Associations between early-adolescent substance use and subsequent young-adult substance use disorders and psychiatric disorders among a multiethnic male sample in South Florida

Associations between early-adolescent substance use and subsequent young-adult substance use disorders and psychiatric disorders among a multiethnic male sample in South Florida
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DOI:
10.2105/ajph.94.9.1603
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发表时间:
2004-09-01
影响因子:
12.7
通讯作者:
Tubman, JG
Tubman, JG
中科院分区:
医学2区
文献类型:
--
作者:
Gil, AG;Wagner, EF;Tubman, JG

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目标.我们研究了社区男性样本中青少年早期物质使用、随后的青少年-成人物质使用障碍和精神障碍之间的关联。早期青少年的数据收集在课堂调查(1990-1993),和1998-2000年的面对面访谈收集的数据。我们发现,青少年早期物质使用与成年后物质使用障碍和精神疾病之间存在密切联系。这些协会的大小因种族/民族而异,在非洲裔美国人和外国出生的西班牙裔美国人中最强,他们报告了最低的青少年早期物质使用。在报告早期使用水平最低的种族/族裔群体中,早期青少年物质使用与后期功能障碍模式的相关性最强。我们的研究结果在一级和二级预防的背景下的影响进行了讨论。
Objectives. We examined the associations among early-adolescent substance use, subsequent young-adult substance use disorders, and psychiatric disorders among a community sample of males.Methods. Early-adolescent data were collected in classroom surveys (1990-1993), and young-adult data were collected in face-to-face interviews (1998-2000).Results. We found strong associations between early-adolescent substance use and young-adult substance use disorders and psychiatric disorders. The magnitudes of these associations varied by racial/ethnic group and were strongest among African Americans and foreign-born Hispanics, who reported the lowest early-adolescent substance use.Conclusions. Early-adolescent substance use is most strongly associated with a later pattern of dysfunction among the racial/ethnic groups that reported the lowest levels of early use. The implications of our findings in the context of primary and secondary prevention are discussed.