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The association between abused adults and substance abuse in Taiwan, 2000–2015

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 fo...

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Autores principales: Chung, Chi-Hsiang, Lin, Iau-Jin, Huang, Yao-Ching, Sun, Chien-An, Chien, Wu-Chien, Tzeng, Nian-Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9951533/
https://www.ncbi.nlm.nih.gov/pubmed/36823534
http://dx.doi.org/10.1186/s12888-023-04608-z
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author Chung, Chi-Hsiang
Lin, Iau-Jin
Huang, Yao-Ching
Sun, Chien-An
Chien, Wu-Chien
Tzeng, Nian-Sheng
author_facet Chung, Chi-Hsiang
Lin, Iau-Jin
Huang, Yao-Ching
Sun, Chien-An
Chien, Wu-Chien
Tzeng, Nian-Sheng
author_sort Chung, Chi-Hsiang
collection PubMed
description 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 78.3/10(4), 61.9/10(4), and 51.5/10(4) 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.
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spelling pubmed-99515332023-02-25 The association between abused adults and substance abuse in Taiwan, 2000–2015 Chung, Chi-Hsiang Lin, Iau-Jin Huang, Yao-Ching Sun, Chien-An Chien, Wu-Chien Tzeng, Nian-Sheng BMC Psychiatry Research 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 78.3/10(4), 61.9/10(4), and 51.5/10(4) 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. BioMed Central 2023-02-23 /pmc/articles/PMC9951533/ /pubmed/36823534 http://dx.doi.org/10.1186/s12888-023-04608-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Chung, Chi-Hsiang
Lin, Iau-Jin
Huang, Yao-Ching
Sun, Chien-An
Chien, Wu-Chien
Tzeng, Nian-Sheng
The association between abused adults and substance abuse in Taiwan, 2000–2015
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 Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9951533/
https://www.ncbi.nlm.nih.gov/pubmed/36823534
http://dx.doi.org/10.1186/s12888-023-04608-z
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