FROM BEER TO CRACK - DEVELOPMENTAL PATTERNS OF DRUG INVOLVEMENT
FROM BEER TO CRACK - DEVELOPMENTAL PATTERNS OF DRUG INVOLVEMENT
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DOI：
10.2105/ajph.83.6.851
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发表时间：
1993-06-01
影响因子：
12.7
通讯作者：
YAMAGUCHI, K
中科院分区：
文献类型：
--
作者：
KANDEL, D;YAMAGUCHI, K
目标。先前的研究已经确定了青春期药物使用的发展阶段，从成年人合法的物质到非法药物。毒品涉案模式中的裂痕位置有待确定。这些分析是基于纽约州公立和私立学校12年级学生的样本(n=1108)。根据首次使用五类药物(酒精饮料、香烟、大麻、可卡因，但不包括可卡因、可卡因)的报告年龄，通过对数线性模型检验不同进展模型的拟合优度。这一序列最早涉及使用至少一种合法药物、酒精或香烟。随后的阶段涉及大麻和可卡因；可卡因是序列中的最后一种药物。结果证实了酒精在男性中更重要的作用，在女性中香烟在发展为各种药物类别的过程中起着更重要的作用。首次用药年龄在较低阶段是进一步进展的强烈预测因素。1970年代初确定的吸毒发展模式仍然是1980年代末青少年吸毒途径的特征。
Objectives. Prior research has identified developmental stages in drug use in adolescence, from substances that are legal for adults to illicit drugs. The position of crack in patterns of drug involvement remains to be established.Methods. The analyses are based on a sample (n = 1108) representative of 12th graders attending New York State public and private schools. Form reported ages of first use of five classes of drugs (alcoholic beverages, cigarettes, marijuana, cocaine but not crack, crack), alternate models of progression were tested for their goodness of fit through log-linear models.Results. The sequence involves at the earliest stage the use of at least one licit drug, alcohol or cigarettes. Subsequent stages involve marijuana and cocaine; crack is the last drug in the sequence. The results confirm the more important role of alcohol among males and cigarettes among females in the progression into various drug classes. Age of first drug use at a lower stage is a strong predictor of further progression.Conclusions. The developmental pattern of drug involvement identified in the early 1970s still characterizes adolescent pathways of drug involvement in the late 1980s.