Early adolescent patterns of alcohol, cigarettes, and marijuana polysubstance use and young adult substance use outcomes in a nationally representative sample
Early adolescent patterns of alcohol, cigarettes, and marijuana polysubstance use and young adult substance use outcomes in a nationally representative sample
复制标题
DOI：
10.1016/j.drugalcdep.2013.12.011
复制
发表时间：
2014-03-01
影响因子：
4.2
通讯作者：
Yi, Hsiao-ye
中科院分区：
文献类型：
--
作者：
Moss, Howard Barry;Chen, Chiung M.;Yi, Hsiao-ye
背景：酒精、烟草和大麻是美国青少年最常用的药物。然而，人们对青少年早期使用药物的模式及其对青春期接触药物问题的影响知之甚少。在一个具有全国代表性的美国青少年样本中，我们调查了16岁之前的药物使用模式，以及它们与青少年药物使用行为和药物使用障碍的关系。方法：使用ADD健康调查第四波的数据(n=4245)，我们估计了青少年早期单独和联合使用酒精、香烟和大麻的各种模式的流行率。结果：虽然34.4%的人报告在16岁之前没有使用任何物质，但341%的人报告早期同时使用酒精和大麻或酒精、大麻和香烟，这表明这种类型的多物质使用行为在美国青少年中相对较高。青少年早期使用这三种物质与青少年的一系列物质使用问题以及DSM-IV物质使用障碍的诊断最密切相关。结论：本研究证实了16岁之前青少年中多物质使用行为的发生率和重要性的上升，并将酒精、大麻和香烟的早期使用置于使用模式而不是单一药物暴露的背景中。爱思唯尔爱尔兰有限公司出版。
Background: Alcohol, tobacco and marijuana are the most commonly used drugs by adolescents in the U.S. However, little is known about the patterning of early adolescent substance use, and its implications for problematic involvement with substances in young adulthood. We examined patterns of substance use prior to age 16, and their associations with young adult substance use behaviors and substance use disorders in a nationally representative sample of U.S. adolescents.Method: Using data from Wave 4 of the Add Health Survey (n = 4245), we estimated the prevalence of various patterns of early adolescent use of alcohol, cigarettes, and marijuana use individually and in combination. Then we examined the effects of patterns of early use of these substances on subsequent young adult substance use behaviors and DSM-IV substance use disorders.Results: While 34.4% of individuals reported no substance use prior to age 16,34.1% reported either early use of both alcohol and marijuana or alcohol, marijuana and cigarettes, indicating the relatively high prevalence of this type of polysubstance use behavior among U.S. adolescents. Early adolescent use of all three substances was most strongly associated with a spectrum of young adult substance use problems, as well as DSM-IV substance use disorder diagnoses.Conclusions: This research confirms the elevated prevalence and importance of polysubstance use behavior among adolescents prior to age 16, and puts early onset of alcohol, marijuana and cigarette use into the context of use patterns rather than single drug exposures. Published by Elsevier Ireland Ltd.