The association between abused adults and substance abuse in Taiwan, 2000–2015
Abstract Objective To investigate whether adults suffering from violence were at risk of substance abuse and provides insight into the relationship between male and female abusers and substance abuse from 2000 to 2015 in Taiwan. Methods This study used data on outpatient, emergency, and inpatient vi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-023-04608-z |
| _version_ | 1797863909017780224 |
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| author | Chi-Hsiang Chung Iau-Jin Lin Yao-Ching Huang Chien-An Sun Wu-Chien Chien Nian-Sheng Tzeng |
| author_facet | Chi-Hsiang Chung Iau-Jin Lin Yao-Ching Huang Chien-An Sun Wu-Chien Chien Nian-Sheng Tzeng |
| author_sort | Chi-Hsiang Chung |
| collection | DOAJ |
| description | Abstract Objective To investigate whether adults suffering from violence were at risk of substance abuse and provides insight into the relationship between male and female abusers and substance abuse from 2000 to 2015 in Taiwan. Methods This study used data on outpatient, emergency, and inpatient visits for 2 million people enrolled in universal health insurance from 2000 to 2015. ICD-9 diagnosis codes 995.8 (abused adult) and E960–E969 (homicide and injury purposely inflicted by other persons) were defined in this case study, analyzing first-time violence in adults aged 18–64 (study group). Non-abused patients (control group) were matched in a 1:4 ratio, and the paired variables were gender, age (± 1 year), pre-exposure Charlson Comorbidity Index, and year of medical treatment. SAS 9.4 and Cox regression were used for data analysis. Results A total of 8,726 people suffered violence (control group: 34,904 people) over 15 years. The prevalence of substance abuse among victims of violence was 78.3/104, 61.9/104, and 51.5/104 for tobacco use disorder, alcoholism, and alcohol abuse, respectively. The risk (adults, overall) of drug abuse, drug dependence, and alcoholism after exposure to violence (average 9 years) was 7.47, 7.15, and 6.86 times (p < 0.01), respectively, compared with those without violence. The risk (adults, males) of drug abuse, drug dependence, and alcohol abuse after exposure to violence (average 9 years) was 6.85, 6.27, and 6.07 times, respectively, higher than those without violence (p < 0.01). Risks of drug dependence, alcohol abuse and alcoholism (adults, females) after exposure to violence (average 9 years) were 14.92, 12.26, and 11.55 times, respectively, higher than non-abused ones (p < 0.01). Conclusion The risks of substance abuse, after adult violence, are higher than in those who have not suffered violent injuries. |
| first_indexed | 2024-04-09T22:44:16Z |
| format | Article |
| id | doaj.art-e0ece60562d84c5891b7d02227c35684 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-09T22:44:16Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-e0ece60562d84c5891b7d02227c356842023-03-22T12:00:44ZengBMCBMC Psychiatry1471-244X2023-02-012311710.1186/s12888-023-04608-zThe association between abused adults and substance abuse in Taiwan, 2000–2015Chi-Hsiang Chung0Iau-Jin Lin1Yao-Ching Huang2Chien-An Sun3Wu-Chien Chien4Nian-Sheng Tzeng5School of Public Health, National Defense Medical CenterDepartment of Medical Research, Tri-Service General HospitalSchool of Public Health, National Defense Medical CenterDepartment of Public Health, College of Medicine, Fu-Jen Catholic UniversitySchool of Public Health, National Defense Medical CenterStudent Counseling Center, National Defense Medical CenterAbstract Objective To investigate whether adults suffering from violence were at risk of substance abuse and provides insight into the relationship between male and female abusers and substance abuse from 2000 to 2015 in Taiwan. Methods This study used data on outpatient, emergency, and inpatient visits for 2 million people enrolled in universal health insurance from 2000 to 2015. ICD-9 diagnosis codes 995.8 (abused adult) and E960–E969 (homicide and injury purposely inflicted by other persons) were defined in this case study, analyzing first-time violence in adults aged 18–64 (study group). Non-abused patients (control group) were matched in a 1:4 ratio, and the paired variables were gender, age (± 1 year), pre-exposure Charlson Comorbidity Index, and year of medical treatment. SAS 9.4 and Cox regression were used for data analysis. Results A total of 8,726 people suffered violence (control group: 34,904 people) over 15 years. The prevalence of substance abuse among victims of violence was 78.3/104, 61.9/104, and 51.5/104 for tobacco use disorder, alcoholism, and alcohol abuse, respectively. The risk (adults, overall) of drug abuse, drug dependence, and alcoholism after exposure to violence (average 9 years) was 7.47, 7.15, and 6.86 times (p < 0.01), respectively, compared with those without violence. The risk (adults, males) of drug abuse, drug dependence, and alcohol abuse after exposure to violence (average 9 years) was 6.85, 6.27, and 6.07 times, respectively, higher than those without violence (p < 0.01). Risks of drug dependence, alcohol abuse and alcoholism (adults, females) after exposure to violence (average 9 years) were 14.92, 12.26, and 11.55 times, respectively, higher than non-abused ones (p < 0.01). Conclusion The risks of substance abuse, after adult violence, are higher than in those who have not suffered violent injuries.https://doi.org/10.1186/s12888-023-04608-zAdult maltreatmentFemaleSubstance abuseViolent injury |
| spellingShingle | Chi-Hsiang Chung Iau-Jin Lin Yao-Ching Huang Chien-An Sun Wu-Chien Chien Nian-Sheng Tzeng The association between abused adults and substance abuse in Taiwan, 2000–2015 BMC Psychiatry Adult maltreatment Female Substance abuse Violent injury |
| title | The association between abused adults and substance abuse in Taiwan, 2000–2015 |
| title_full | The association between abused adults and substance abuse in Taiwan, 2000–2015 |
| title_fullStr | The association between abused adults and substance abuse in Taiwan, 2000–2015 |
| title_full_unstemmed | The association between abused adults and substance abuse in Taiwan, 2000–2015 |
| title_short | The association between abused adults and substance abuse in Taiwan, 2000–2015 |
| title_sort | association between abused adults and substance abuse in taiwan 2000 2015 |
| topic | Adult maltreatment Female Substance abuse Violent injury |
| url | https://doi.org/10.1186/s12888-023-04608-z |
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