Examining Sex and Racial/Ethnic Differences in Co-use of Alcohol, Cannabis, and Cigarettes in a Community Sample of Adolescents.
Examining Sex and Racial/Ethnic Differences in Co-use of Alcohol, Cannabis, and Cigarettes in a Community Sample of Adolescents.
复制标题
检查青少年社区样本中同时使用酒精、大麻和香烟的性别和种族/民族差异。
DOI：
10.1080/10826084.2020.1843056
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发表时间：
2021
影响因子：
2
通讯作者：
Mrug,Sylvie
中科院分区：
文献类型：
--
作者：
Purcell,JuliannB;Orihuela,CatherynA;Elliott,MarcN;TortoleroEmery,Susan;Schuster,MarkA;Mrug,Sylvie
简介：虽然青少年经常同时使用酒精、香烟和大麻，但对同时使用这些物质的性别和种族/民族差异知之甚少。因此，本研究探讨了性别和种族/民族差异的酒精，香烟，大麻共同使用在一个大的和种族多元化的group.Methods：参与者来自一个大型的，多地点的研究，青少年从三个地区在美国（N= 4，129;法师=16.10岁，SD = 0.59; 51%女性，49%男性; 37%黑人，37%西班牙裔，25%白色）。参与者被分为八个相互排斥的组，根据他们的自我报告的使用酒精，大麻，香烟在过去的30 days.Results：未经调整的多项式Logistic回归分析显示，男性比女性更容易使用大麻，只有和共同使用所有三种物质。此外，黑人和西班牙裔青少年更有可能只使用大麻，而白色青少年比黑人和西班牙裔青少年更有可能同时使用酒精和香烟。在调整其他社会人口变量（年龄，家庭收入，父母教育和父母婚姻状况）后，男性比女性更有可能只使用大麻;白色青年比西班牙裔青年更有可能只使用香烟，并共同使用香烟和酒精。白色青年比黑人青年更有可能共同使用酒精和香烟，共同使用所有三种substances.Discussion：这些结果表明，性别和种族/民族差异的物质共同使用，没有解释的社会经济因素。这项工作的结果提出了有针对性的预防工作的潜在战略，并强调了继续努力更好地了解酒精和药物共同使用模式的重要性。
Introduction: Although adolescents often co-use alcohol, cigarettes, and cannabis, little is known about sex and racial/ethnic differences in the co-use of these substances. Therefore, this investigation examined sex and racial/ethnic differences in alcohol, cigarette, and cannabis co-use in a large and ethnically diverse group.Methods: Participants were drawn from a large, multi-site study of adolescents from three regions in the United States (N= 4,129; Mage=16.10 years, SD = 0.59; 51% female, 49% male; 37% Black, 37% Hispanic, 25% White). Participants were categorized into eight mutually exclusive groups based on their self-reported use of alcohol, cannabis, and cigarettes in the last 30 days.Results: Unadjusted multinomial logistic regression revealed that males were more likely than females to use cannabis-only and to co-use all three substances. Additionally, Black and Hispanic adolescents were more likely to use cannabis-only, while White adolescents were more likely than Black and Hispanic adolescents to co-use alcohol and cigarettes. After adjusting for other sociodemographic variables (age, household income, parental education, and parent marital status), males were more likely to use cannabis-only than females; White youth were more likely than Hispanic youth to use cigarettes only and co-use cigarettes and alcohol. White youth were more likely than Black youth to co-use alcohol and cigarettes and co-use all three substances.Discussion: These results indicate sex and racial/ethnic differences in substance co-use that were not explained by socioeconomic factors. Results of this work suggest potential strategies for targeted prevention efforts and underscore the importance of continued efforts to better understand patterns of alcohol and substance co-use.