The long-term effects of school dropout and GED attainment on substance use disorders
The long-term effects of school dropout and GED attainment on substance use disorders
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DOI：
10.1016/j.drugalcdep.2015.11.002
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发表时间：
2016-01-01
影响因子：
4.2
通讯作者：
Businelle, Michael S.
中科院分区：
文献类型：
--
作者：
Gonzalez, Jennifer M. Reingle;Salas-Wright, Christopher P.;Businelle, Michael S.
背景：流行病学研究表明，14% 的人口没有完成高中学业，辍学与心理健康状况、药物滥用、慢性健康问题和犯罪行为有关。很少有研究评估获得普通教育发展 (GED) 证书是否可以防止药物滥用。目的：评估辍学和获得 GED 对过去一年药物使用障碍、发病年龄和当前吸烟状况的长期结果。方法：纳入了参加全国酒精及相关病症流行病学调查（第一波和第二波）的终身药物使用者的纵向数据。符合资格的参与者 (N=30,608) 被分类为已完成高中学业、从高中退学但未完成 GED 或在第一波完成 GED。调查逻辑回归分析用于确定高中毕业状况是否与第二波物质使用障碍和吸烟相关。结果：多变量结果表明，高中辍学 (OR = 1.53；p < .01) 或获得 GED 的参与者更有可能在过去一年中取得成功与高中毕业生相比，大麻使用障碍（OR = 1.62 p < .01）。与毕业生相比，高中辍学者更有可能成为当前吸烟者（OR = 1.88；p < .05）。结论：高中辍学者比毕业生有更高的长期大麻使用障碍和成年吸烟率。获得 GED 似乎并不能保护成年后免受大麻使用障碍的影响。 (C) 2015 Elsevier Ireland Ltd. 保留所有权利。
Background: Epidemiologic research suggests that 14% of the population do not complete high school, and dropout has been linked to mental health conditions, substance use, chronic health problems, and criminal behavior. Few studies have assessed whether attainment of the general education development (GED) credential is protective from substance use.Purpose: To assess the long-term outcomes of school dropout and GED attainment on past year substance use disorders, age of onset, and current smoking status.Methods: Longitudinal data were included for lifetime substance users who participated in the National Epidemiological Survey on Alcohol and Related Conditions (Waves I and II). Eligible participants (N=30,608) were classified as having completed high school, dropped out of high school and did not complete a GED, or completed GED at Wave I. Survey logistic regression analyses were used to determine whether high school graduation status was associated with substance use disorders and smoking at Wave II.Results: Multivariate results suggest that participants who dropped out of high school (OR = 1.53; p < .01) or attained a GED were more likely to have a past year marijuana use disorder (OR = 1.62 p < .01) compared to high school graduates. High school dropouts were also more likely to be current smokers (OR = 1.88; p < .05) than graduates.Conclusions: High school dropouts have higher long-term rates of marijuana use disorder and smoking in adulthood than graduates. Attainment of a GED does not appear to be protective from marijuana use disorders in adulthood. (C) 2015 Elsevier Ireland Ltd. All rights reserved.