Patterns of Young Adult Social Roles Transitions Across 24 Months and Subsequent Substance Use and Mental Health
Patterns of Young Adult Social Roles Transitions Across 24 Months and Subsequent Substance Use and Mental Health
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DOI：
10.1007/s10964-019-01134-8
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发表时间：
2020-04-01
影响因子：
4.9
通讯作者：
Lee, Christine M.
中科院分区：
文献类型：
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作者：
Patrick, Megan E.;Rhew, Isaac C.;Lee, Christine M.
年轻人在多个生活领域经历社会角色转变，更深入地了解这些同时发生的转变经历与药物使用和心理健康相关的方式，将为这一人群提供有针对性的干预措施。当前研究的数据包括24次对年轻成人（N=778; 56%为女性;基线时年龄范围为18 - 24岁; 60%为白色，18%为亚洲人，12%为多种族，5%为黑人或非裔美国人，1%为美洲印第安人，1%为太平洋岛民，3%为其他，9%为拉丁美洲人）和6个月后的结局进行的重复每月评估。在2年的每月评估被用来确定潜在类的频率的社会角色转换在四个关键领域（教育，住宅，就业和浪漫的关系）和这些类和后来的结果之间的关联。社会角色转换分为三类：不频繁转换（30.4%），关系以外的转换（38.5%）和频繁转换（31.1%）。与不频繁转换类相比，其他类在六个月后有更大的典型饮酒和危险酒精使用;频繁转换类也有更多危险的大麻使用，抑郁症状和焦虑症状。经历频繁跨多个领域的过渡的年轻人似乎有物质使用和心理健康问题的风险，并可能受益于有针对性的干预，以解决物质使用和心理健康问题。
Young adults experience social role transitions across multiple life domains, and a deeper understanding of the ways in which these simultaneous transition experiences are associated with substance use and mental health will inform targeted interventions for this population. Data from the current study include24 repeated monthly assessments of young adults (N=778; 56% female; age range 18 to 24 at baseline; 60% White, 18% Asian, 12% Multiracial, 5% Black or African American, 1% American Indian, 1% Pacific Islander, 3% Other, 9% Latinx) and outcomes 6 months later. Monthly assessments across 2 years were used to identify latent classes of frequency of social role transitions in four key domains (education, residential, employment, and romantic relationships) and associations between these classes and later outcomes. Three classes of social role transitions were identified: Infrequent Transitions (30.4%), Transitions except in Relationships (38.5%), and Frequent Transitions (31.1%). Compared to the Infrequent Transitions class, the other classes had greater typical drinking and hazardous alcohol use six months later; the Frequent Transitions class also had more hazardous cannabis use, depressive symptoms, and anxiety symptoms. Young adults experiencing frequent transitions across multiple domains appear to be at risk for substance use and mental health problems and may benefit from targeted intervention to address substance use and mental health issues.