{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T23:51:39Z","timestamp":1794009099164,"version":"4.8.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T00:00:00Z","timestamp":1704585600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01CA215155-01A1"],"award-info":[{"award-number":["R01CA215155-01A1"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Adverse childhood experiences (ACEs) predict problematic health outcomes (eg, substance use, mental health) among young adults; whether specific ACEs are differentially associated with specific substance use and mental health symptoms is understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Latent class analysis (LCA) identified classes of ACEs among 2209 US young adults (\n                      <jats:italic toggle=\"yes\">\n                        M\n                        <jats:sub>age<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u200924.69, range: 18-34; 57.4% female; 30.9% sexual minority; 35.8% racial\/ethnic minority) in a 2-year study (2018-2020). Multivariable logistic regressions examined ACEs (reported in 2019) in relation to 2020 reports of current (past 30-day) substance use (ie, tobacco use; cannabis use and hazardous use; alcohol use and binge drinking) and mental health (ie, \u2265moderate depression and anxiety symptoms), controlling for sociodemographics (ie, age, gender, race, ethnicity, sexual orientation, education).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Overall, 65.4% reported \u22651 ACE (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u20092.09, SD\u2009=\u20092.30); 34.8%, 39.1%, and 71.1% current tobacco, cannabis, and alcohol use; 39.1% and 15.3% hazardous cannabis use and binge drinking; and 24.2% and 34.5% \u2265moderate depression and anxiety symptoms, respectively. LCA yielded 4 classes:\n                      <jats:italic toggle=\"yes\">Low ACEs<\/jats:italic>\n                      (referent; 55.6%),\n                      <jats:italic toggle=\"yes\">Poor family health and divorce<\/jats:italic>\n                      (16.3%),\n                      <jats:italic toggle=\"yes\">Parental abuse<\/jats:italic>\n                      (16.0%), and\n                      <jats:italic toggle=\"yes\">High ACEs<\/jats:italic>\n                      (12.1%).\n                      <jats:italic toggle=\"yes\">High ACEs<\/jats:italic>\n                      (vs\n                      <jats:italic toggle=\"yes\">Low ACEs<\/jats:italic>\n                      ) was associated with each adverse substance use and mental health outcome except alcohol use.\n                      <jats:italic toggle=\"yes\">Poor family health and divorce<\/jats:italic>\n                      was associated with tobacco use, cannabis use, and both mental health outcomes.\n                      <jats:italic toggle=\"yes\">Parental abuse<\/jats:italic>\n                      was associated with tobacco use, cannabis use, hazardous cannabis use, and both mental health outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Health promotion interventions for young adults must assess ACEs, given that certain types of ACEs may be associated with distinct substance use and mental health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342231218081","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:54:36Z","timestamp":1704675276000},"page":"191-200","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Patterns of Adverse Childhood Experiences and Problematic Health Outcomes Among US Young Adults: A Latent Class Analysis"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9552-0732","authenticated-orcid":false,"given":"Katelyn F.","family":"Romm","sequence":"first","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA"},{"name":"Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla J.","family":"Berg","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"},{"name":"George Washington Cancer Center, George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0749-3797(98)00017-8"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7226a2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2023.107658"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/29767342.2021.1930629"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2022.107264"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2018.1431892"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2020.1823989"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0306-4603(01)00204-0"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.04.004"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.12.018"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.03.047"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2021.06.001"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1353\/mpq.3006.0023"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/(ISSN)1534-8687"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244x-11-109"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.11.020"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/vio.2022.0013"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077559511428353"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.11.010"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106039"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2018.07.020"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077559517736628"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000004710"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0886260510362886"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.112828"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/002204260503500202"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780199795574.013.9"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.19022"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13239"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.16082"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2022.100459"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.5642"},{"key":"e_1_3_2_34_2","unstructured":"SAMHSA. Key substance use and mental health indicators in the United States: results from the 2021 national survey on drug use and health. 2022. Accessed July 1 2023. https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt39443\/2021NSDUHFFRRev010323.pdf"},{"key":"e_1_3_2_35_2","unstructured":"Public Health Law Center. Commercial tobacco and marijuana. 2023. Accessed July 1 2023. https:\/\/www.publichealthlawcenter.org\/topics\/commercial-tobacco-control\/commercial-tobacco-and-marijuana"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.18001\/trs.7.1.5"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2010.02.017"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.50.6.613"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.06.071"},{"key":"e_1_3_2_40_2","volume-title":"Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention","author":"National research council and institute of medicine committee on depression, parenting practices, and the healthy development of children","year":"2009","unstructured":"National research council and institute of medicine committee on depression, parenting practices, and the healthy development of children. In: MJ England, LJ Sim, eds. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. National Academies Press; 2009."},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.3390\/children9081200"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1080\/2331205X.2018.1558731"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2004.044560"},{"key":"e_1_3_2_44_2","unstructured":"SAMHSA. 2021 national survey on drug use and health: detailed tables. 2022. Accessed November 10 2023. https:\/\/www.samhsa.gov\/data\/report\/2021-nsduh-detailed-tables"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.93.11.1945"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-006-9022-y"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyad038"},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2015.09.006"}],"container-title":["Substance Use &amp; Addiction Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342231218081","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29767342231218081","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342231218081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:49:05Z","timestamp":1777600145000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29767342231218081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,7]]},"references-count":47,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/29767342231218081"],"URL":"https:\/\/doi.org\/10.1177\/29767342231218081","relation":{},"ISSN":["2976-7342","2976-7350"],"issn-type":[{"value":"2976-7342","type":"print"},{"value":"2976-7350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,7]]}}}