ArticleStigma and health2025
Exploring the Relationship Between Adverse Childhood Experiences and Internalized Substance Use Stigma: A Mediation Analysis Among Incarcerated Women.
Article in Stigma and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
While adverse childhood experiences (ACEs) and mental health (MH) may significantly influence internalized substance use stigma (ISUS), these relationships remain underexplored. This study addresses this gap by: (1) examining bivariate relationships between ACEs, MH, and ISUS, and (2) investigating the mediating role of MH-specifically anxiety, depression, and post-traumatic stress disorder (PTSD)-in this relationship. As part of the ongoing NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) trial, 900 women with a history of opioid use disorder were randomly selected from nine Kentucky jails, consented, and interviewed on their substance use histories and related stigma, ACEs, and MH. Linear regression with mediation was used to analyze data. Women were an average age of 37 years and were predominantly non-Hispanic white (92.4%). ACEs and all MH variables were significantly associated with ISUS (
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