Childhood emotional abuse : relationships with injection drug use and chronic pain
department or school: Medicine, Faculty of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
degree campus: UBCV
creator: Prangnell, Amy
issued: 2019-06-12T16:23:08Z
issued: 2019
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Background: Childhood emotional abuse is an under-researched but significant public health problem. Impacts may include a higher risk for initiating injection drug use, as indicated by emerging evidence. Yet in Canada, there is a lack of research among people who inject drugs (PWID) regarding the impact of childhood emotional abuse on chronic pain and related outcomes. As such, this thesis will examine the relationships between childhood emotional abuse, injection drug use, and adult chronic pain. Methods: A systematic literature search was undertaken to identify previous studies that investigated relationships between childhood abuse (sexual, physical, or emotional) and adult injection drug use. Drawing on longitudinal cohort data from the Vancouver Injection Drug User Study (VIDUS) and the AIDS Care Cohort to Evaluate Exposure to Survival Services (ACCESS) between June 2014 and November 2016, I employed generalized estimating equations (GEE) to examine potential associations between childhood emotional abuse and adult chronic pain among PWID (Study Two), and between childhood emotional abuse and adult pain interference among PWID with chronic pain (Study Three). Results: Among the 17 articles included in the systematic review, there was strong evidence for physical abuse increasing the risk of adult injection drug use, with mixed results for sexual and emotional abuse. Study Two included 1459 PWID. In a multivariable GEE analysis, experiencing childhood emotional abuse was significantly and positively associated with experiencing chronic pain after adjusting for other types of childhood abuse and relevant socio-demographic, drug-use, and health related confounders. Study Three followed 822 PWID with chronic pain. In a multivariable GEE analysis, childhood emotional abuse remained significantly and positively associated with pain interference after adjusting for relevant socio-demographic, drug-use, and health related confounders. In addition, a history of mental i…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/70621
note: Childhood emotional abuse: relationships with injection drug use and chronic pain by Amy Prangnell B.Sc., The University of British Columbia, 2009 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Population and Public Health) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) June 2019 © Amy Prangnell, 2019 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, a thesis/dissertation entitled: Childhood emotional abuse: relationships with injection drug use and chronic pain Submitted by Amy Prangnell in partial fulfillment of the requirements for the degree of Master of Science ________________________ in Population and Public Health ____________________________________ Examining Committee: Kanna Hayashi, PhD Co-supervisor Jeannie Shoveller, PhD Co-supervisor Thomas Kerr, PhD Supervisory Committee Member Martin Guhn, PhD Additional Examiner iii ABSTRACT Background: Childhood emotional abuse is an under-researched but significant public health problem. Impacts may include a higher risk for initiating injection drug use, as indicated by emerging evidence. Yet in Canada, there is a lack of research among people who inject drugs (PWID) regarding the impact of childhood emotional abuse on chronic pain and related outcomes. As such, this thesis will examine the relationships between childhood emotional abuse, injection drug use, and adult chronic pain. Methods: A systematic literature search was undertaken to identify previous studies that investigated relationships between childhood abuse (sexual, physical, or emotional) and adult injection drug use. Drawing on longitudinal cohort data from the Vancouver Injection Drug User Study (VIDUS) and the AIDS Care Cohort to Evaluate Exposure to Survival Services (ACCESS) between June 2014 and November 2016, I employed generalized estimating equations …
has type: Thesis/Dissertation
spatial: Downtown-Eastside (Vancouver, B.C.)
date issued: 2019-09
is shown at: 10.14288/1.0379401
language: eng
degree discipline: Population and Public Health
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/70621