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Adverse childhood experiences and MSM marijuana use
Zachary Giano1, Randolph D Hubach1, Joseph M Currin2
1Center for Health Sciences, Center for Rural Health, Oklahoma State University, 1111 W 17(th)St., Tulsa, OK, 74107, United States.
Drug and Alcohol Dependence
|March 18, 2019
Summary
Adverse childhood experiences (ACEs) are linked to marijuana use in men who have sex with men (MSM). However, this association was only found in urban MSM, not rural MSM, suggesting geographic location matters.
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- Adverse Childhood Experiences (ACEs) are linked to increased risk of drug use.
- Men who have sex with men (MSM) with ACEs may have a higher likelihood of drug use.
- The impact of ACEs on drug use in MSM has not been fully explored across rural and urban settings.
Purpose of the Study:
- To investigate the association between ACEs and self-reported marijuana use in rural and urban MSM.
- To determine if geographic location (rural vs. urban) modifies the relationship between ACEs and marijuana use in MSM.
Main Methods:
- A sample of 156 MSM residing in Oklahoma participated in the study.
- Linear regression analysis was used to examine the association between ACEs and marijuana use.
- Split sample regressions were conducted to compare rural and urban MSM populations.
Main Results:
- ACEs were statistically associated with marijuana use in the overall sample of MSM.
- However, after stratifying by location, ACEs significantly predicted marijuana use only in the urban MSM subgroup.
- No significant association between ACEs and marijuana use was found in the rural MSM subgroup.
Conclusions:
- Geographic location appears to influence the relationship between ACEs and marijuana use in MSM.
- Urban environments may increase vulnerability to marijuana use among MSM with a history of ACEs.
- Trauma-informed interventions for MSM should consider geographic locale as a critical factor, with further research needed on other substance use and rural populations.
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