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The Relationship Between Intimate Partner Violence and the Use of Addictive Substances in Poor and Homeless Single Mothers

Applied Research and Consulting

Shari S. Bassuk

Brigham and Women's Hospital

Nicholas Huntington

The Better Homes Fund

This study examines the contributions of adult partner violence, childhood physicalabuse and sexual molestation, post-traumatic stress disorder (PTSD), and partners' substanceuse on poor women's use of addictive substances. Utilizing a longitudinal data set,researchers found that women with histories of partner violence had nearly three timesthe odds of using illegal drugs at follow-up. Reverse causation (i.e., substance useincreases the likelihood of violent relationships) did not explain the association. Confoundingby childhood sexual molestation and mediation by PTSD also did not fullyaccount for the violence-drug use link. Partners' substance use was independentlyrelated to women's follow-up drug and alcohol use. Program and policy implications arereviewed.

Key Words: homeless mothers • intimate partner violence • poor mothers • single mothers • substance use/abuse

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