INS NYC 2024 Program

Poster	Poster Session 03 Program Schedule 02/15/2024 09:30 am - 10:40 am Room: Shubert Complex (Posters 1-60) Poster Session 03: Neurotrauma \| Neurovascular Final Abstract #14 Substance Use Among Women with Intimate Partner Violence Experiences with and without Head Injuries Sharon Leong, University of Kentucky, Lexington, United States TK Logan, University of Kentucky, Lexington, United States Justin Karr, University of Kentucky, Lexington, United States Category: Concussion/Mild TBI (Adult) Keyword 1: traumatic brain injury Keyword 2: head injury (closed) Keyword 3: substance abuse Objective: Women survivors of intimate partner violence (IPV) experience a wide variety of health consequences such as head injury. This study explored substance use among women with and without a lifetime history of IPV-related head injuries. Outcomes of interest included past-year alcohol and illicit drug use, meeting substance use disorder criteria, and stress related to use of substances (i.e., perceived uplift and hassle associated with smoking, alcohol use, and substance use). Participants and Methods: A sample of 519 Kentucky women were recruited from court after receiving protective orders against an intimate partner and participated in face-to-face interviews. The interviews covered partner violence experiences and consequences, such as head injury history and substance use. Overall, 268 women reported no prior head injuries, and 251 women reported a lifetime history of at least one IPV-related head injury. Participants with head injuries reported, on average, 17.2 lifetime head injuries (SD=50.5; Mdn=4, interquartile range: 2 to 12, full range: 1 to 515). Results: Compared to women survivors of IPV without head injuries, women with IPV-related head injuries reported greater prior-year rates of using cigarettes (p<.001, OR=2.07 [95% Confidence Interval: 1.42, 3.02]), alcohol to the point of intoxication (p=.033, OR=1.53 [1.04, 2.27]), marijuana (p=.007, OR=1.82 [1.17, 2.82]), antidepressants as prescribed (p<.001, OR=3.17 [2.15, 4.67]), illicit sedatives (p<.001, OR=2.93 [1.54, 5.59]), sedatives as prescribed (p<.001, OR=2.68 [1.79, 4.00]), illicit opiates (p=.011, OR=2.37 [1.25, 4.50]), opiates as prescribed (p=.002, OR=1.72 [1.21, 2.44]), and multiple substances per day (p<.001, OR=2.30 [1.59, 3.35]). There were no statistically significant group differences in frequencies of alcohol use disorders (p=.119, OR=1.48 [.90, 2.43]) or other substance use disorders (p=.097, OR=1.59 [.92, 2.77]). Women with IPV-related head injuries were less likely to have insurance covering treatment for alcohol use (p=.004, OR=.42 [.24, .76]) or drug use (p=.008, OR=.56 [.32, .96]) than women without head injuries. The IPV-related head injury group endorsed higher frequencies of perceived uplift from smoking (p=.008, OR=2.20 [1.22, 3.97]), drinking (p=.002, OR=3.97 [1.57, 10.05]), and drug or medication use (p=.043, OR=2.10 [1.01, 4.35]) in the past 24 hours, along with rating smoking (p=.003, OR=2.32 [1.33, 4.07]) and drinking (p=.001) as more of a hassle in the past 24 hours. Conclusions: This study indicated that IPV-related head injuries were associated with higher rates of substance use and lower access to insurance-covered alcohol and drug use treatment. There were no group differences in meeting criteria for an alcohol or substance use disorder diagnosis. However, women with IPV-related head injuries may experience greater effects, both negative and positive, associated with their smoking and drinking, and larger positive effects associated with their drug or medication use. These results highlight discrepancies, based on history of IPV-related head injuries, in substance use and barriers to accessing treatment among women survivors of IPV.

Poster

02/15/2024
09:30 am - 10:40 am
Room: Shubert Complex (Posters 1-60)

Poster Session 03: Neurotrauma | Neurovascular

Final Abstract #14

Substance Use Among Women with Intimate Partner Violence Experiences with and without Head Injuries

Sharon Leong, University of Kentucky, Lexington, United States
TK Logan, University of Kentucky, Lexington, United States
Justin Karr, University of Kentucky, Lexington, United States

Category: Concussion/Mild TBI (Adult)

Keyword 1: traumatic brain injury
Keyword 2: head injury (closed)
Keyword 3: substance abuse

Objective:

Women survivors of intimate partner violence (IPV) experience a wide variety of health consequences such as head injury. This study explored substance use among women with and without a lifetime history of IPV-related head injuries. Outcomes of interest included past-year alcohol and illicit drug use, meeting substance use disorder criteria, and stress related to use of substances (i.e., perceived uplift and hassle associated with smoking, alcohol use, and substance use).

Participants and Methods:

A sample of 519 Kentucky women were recruited from court after receiving protective orders against an intimate partner and participated in face-to-face interviews. The interviews covered partner violence experiences and consequences, such as head injury history and substance use. Overall, 268 women reported no prior head injuries, and 251 women reported a lifetime history of at least one IPV-related head injury. Participants with head injuries reported, on average, 17.2 lifetime head injuries (SD=50.5; Mdn=4, interquartile range: 2 to 12, full range: 1 to 515).

Results:

Compared to women survivors of IPV without head injuries, women with IPV-related head injuries reported greater prior-year rates of using cigarettes (p<.001, OR=2.07 [95% Confidence Interval: 1.42, 3.02]), alcohol to the point of intoxication (p=.033, OR=1.53 [1.04, 2.27]), marijuana (p=.007, OR=1.82 [1.17, 2.82]), antidepressants as prescribed (p<.001, OR=3.17 [2.15, 4.67]), illicit sedatives (p<.001, OR=2.93 [1.54, 5.59]), sedatives as prescribed (p<.001, OR=2.68 [1.79, 4.00]), illicit opiates (p=.011, OR=2.37 [1.25, 4.50]), opiates as prescribed (p=.002, OR=1.72 [1.21, 2.44]), and multiple substances per day (p<.001, OR=2.30 [1.59, 3.35]). There were no statistically significant group differences in frequencies of alcohol use disorders (p=.119, OR=1.48 [.90, 2.43]) or other substance use disorders (p=.097, OR=1.59 [.92, 2.77]). Women with IPV-related head injuries were less likely to have insurance covering treatment for alcohol use (p=.004, OR=.42 [.24, .76]) or drug use (p=.008, OR=.56 [.32, .96]) than women without head injuries. The IPV-related head injury group endorsed higher frequencies of perceived uplift from smoking (p=.008, OR=2.20 [1.22, 3.97]), drinking (p=.002, OR=3.97 [1.57, 10.05]), and drug or medication use (p=.043, OR=2.10 [1.01, 4.35]) in the past 24 hours, along with rating smoking (p=.003, OR=2.32 [1.33, 4.07]) and drinking (p=.001) as more of a hassle in the past 24 hours.

Conclusions:

This study indicated that IPV-related head injuries were associated with higher rates of substance use and lower access to insurance-covered alcohol and drug use treatment. There were no group differences in meeting criteria for an alcohol or substance use disorder diagnosis. However, women with IPV-related head injuries may experience greater effects, both negative and positive, associated with their smoking and drinking, and larger positive effects associated with their drug or medication use. These results highlight discrepancies, based on history of IPV-related head injuries, in substance use and barriers to accessing treatment among women survivors of IPV.