Adverse Childhood Experiences and Substance Use Disorders: What a Kenyan Hospital Study Shows

Adverse childhood experiences and substance use disorders are examined in this cross-sectional study of adults receiving inpatient treatment at a psychiatric referral hospital in Kenya. The paper shows that ACE exposure was extremely common and that certain childhood adversities were associated with higher odds of current tobacco, cannabis, and sedative use. Adverse childhood experiences and substance use disorders clearly belong in the same clinical conversation, but this study does not prove that childhood trauma directly caused later substance use.

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