A Rapid Systematic
Review on the
Association between
Childhood Physical
and Sexual Abuse
and Illicit Drug Use
among Males
This paper aims to review studies in relation to the association
between childhood physical (CPA) and sexual abuse (CSA) and illicit
drug use among the male clinical and general community populations
using a systematic approach. Primary studies were identified using
online databases which were searched comprehensively using a set of
pre-determined search criteria and terms. Other sources included
expert contact and the reference list of a relevant review. Associations
between exposure (CPA/CSA) and outcome (illicit drug use) were
considered with regards to an array of factors. A total of 5012
references were initially identified out of which 18 studies met the
necessary criteria for reviewing. The review demonstrates tentative
support for factors such as earlier drug initiation, intravenous drug use
and greater frequency of use among some of the samples. It also
demonstrates the difficulties involved in drawing conclusions due to the
complex and multifaceted nature of drug use and the variability in the
quality of the research available in this area. Limitations of the current
review are highlighted and recommendations offered for future
research with consideration given to practical implications in clinical
and forensic settings. Copyright 2010 John Wiley & Sons, Ltd.
KEY WORDS: child abuse; substance misuse; drug misuse; systematic
review
R
esearch into the consequences of childhood physical and
sexual abuse indicates a heightened risk for numerous
problem behaviours. Among the vast array of internalising and
Copyright © 2010 John Wiley & Sons, Ltd. Accepted 4 August 2009
* Correspondence to: Shihning Chou, Institute of Work, Health & Organisations, Univer-
sity of Nottingham, International House, Jubliee Campus, Wollaton Road, Nottingham
NG8 1BB, UK. E-mail: Shihning.Chou@nottingham.ac.uk
Sophia Butt
School of Psychology, University of
Birmingham & Arnold Lodge,
Leicester, UK
Shihning Chou*
School of Psychology, University of
Liverpool, UK
Kevin Browne
Institute of Work, Health &
Organisation, University of
Nottingham, UK
Child Abuse Review Vol. 20: 6–38 (2011)
Published online 30 March 2010 in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/car.1100
‘Primary studies were
identified using
online databases
which were searched
comprehensively’
‘Recommendations
offered for future
research with
consideration given
to practical
implications in
clinical and forensic
settings’