skip to main content
Resource type Show Results with: Show Results with: Index

Assault related substance use as a predictor of substance use over time within a sample of recent victims of sexual assault

Resnick, Heidi S ; Walsh, Kate ; Mccauley, Jenna L ; Schumacher, Julie A ; Kilpatrick, Dean G ; Acierno, Ron E

Addictive Behaviors, August 2012, Vol.37(8), pp.914-921 [Peer Reviewed Journal]

Full text available online

View all versions
Citations Cited by
  • Title:
    Assault related substance use as a predictor of substance use over time within a sample of recent victims of sexual assault
  • Author/Creator: Resnick, Heidi S ; Walsh, Kate ; Mccauley, Jenna L ; Schumacher, Julie A ; Kilpatrick, Dean G ; Acierno, Ron E
  • Language: English
  • Subjects: Sexual Assault ; Drug Use ; Alcohol Abuse ; Screening ; Intervention ; Social Welfare & Social Work
  • Is Part Of: Addictive Behaviors, August 2012, Vol.37(8), pp.914-921
  • Description: Substance use at time of assault is reported by a significant subgroup of rape victims. This study examined: (1) prevalence of assault related marijuana or alcohol use among women seeking post-rape medical care; (2) sensitivity, specificity, positive and negative predictive power associated with reported use at time of assault in association with use in 6 weeks pre-assault, post-assault use, and post-assault abuse; and (3) trajectories of use and abuse over time as a function of use in 6 weeks pre-assault/assault time frame use, exposure to brief intervention, and interaction of pre-assault/assault time frame use with intervention. Participants were 268 women seeking post-sexual assault medical services completing one or more follow-up assessment at: (1) < 3 months post-assault; (2) 3 to 6 months post-assault; and (3) 6 months or longer post-assault. Use of alcohol or marijuana at time of assault was a fairly sensitive and specific indicator respectively, of reported use of specific substance in the 6 weeks preceding assault and use or abuse at follow-up. Growth modeling revealed that use of alcohol or marijuana at the time of the assault or in the 6 weeks prior to assault predicted higher Time 1 follow-up alcohol and marijuana use and abuse. Although there was relatively little change in use or abuse over time, alcohol use at time of the assault or in the 6 weeks prior also predicted a steeper decline in alcohol use over the course of follow-up. Interestingly, women who reported using marijuana at the time of the assault or in the 6 weeks prior who also received a video intervention actually had lower initial marijuana use, a pattern that remained stable over time. Implications for evaluating screening, brief intervention and referral to treatment services among sexual assault victims seeking post-assault medical care are discussed. ► We examine prevalence of reported use of alcohol/marijuana at time of sexual assault. ► We examine drug use at time of assault in association with reported pre-assault use. ► We examine prior use and trajectory of drug use and abuse over time. ► Impact of a brief intervention on post-assault drug use is assessed.
  • Identifier: ISSN: 0306-4603 ; E-ISSN: 1873-6327 ; DOI: 10.1016/j.addbeh.2012.03.017