206854 Association between parental risk behaviors during childhood and the formation of high risk networks in adulthood

Wednesday, November 11, 2009: 1:24 PM

Abby E. Rudolph, MPH , Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD
Kandice Jones, MPH , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Crystal M. Fuller, PhD , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Prior research suggests that social networks influence individual behaviors and that a strong association exists between parental drug use and subsequent initiation of drug use and other high-risk behaviors in adolescence and adulthood. The purpose of this analysis was to determine if parental drug use during childhood was associated with having a high-risk drug-using network in adulthood. Between July 2006 and February 2009, 379 active young adult drug users (18-40 years of age) were recruited through targeted sampling and respondent driven sampling in New York City. Negative binomial regression models weighted by the log of total network size were used to assess this association using baseline data which ascertained parental drug use as a predictor of high-risk networks. The median age was 35 years, 13% injected drugs in the past 3 months, 52% were Black, and during childhood, 23% reported maternal drug use, 26% reported paternal drug use, and 13% reported drug use in primary caregivers. After adjusting for age, gender, high school education and individual crack use, maternal drug use was positively associated with having a crack-using network in adulthood (IRR=1.4; 95%CI:1.01-1.93). Similarly, after adjustment, drug use among primary caregivers was positively associated with having a crack-using network during adulthood (IRR=1.5; 95%CI:1.04-2.19). These data suggest that parental drug use is independently associated with formation of a high-risk drug-using network during adulthood, above and beyond the effect of an individual's drug use. Interventions that target parents/caregivers and promote drug cessation could help impede the formation of high-risk networks in adulthood.

Learning Objectives:
Describe the impact of parental drug use on both their children's drug use and formation of social networks in the future. Explain the implications of these findings to drug use prevention research.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I initiated the analysis on this research question
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.