The increase in the association of education and cocaine use over the 1980s and 1990s: Evidence for a 'historical period' effect

The increase in the association of education and cocaine use over the 1980s and 1990s: Evidence for a 'historical period' effect
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DOI:
10.1016/j.drugalcdep.2005.01.022
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发表时间:
2005-09-01
影响因子:
4.2
通讯作者:
Harder, VS
Harder, VS
中科院分区:
医学2区
文献类型:
--
作者:
Miech, RA;Chilcoat, H;Harder, VS

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根据定性分析,在1980年代,美国成人可卡因使用的社会分布发生了变化,与上层社会阶层相比,下层社会使用可卡因更为普遍。在本文中,我们使用国家数据来调查教育和成人可卡因使用的关联,以测试这一趋势是否代表所有年龄组的成年人同时发生的“历史时期”过程,或者从年轻队列开始并随着这些年轻队列的老化仅扩展到老年组的队列过程。我们还估计了快克可卡因使用的出现在多大程度上解释了历史上可卡因使用的社会经济分布趋势。为了解决这些问题,我们分析了1979年至1998年(含)全国家庭药物滥用调查的每次调查的数据。研究结果指出了一个“历史时期”的过程,这在很大程度上--但不完全--是由于快克可卡因的出现。各种族和族裔群体以及各年龄组之间的重要差异是显而易见的。可卡因加入了越来越多的潜在成瘾药物的名单,这些药物在历史上与上层社会阶层相比,在下层社会中变得更加普遍。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
During the 1980s the social distribution of adult cocaine use in the US changed, according to qualitative analyses, and its use became more prevalent in the lower as compared to the upper social strata. In this paper, we use national data to investigate the association of education and adult cocaine use to test whether this trend represents either a 'historical period' process that occurred concurrently across adults of all age groups or a cohort process that started with younger cohorts and only extended to older age groups as these younger cohorts aged. We also estimate the extent to which the emergence of crack cocaine use accounts for trends in the socioeconomic distribution of cocaine use over historical time. To address these questions we analyze data from each survey of the National Household Survey on Drug Abuse from 1979 to 1998 inclusive. The results point to a 'historical period' process that is explained in large part - but not entirely - by the emergence of crack cocaine. Important differences are apparent across racial and ethnic groups, as well as age groups. Cocaine use joins a growing list of potentially addictive drugs that have become more prevalent in the lower as compared to the upper social strata over historical time. (c) 2005 Elsevier Ireland Ltd. All rights reserved.