Vulnerability to Narcotic Addiction: Family Structure and Functioning

Abstract

This retrospective case-control study of male narcotic addicts was aimed at determining whether family structure and functioning factors, self-reported retrospectively as occurring during early teen age, were associated with subsequent addiction. It contrasted a reference group of addicts with two matched control groups: their teenage associates at age 11 (peer controls), and age-peers residing in their community but not close associates (community controls). The study population was equally divided between white and black subjects. Study results showed that during early teenage intact family structure (defined here as residence in a household consisting of both natural parents) was negatively associated at statistically significant levels with addiction. Family functioning factors negatively associated with later addiction, independently of family structure, included: strong attachment to father or father figure, positive home atmosphere, strong parental adherence to traditional norms, and expected weak parental disapproval of (hypothetical) misbehaviors by subjects if these had in fact occurred. Attachment to mother or mother figure was almost equally very high among reference and control subjects and, hence, was not associated with later addiction.