Latest news with #SeanEstebanMcCabe
Medscape
15-05-2025
- Health
- Medscape
1 in 4 US Children Live With Addicted Parents
Nearly 19 million US children live with at least one parent meeting Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition; DSM-5) criteria for substance use disorder (SUD), representing one quarter of all US children in 2023. Over 6.1 million of these children have parents with comorbid SUD and mental illness, making them particularly at risk for adverse childhood experiences. METHODOLOGY: Analysis included nationally representative data from the 2023 National Survey on Drug Use and Health of the civilian, noninstitutionalized US population aged ≥ 12 years. Researchers followed the STROBE reporting guideline, with institutional review boards deeming the study exempt from review due to the use of deidentified data. Data collection involved interviewing one adult per selected household, who reported relationships to other household members, including biological, step, foster, or adoptive children aged < 18 years. Statistical analysis estimated weighted counts and 95% CIs of youth exposed to parental DSM-5–defined SUD, including disorders related to alcohol, cannabis, cocaine, hallucinogens, heroin, inhalants, methamphetamine, and prescription medications. TAKEAWAY: Based on the 2023 National Survey on Drug Use and Health total weighted number of 62,637,851 parents, researchers estimated 18,968,894 (95% CI, 16,806,368-21,261,446) children lived with at least one parent meeting DSM-5 SUD criteria. Among affected children, 7,643,244 (95% CI, 6,468,786-8,911,360) lived with a parent having moderate or severe SUD, while 3,409,675 (95% CI, 2,568,782-4,358,248) had parents with multiple SUDs. Researchers found that 6,148,289 (95% CI, 5,012,046-7,389,039) children lived with a parent having comorbid SUD and mental illness, defined as major depressive disorder and/or serious psychological distress. Parental SUDs predominantly consisted of alcohol use disorder, followed by cannabis use disorder, prescription-related use disorder, and noncannabis drug use disorder. IN PRACTICE: 'Children exposed to parental SUD are more likely to develop adverse health outcomes than their peers without parental SUD exposure, including early substance use initiation, substance-related problems, and mental health findings signal the need for more attention at the federal, state, and local levels on the children and families affected by addiction. Evidence-based, family-based treatments for SUD and mental illness can prevent adverse health consequences in this population,' the authors of the study wrote. SOURCE: This study was led by Sean Esteban McCabe, PhD, Center for the Study of Drugs, Alcohol, Smoking, and Health, University of Michigan School of Nursing in Ann Arbor, Michigan. It was published online in JAMA Pediatrics . LIMITATIONS: According to the authors, the study faced limitations common to large-scale national surveys, including potential sampling bias, selection bias, and self-report bias. Additionally, the number of offsprings in households was truncated at three or more, suggesting that the estimates represented the lower bound of youths exposed to parental SUD. DISCLOSURES: This study was supported by grants RO1DA031160 and RO1DA043691 from the National Institute on Drug Abuse of the National Institutes of Health. McCabe reported receiving grants from the National Institute on Drug Abuse during the conduct of the study. Additional disclosures are noted in the original article.
Yahoo
13-05-2025
- Health
- Yahoo
1 in 4 Children Has a Parent with a Substance Use Disorder, Study Says
A new study found one in four U.S. children has a parent with a substance use disorder, a dramatic increase from years past A large portion of parents' disorders are considered moderate to severe The most commonly abused substance is alcoholA new study has revealed information about substance abuse within families. According to a study published Monday, May 12, in JAMA Pediatrics, one in four children in the United States has at least one parent who has a substance use found that most parents with a substance use disorder abuse alcohol. Other substances in the study included cannabis, cocaine, prescription drugs, and more. The study analyzed data from the 2023 National Survey on Drug Use and Health and the DSM-5, a guide to mental disorders used by mental health professionals. It found that 19 million children were living with a parent who had a SUD. It's a substantial increase from earlier studies, like one conducted in 2022, which concluded that 7 million children lived in an addiction-impacted home. The substantial increase is partially due to new criteria, NPR reported; earlier studies used criteria from the now-outdated DSM-4. One of the study's authors, Sean Esteban McCabe, also found that a large number of parents with substance use disorder have a moderate to severe condition. "We also found that 7.6 million children live in a household with a parent that has either a moderate or severe substance use disorder," McCabe said, per NPR. "And 3.4 million live with a parent with multiple substance use disorders." Additionally, McCabe's team found that more than 6 million children have a parent with substance use disorder alongside a mental health disorder. Never miss a story — sign up for to stay up-to-date on the best of what PEOPLE has to offer, from juicy celebrity news to compelling human interest stories. Dr. Scott Hadland, who specializes in adolescent medicine and wasn't involved in the study, stressed that alcohol plays a large role in substance use-related deaths, per NPR. "It actually kills more people in the U.S. than do opioids every year, but it's a slower death rate," Hadland told the outlet. "It's a chronic disease process that affects, you know, somebody's liver, somebody's risk of developing cancer." Researchers believe the study is important because children whose parents have a SUD are more likely to be at-risk for using substances earlier, substance abuse and mental health disorders. Read the original article on People
Indian Express
12-05-2025
- Health
- Indian Express
Those showing symptoms of ADHD are more likely to smoke: Study
Those with multiple symptoms of attention-deficit/hyperactivity disorder (ADHD) have a higher likelihood of vaping, smoking, or using other tobacco products, a new study has found. While the odds did not significantly differ between those with asymptomatic ADHD and the control group, 'all youths who had three or more ADHD symptoms had significantly higher adjusted odds of using nicotine and tobacco products', the study published recently in JAMA Network Open found. ADHD is one of the most common neurodevelopmental disorders of childhood. Symptoms include having trouble paying attention and controlling impulsive behaviors, or being overly active. People with 'asymptomatic' ADHD experience minimum noticeable symptoms, particularly hyperactivity and impulsivity. Nicotine as medication Researchers led by Sean Esteban McCabe, an epidemiologist at the University of Michigan in Ann Arbor, analysed data from the Population Assessment of Tobacco and Health, or PATH Study. This study saw 13,572 American youths, between the ages of 12 and 17, answer yearly questions and fill survey forms for a period of nine years. These included questions about tobacco use and a number of other things — including ones that asked about typical symptoms of ADHD. (One question was: 'When was the last time that you did the following things two or more times… Felt restless or the need to run around or climb on things?') The data show that the more symptoms a teen reported, the more likely she was to use tobacco. For instance, teens with three or four ADHD symptoms had a 60% greater risk of vaping than did teens with no ADHD symptoms. The explanation for this lies in the properties of nicotine. Put simply, nicotine releases chemicals in the brain that, for a very short time, make it easier to focus. 'So people with ADHD might use tobacco to self-medicate,' McCabe told ScienceNews. A matter of concern These findings add to a large body of evidence suggesting nicotine addiction has a lot to do with an individual's psychological make-up. Various studies have previously linked the nicotine in tobacco to anxiety and depression. Given that tobacco is not only harmful to health, but also extremely addictive, these findings are very significant. For McCabe, the main takeaway is that parents must not ignore symptoms of ADHD. 'This study suggests that if their symptoms of ADHD are controlled through therapy… or if the symptoms naturally dissipate, [kids] remain at lower risk for tobacco and nicotine and associated adverse outcomes,' he said. While the rates of cigarette smoking have gone down in the last few decades, a growing number of teens are consuming nicotine via vaping. Although vaping was initially marketed as a 'safer alternative' to cigarettes, a number of recent studies have pointed to its numerous harmful effects. 'Tobacco remains the leading cause of preventable death,' McCabe said, adding that preventing tobacco use would be 'a powerful game changer for anyone — including those with ADHD.'
