Substance Use and Exposure to Adverse Childhood Experiences in Undergraduate and Graduate Nursing Students

Kameg, Brayden; Lindsay, Dawn; Lee, Heeyoung; Mitchell, Ann M.

doi:10.1177/1078390320905669

Cited by 18 publications

(17 citation statements)

References 28 publications

(37 reference statements)

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“…This erosion of self‐worth and identity can make children more likely to use addictive substances at an early age than children of parents who did not use substances or did not have alternate support systems (Solis et al., 2012). Early exposure to substance use also increased the risk of addiction and premature death (Kameg et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

Living with parents with problematic substance use: Impacts and turning points

Maina

Ogenchuk

Gaudet

2021

Public Health Nursing

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Background Growing up in an environment where substance use is prevalent creates a climate for adverse childhood experiences. These experiences can contribute to mental and psychological problems later in life. Methods This study used an exploratory study design to explore the experiences of individuals whose upbringing was influenced by substance use at home or who had parents with addiction problems. Results Four themes shaped the participants' lives: (1) impact of substance use at home on children; (2) school influences on substance use; (3) aggravating traumatic life experiences, and d) rebuilding a battered life. Conclusion Growing up in homes with addictions created an environment for traumatic events and encounters. Participants adopted diverse strategies to cope with these experiences, such as leaving home, using substances early in life, and dropping out of school. Screening and intervention for childhood trauma should be encouraged both in schools and community health settings. Such interventions can reduce substance use among school children to deal with ensuing trauma.

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Section: Discussionmentioning

confidence: 99%

Living with parents with problematic substance use: Impacts and turning points

Maina

Ogenchuk

Gaudet

2021

Public Health Nursing

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“…Merrick et al (2019) reported that 16% of adults surveyed experienced four or more ACEs, which are related to myriad poor health outcomes. Nursing students' ACE scores have also linked with SU; although findings are inconclusive (Kameg et al, 2020). In general, higher estimates of alcohol use risk were found in nursing students, but lower risks were assessed for drug use (20% moderate-to high-risk for alcohol; 3.6% moderate-to highrisk for drug use).…”

Section: Psychological Trauma As a Potential Risk Factormentioning

confidence: 99%

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

2021

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Substance use disorders (SUDs) in nursing have individual well-being, patient safety, and licensure/regulatory implications. Literature is scarce related to predicting SUDs in registered nurses; this study included specific items surrounding nurses’ psychological trauma. An online survey, consisting of validated scales and investigator-generated items was distributed to 4,000 registered nurses in Indiana with a yield of 1,478 surveys. The World Health Organization: Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was used as the dependent variable to assess risk of SUDs. Three multivariate regression models with predictive variables for risk of tobacco ( R2 = 0.08), alcohol ( R2 = 0.09), and other substances ( R2 = 0.10) use were found. Of concern, nurses are at moderate risk for tobacco use at 11.6%; alcohol use at 11.6% and for other substances at 10.4%. Each regression model contained distinct predictor variables; however, variables occurring in all three models were: depression, anxiety, and items surrounding psychological trauma (adverse childhood experiences, life events, lateral workplace violence).

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“…Despite this, the risk factors studied are not specific to nursing students. There is a profound paucity in the literature regarding to the prevalence of substance use among nursing students, as well as its risk factors [ 2 ]. Therefore, to reduce the risk of nursing students and later newly graduated nurses in the use of drugs, larger and long-term studies should be carried out to understand the factors that influence the use of illicit drugs in nursing students, including the previously mentioned variables, so as to facilitate the implementation of evidence-based interventions within nursing schools [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…The consumption of illicit drugs represents an important public health problem worldwide [ 1 ], contributing to morbidity and mortality [ 2 ]. Nowadays, Europe has one of the highest percentages of students who reported lifetime use of any illicit drug, with 29% in the Czech Republic, followed by 28% in Italy.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is important to assess students’ consumption at the beginning of university period. While some studies evaluating illegal drug use in university populations have evaluated the prevalence of specific substances, such as cannabis or psycho stimulants, it would be advantageous to consider consumption more generally [ 8 ] in this target group [ 2 , 29 ]. The objective of this study was to understand the pattern of illicit drug use of nursing students from various world universities.…”

Section: Introductionmentioning

confidence: 99%

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International Multicenter Study on Drug Consumption in Nursing Students

Ponce-Blandón

Martínez-Montilla

Pabón-Carrasco

et al. 2021

IJERPH

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Background: The prevalence of illicit drug use among young people is high, with many being highly vulnerable to substance abuse. The nursing profession is not immune to the impacts of substance misuse. Knowing the current levels of consumption of illicit drugs in nursing students will allow for the introduction of preventive actions. Methods: Multi-center, descriptive, and cross-sectional study involving nursing schools from four different countries (Spain, Belgium, France, and Brazil). A total of seven centers participated. An adapted version of the Global School-based Student Health Survey (GSHS) was used as a tool, which selected only the module on illicit drugs. Standard logistic regression analysis was performed. Results: A total of 496 nursing students participated in the study. Illicit drug shows positive representation among nursing students. A significant difference was observed between the gender and the age of first drug use, illicit drug consumption, cannabis use, and cocaine use ever in life, with higher use of illicit drugs by male, although at later ages than girls. The bivariate analysis, gender, problems as result of drugs, and nationality were significantly associated with the consumption of illicit drugs, cannabis, cocaine, and ecstasy ever in life. Conclusions: High rates of illicit drug use were found among nursing students, as well as factors that can influence consumption such as nationality or gender. These results can serve as a basis for the development of educational and policy interventions within nursing schools that are based on evidence, with significant implications for nurse educators, academic administrators, and practice.

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Substance Use and Exposure to Adverse Childhood Experiences in Undergraduate and Graduate Nursing Students

Cited by 18 publications

References 28 publications

Living with parents with problematic substance use: Impacts and turning points

Living with parents with problematic substance use: Impacts and turning points

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

International Multicenter Study on Drug Consumption in Nursing Students

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