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Prevalence of childhood maltreatment among people with opioid use disorder: A systematic review and meta-analysis
Journal article   Peer reviewed

Prevalence of childhood maltreatment among people with opioid use disorder: A systematic review and meta-analysis

Thomas Santo, Gabrielle Campbell, Natasa Gisev, Lucy Thi Tran, Samantha Colledge, Gian Luca Di Tanna and Louisa Degenhardt
Drug and Alcohol Dependence, Vol.219, pp.1-17
2021
DOI: https://doi.org/10.1016/j.drugalcdep.2020.108459
PMCID: PMC7855829
PMID: 33401031
Appears in  UniSC Diversity and Inclusion Research Collection
url
https://doi.org/10.1016/j.drugalcdep.2020.108459View
Published Version

Abstract

Childhood abuse Childhood maltreatment Prevalence Opioid dependence Opioid use disorders Meta-analysis UniSC Diversity Area - Disability and Inclusion UniSC Diversity Area - Life Stages
Background Experience of childhood maltreatment (CM) is a risk factor for opioid use disorder (OUD). CM is also associated with comorbid mental disorders and poor treatment outcomes among people with OUD. To our knowledge, this is the first systematic review and meta-analysis to estimate the prevalence of CM among people with OUD. Methods We searched MEDLINE, EMBASE, and PsycINFO to identify observational studies that evaluated CM among people with OUD from January 1990 to June 2020. Prevalence of each CM type, sample characteristics, and methodological factors were extracted from each eligible study. Random-effects meta-analyses were used to pool prevalence estimates. Stratified meta-analyses were used to assess heterogeneity. Results Of the 6,438 publications identified, 113 studies reported quantitative CM data among people with OUD and 62 studies (k = 62; N = 21,871) were included in primary analyses. Among people with OUD, the estimated prevalence of sexual abuse was 41% (95% CI 36–47%; k = 38) among women and 16% (95% CI 12–20%; k = 25) among men. Among all people with OUD, prevalence estimates were 38% (95% CI 33–44%; k = 48) for physical abuse, 43% (95% CI 38–49%; k = 31) for emotional abuse, 38% (95% CI 30–46%; k = 17) for physical neglect, and 42% (95% CI 32–51%; k = 17) for emotional neglect. Sex, history of injecting drug use, recruitment methods, and method of assessing CM were associated with substantial heterogeneity. Conclusions People with OUD frequently report the experience of CM, supporting the need for trauma-informed interventions among this population. Future research should consider the impact of CM on OUD presentations and when assessment is appropriate, use of validated instruments.

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Domestic collaboration
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Psychiatry
Substance Abuse

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#3 Good Health and Well-Being
#5 Gender Equality

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