2011
DOI: 10.1007/s11524-011-9610-5
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Experiencing Violence as a Predictor of Drug Use Relapse among Former Drug Users in Baltimore, Maryland

Abstract: The purpose of this study was to examine experiencing violence as a predictor of subsequent drug relapse among a sample of former crack, cocaine, and heroin users in Baltimore, MD, USA. The sample consists of 228 former drug users in Baltimore who were recruited through street outreach. Mixed-effects models were used to examine experiencing violence as a predictor of drug relapse at follow-up after adjusting for clustering of responses among participants living in the same census block. Using longitudinal data… Show more

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Cited by 9 publications
(6 citation statements)
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“…violence, such as reporting symptoms of common mental health disorders, substance abuse, and referring childhood experiences of physical violence. Results are consistent with the international literature and alert us to the health impact of exposure to violence (42)(43)(44)(45). We argue that some of those health consequences further increase the vulnerability of street-based populations to revictimization.…”
Section: Discussionsupporting
confidence: 89%
“…violence, such as reporting symptoms of common mental health disorders, substance abuse, and referring childhood experiences of physical violence. Results are consistent with the international literature and alert us to the health impact of exposure to violence (42)(43)(44)(45). We argue that some of those health consequences further increase the vulnerability of street-based populations to revictimization.…”
Section: Discussionsupporting
confidence: 89%
“…For former users, this depression may lead to a greater likelihood of relapse and return to substance use. Previous research has shown that experiencing violence (Yang, German, Webster, & Latkin, 2011) as well as stressful events (Kruger et al, 2007) predicts relapse among former users. For current users who want to cease drug use, depressive symptoms may make quitting considerably more difficult and may even increase their use of substances and craving to use (Preston & Epstein, 2011;Sinha, 2008) r 61…”
Section: Discussionmentioning
confidence: 99%
“…Likewise, our findings are consistent with reports indicating that living environments in which impoverished women experience violence or feel unsafe, anxious, and maintain hyper-vigilance also contribute to on-going drug use (Shannon et al, 2009; Substance Abuse and Mental Health Services Administration (SAMHSA), 2009). In addition, several prospective studies have been conducted in combined groups of men and women indicating that violence experienced post-substance use treatment is related to relapse (Walton et al, 2002; Yang et al, 2011). Results presented here extend prior research by showing that, in a population where mental illness, housing instability and multiple types of violence are common, homelessness and sexual violence both independently and simultaneously predict the use of stimulants.…”
Section: Discussionmentioning
confidence: 99%