobre Consumo de Drogas en Estudiantes de Enseñanza Media. Retrieved July 2010, from http://www.infodrogas.gub.uy/.
Junta Nacional de Drogas. (2007). Tercer Encuesta Nacional sobre el consumo de drogas en estudiantes de ensenanza media, Uruguay 2007. Retrieved July 2010, from http://www.infodrogas.gub.uy/OUD/index.htm http://www.infodrogas.gub.uy/html/encuestas/documentos/III_encuesta_estudiantes_secundaria_2007.pdf.
Junta Nacional de Drogas. (2010). Cuarta Encuesta Nacional y Quinta en Montevideo sobre Consumo de Drogas en Estudiantes de Enseñanza Media, 2009. Retrieved February 2011, from http://www.infodrogas.qas.uy/html/encuestas/documentos/IVencuestaestudiantesmedia2010.pdf.
Kendler, K. S., Bulik, C. M., Silberg, J., Hettema, J. M., Myers, J., & Prescott, C. A. (2000). Childhood sexual abuse and adult psychiatric and substance use disorders in women: an epidemiological and cotwin control analysis. Archives of General Psychiatry, 57(10), 953–959.
Kerr, T., Stoltz, J. A., Marshall, B. D., Lai, C., Strathdee, S. A., & Wood, E. (2009). Childhood trauma and injection drug use among high-risk youth. Journal of Adolescent Health, 45, 300–302.
Kessler, R. C., Davis, C. G., & Kendler, K. S. (1997). Childhood adversity and adult psychiatric disorder in the US national comorbidity survey. Psychological Medicine, 27, 1101–1119.
Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., et al. (2010). Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. British Journal of Psychiatry, 197, 378–385.
Kilpatrick, D. G., Acierno, R., Saunders, B., Resnick, H., Best, C. L., & Schnurr, P. P. (2000). Risk factors for adolescent substance abuse and dependence: data from a national sample. Journal of Consulting and Clinical Psychology, 68(1), 19–30.
Lau, J. T. F., Kim, J. H., Tsui, H. Y., Cheung, A., Lau, M., & Yu, A. (2005). The relationship between physical maltreatment and substance use among adolescents: a survey of 95,788 adolescents in Hong Kong. Journal of Adolescent Health, 37(2), 110–119.
Leo-Rhynie, E. A. (1993). The Jamaican Family: Continuity & Change. Jamaica: Grace Kennedy Foundation.
Leo-Rhynie, E. A. (1997). Class, race, and gender issues in child rearing in the Caribbean. In J. L. Roopnarine & J. Brown (Eds.), Caribbean families: Diversity among ethnic groups (pp. 25–84). Greenwich: Ablex Publishing Corporation.
Leventhal, A. M., & Smithz, J. M. (2006). The role of drug use outcome expectancies in substance abuse risk: an interactional transformation model. Addictive Behaviour, 31(11), 2038–2062.
MacMillan, H. L., Fleming, J. E., Streiner, D. L., Lin, E., Boyle, M. H., Jamieson, E., et al. (2001). Childhood abuse and lifetime psychopathology in a community sample. American Journal of Psychiatry, 158, 1878–1883.
McCarthy, D. M., Kroll, L. S., & Smith, G. T. (2001). Integrating disinhibition and learning risk for alcohol use. Experimental and Clinical Psychopharmacology, 9(4), 389–398.
Medrano, M. A., Zule, W. A., Hatch, J., & Desmond, D. P. (1999). Prevalence of childhood trauma in a community sample of substance-abusing women. American Journal of Drug and Alcohol Abuse, 25, 449–462.
Mejia, R., Kliewer, W., & Williams, L. (2006). Domestic violence exposure in Columbian adolescents: pathways to violent and prosocial behavior. Journal of Traumatic Stress, 19, 257–267.
Ministerio de Desarrollo Social, De los Campos H., Solari M., González M. (2008). Prácticas de Crianza y Resolución de Conflictos Familiares. Prevalencia del maltrato intra familiar contra niños y adolescentes. Retrieved July 16, 2010, from http://docs.google.com/viewer?a=v&q=cache:N5LB1di2BzEJ:www.infamilia.gub.uy/gxpsites/agxppdwn.aspx%3F1,7,104,O,S,0,831%253BS%253B1%253B12,+Prevalencia+del+maltrato+intra+familiar+contra+ni%C3%B1os+y+adolescentes.+Uruguay,+Montevideo+2008&hl=en&gl=ca&pid=b.
Ministry of Social Protection and National Directorate of Narcotic Drugs. (2008). Retrieved July 23, 2010, from http://www.dne.gov.co/.
Moeller, F. G., & Dougherty, D. M. (2002). Impulsivity and substance abuse: what is the connection? Addictive Disorders and Their Treatment, 1(1), 3–10.
National Council on Drug Abuse. (2002). The national household survey. Jamaica.
OCAVI. (2009). Observatorio Centroamericano sobre la Violencia. Retrieved July 21, 2010, from http://www.ocavi.com/docs_files/file_700.pdf.
Office of the Children’s Registry. (2010). Selected statistic on child abuse and neglect in Jamaica 2007–2010.
Oficina del Alto Comisionado para la Paz. (2002). Retrieved 23, 2010, from http://www.altocomisionaadoparalapaz.gov.co/.
Public Health Agency of Canada. (2010). Canadian incidence study of reported child abuse and neglect—2008: major findings. Ottawa: Public Health Agency of Canada.
Reiss, S. (2010). Beyond supply and demand: Obama’s drug wars in Latin America. North American Congress on Latin America (NACLA) Report on the Americas, 43.
Rexed, B. A. (1978). Drug abuse-global affliction. Worldwide misuse of drugs is on the rise. Unless society heeds this danger signal, we open the doors to disaster. The Rotarian, 13, 19–23.
Righthand, S., Kerr, B., & Drach, K. (2003). Child maltreatment risk assessments: An evaluation guide. Binghampton: The Haworth Maltreatment and Trauma Press.
Rivas, I. (2006). Factores que incidieron en el consumo de drogas lícitas e ilícitas. Estudio realizado en instituciones de rehabilitación en el año 2006. Citado por E. Aydeé Rivera de Parada. Revista Científica Crea Cienciencia, 7. Retrieved June 28, 2010, from http://www.uees.edu.sv/crea2.2/1_factores.htm.
Rogosch, F. A., Oshri, A., & Cicchetti, D. (2010). From child maltreatment to adolescent cannabis abuse and dependence: a developmental cascade model. Developmental Psychopathology, 22(4), 883–897.
Rohsenow, D. J., Corbett, R., & Devine, D. (1988). Molested as children: a hidden contribution to substance abuse? Journal of Substance Abuse Treatment, 5, 13–18.
Saavedra, S., & Suarez, R. J. (2006). Maltrato Infantil. Bol Peadiatric, 46(1), 119–124.
Samms-Vaughan, M. (2006). Children caught in the crossfire. Kingston: Grace Kennedy.
Sanchez, M. (2003). Encuesta sobre consumo de drogas, en estudiantes de ensenanza secundaria de Nicaragua. Noticias del Observador, 1, 25–36.
Schuckit, M. A. (1994). A clinical model of genetic influences in alcohol dependence. Journal of Studies on Alcohol, 55(1), 5–17.
Silva Garcia, J. (2008). Estudio comparativo entre estudiantes de dos Facultades de Medicina en Nicaragua sobre la prevalencia del uso de drogas y otros aspectos relacionados, durante el periodo de Noviembre 2008 y Enero 2009. Leon: UNAN.
Smith, D. E., & Mosby, G. (2003). Jamaican child-rearing practices: the role of corporal punishment. Adolescence, 38(150), 369–381.
Stoltenborgh, M., van Ijzendorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011). A global perspective on child sexual abuse: meta-analysis of prevalence around the world. Child Maltreatment, 16, 79–101.
Tarter, R. E., & Mezzich, A. (1996). Ontogeny of substance abuse: Perspectives and findings. In M. Glantz & R. Pickens (Eds.), Vulnerability to drug abuse (pp. 149–177). Washington: American Psychiatric Association.
The Institute of Legal Medicine and Forensic Sciences. (2008). Report 2004–2008.
Thoumi, F. E. (2005). The Colombian competitive advantage in illegal drugs: the role of policies and institutional changes. Journal of Drug Issues, 35(1), 7.
Titus, J. C., Dennis, M. L., White, W. L., Scott, C. K., & Funk, R. R. (2003). Gender differences in victimization severity and outcomes among adolescents treated for substance abuse. Child Maltreatment, 8(1), 19–35.
Tonmyr, L., Thornton, T., Draca, J., & Wekerle, C. (2010). A review of childhood maltreatment and adolescent substance use relationship. Current Psychiatry Reviews, 6, 223–234.
United Nations Children Fund. (2001). Annual report.
United Nations (UN), Economic Commision for Latin America and the Caribbean (ECLAC), & United Nations Childrens Fund (UNICEF) (2009). Challenges. Child abuse: A painful reality behind closed doors. Retrieved August 16, 2010, from http://www.eclac.org/dds/noticias/desafios/0/37890/Challenges9-cepal-unicef.pdf
United Nations General Assembly. (1989). Convention on the Rights of the Child. New York: United Nations.
Wekerle, C., & Wall, A.-M. (2002). The violence and addiction equation: Theoretical and clinical issues in substance abuse and relationship violence. New York: Brunner-Routledge.
Westby, C. E. (2007). Child maltreatment: a global issue. Language, Speech and Hearing Services in Schools, 48, 140–148.
Widom, C. S. (1999). Posttraumatic stress disorder in abused and neglected children grown up. American Journal of Psychiatry, 156, 1223–1229.
Wolfe, D. A., & Wekerle, C. (1993). Treatment strategies for child physical abuse and neglect: a critical progress report. Clinical Psychology Review, 13, 473–500.
World Health Organization. (2006). Working together for health. The World Health Report.
Yates, T., & Wekerle, C. (2009). Editorial: The long term consequences of emotional maltreatment on development: (Mal)adaptation in adolescence and young adulthood. Child Abuse and Neglect: The International Journal, 33, 24–25.
Acknowledgements
The authors are grateful for valuable input, support and encouragement from Drs. D.A. Wolf, B. Brands, N. Giesbrecht, C. Strike, L. Simich, Mr. A. Khenti, Ms. K. Lo, Mr. R. Chung and Ms. G. Stoduto. The Inter-American Drug Abuse Control Commission, the Centre for Addiction and Mental Health, and the Department of Foreign Affairs and International Trade of Canada supported the work reported here. The authors acknowledge the support of their home institutions for this initiative, and Drs. Hamilton, Erickson and Mann also acknowledge ongoing funding support from the Ontario Ministry of Health and Long-Term Care.
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Longman-Mills, S., González, Y.W., Meléndez, M.O. et al. Child Maltreatment and Its Relationship to Drug Use in Latin America and the Caribbean: An Overview and Multinational Research Partnership. Int J Ment Health Addiction 9, 347–364 (2011). https://doi.org/10.1007/s11469-011-9347-0
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DOI: https://doi.org/10.1007/s11469-011-9347-0