Evidence map›Paper›PMID 29179155›Full record

ArticleAddictive behaviors2018

Patterns of adverse childhood experiences and substance use among young adults: A latent class analysis.

Sunny H Shin, Shelby Elaine McDonald, David Conley

Registry-linked trialAbstract read
In one paragraph

Article in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04678960 (Preventing Opioid Use Among Justice-involved Youth as They Transition to Adulthood), which is not on this map. Cited by 115 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 2 pooled it
14.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04678960 nacompletednot on this mapstarted 2021, after this paper: background citation

Preventing Opioid Use Among Justice-involved Youth as They Transition to Adulthood: Leveraging Safe Adults (LeSA)

TypeinterventionalSponsorTexas Christian UniversityRan2021 to 2025Enrolled250ConditionsOpioid Use, Substance UseArmsTrust-based Relational Intervention Training, Trust-based Relational Intervention In-Home Structured Coaching, Trust-based Relational Intervention In-Home Responsive Coaching
3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 2 syntheses or guidelines pooled it, 246 citations in OpenAlex.

  1. Pooled it
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  11. Productivity Losses From Substance Use Disorder in the U.S. in 2023.American journal of preventive medicine · 2026
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  17. Exploring Pathways from Childhood Adversity to Substance Use in Young Adults.International journal of environmental research and public health · 2025
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55 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Sunny H ShinVirginia Commonwealth University, School of Social Work, 1000 Floyd Avenue, Third Floor, Richmond, VA 23284, United States; Virginia Commonwealth University, School of Medicine, Department of Psychiatry, 203 East Cary Street, Suite 202, Richmond, VA 23219, United States. Electronic address: sshin@vcu.edu.
Shelby Elaine McDonaldVirginia Commonwealth University, School of Social Work, 1000 Floyd Avenue, Third Floor, Richmond, VA 23284, United States.
David ConleyVirginia Commonwealth University, School of Social Work, 1000 Floyd Avenue, Third Floor, Richmond, VA 23284, United States.
Virginia Commonwealth University · US

Funding

Childhood Interpersonal Trauma and Substance AbuseR03DA030884 · NIDA · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI SHIN, SUNNY H · 2010 to 2011
$80k
NIDA NIH HHS R03 DA030884
6 · The paper itself

Abstract

introductionAdverse childhood experiences (ACEs) have been strongly linked with subsequent substance use. The aim of this study was to investigate how different patterns of ACEs influence substance use in young adulthood.

methodsUsing a community sample of young individuals (N=336; ages 18-25), we performed latent class analyses (LCA) to identify homogenous groups of young people with similar patterns of ACEs. Exposure to ACEs incorporates 13 childhood adversities including childhood maltreatment, household dysfunction, and community violence. Multiple linear and logistic regression models were used in an effort to examine the associations between ACEs classes and four young adult outcomes such as alcohol-related problems, current tobacco use, drug dependence symptoms, and psychological distress.

resultsLCA identified four heterogeneous classes of young people distinguished by different patterns of ACEs exposure: Low ACEs (56%), Household Dysfunction/Community Violence (14%), Emotional ACEs (14%), and High/Multiple ACEs (16%). Multiple regression analyses found that compared to those in the Low ACEs class, young adults in the High/Multiple ACEs class reported more alcohol-related problems, current tobacco use, and psychological symptoms, controlling for sociodemographic characteristics and common risk factors for substance use such as peer substance use.

conclusionsOur findings confirm that for many young people, ACEs occur as multiple rather than single experiences. The results of this research suggest that exposure to poly-victimization during childhood is particularly related to substance use during young adulthood.

Indexed as

Adverse Childhood ExperiencesAdolescentAdultAdult Survivors of Child Adverse EventsChildChild AbuseCrime VictimsDomestic ViolenceExposure to ViolenceFemaleHumansMalePhysical AbuseStress, PsychologicalSubstance-Related DisordersYoung AdultAdverse childhood experienceAlcoholChild maltreatmentLatent class analysisSubstance useTobacco

Identifiers

PMID29179155
PMCPMC5783745
OpenAlexW2769617421

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.