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Table 6 Prevalence and Adjusted Odds Ratio a Of Current Use of Drugs by Category of ACE

From: Adverse childhood experiences among patients with substance use disorders at a referral psychiatric hospital in Kenya

Type of ACE

Category

n (%)

Tobacco

Alcohol

Cannabis

Sedatives

Khat

A.O.R

A.O.R

A.O.R

A.O.R

A.O.R

Physical abuse

No

103 (76.9)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

31 (23.1)

1.0 (0.3–2.9)

1.1 (0.4–3.4)

2.9 (1.0–7.9) b

2.6 (0.8–8.4)

0.6 (0.2–1.7)

Emotional abuse

No

104 (77.6)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

30 (22.4)

5.3 (1.2–23.9)

0.8 (0.3–2.5)

2.5 (0.9–7.0)

4.1 (1.2–14.2)

0.5 (0.2–1.5)

Contact sexual abuse

No

99 (73.9)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

35 (26.1)

0.7 (0.2–2.0)

0.6 (0.2–1.8)

1.8 (0.7–5.0)

1.6 (0.5–5.5)

1.0 (0.4–2.5)

Alcohol/drug user in household

No

76 (56.7)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

58 (43.3)

1.1 (0.4–2.7)

0.8 (0.3–2.1)

1.2 (0.6–2.7)

0.8 (0.3–2.2)

2.1 (0.9–4.9)

Incarcerated household member

No

104 (77.6)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

30 (22.4)

1.5 (0.4–5.7)

0.5 (0.2–1.7)

1.1 (0.4–3.2)

2.3 (0.5–10.2)

0.9 (0.3–2.6)

Someone with mental illness in household

No

113 (84.3)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

21 (15.7)

5.5 (1.0–28.8) b

0.5 (0.2–1.6)

0.9 (0.3–2.5)

1.6 (0.5–5.8)

2.4 (0.8–7.5)

Household member treated violently

No

68 (50.7)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

66 (49.3)

2.1 (0.8–5.5)

2.2 (0.8–6.2)

0.7 (0.3–1.6)

1.7 (0.6–5.2)

0.6 (0.3–1.3)

One or no parent

No

67 (50.0)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

67 (50.0)

1.0 (0.4–2.5)

0.9 (0.3–2.4)

0.5 (0.2–1.0)

2.2 (0.7–6.7)

0.3 (0.1–0.8)

Emotional neglect

No

81 (60.4)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

53 (39.6)

1.0 (0.4–2.6)

1.1 (0.4–2.9)

1.1 (0.5–2.5)

2.4 (0.8–7.1)

0.9 (0.4–2.0)

Physical neglect

No

118 (88.1)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

16(11.9)

5.7 (0.6–50.0)

0.4 (0.1–1.6)

0.9 (0.3–3.3)

4.9 (1.0–23.2) b

0.5 (0.1–1.8)

Bullying

No

117 (87.3)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

17 (12.7)

1.8 (0.4–7.8)

0.4 (0.1–1.6)

0.7 (0.2–2.2)

0.0 (0.0-)

0.7 (0.2–2.4)

Community violence

No

93 (69.4)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

41 (30.6)

1.8 (0.6–5.4)

1.6 (0.5–5.0)

2.2 (0.9–5.5)

1.1 (0.3–3.5)

0.5 (0.2–1.2)

Collective violence

No

79 (59.0)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

1 (Ref)

Yes

55 (41.0)

1.1 (0.4–2.7)

2.4 (0.8–6.9)

1.2 (0.5–2.6)

1.7 (0.6–4.9)

0.5 (0.2–1.1)

  1. aAdjusted For Gender, Education Level, Employment Status, Marital Status, Family History of Substance Abuse and Mental Illness; UD-Undetermined; Ref.-Referent category
  2. bThe values are more than 1.0, only that it was rounded off to one decimal place