Concurrent alcohol and tobacco use during early adolescence characterizes a group at risk
Concurrent alcohol and tobacco use during early adolescence characterizes a group at risk
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DOI：
10.1093/alcalc/agm024
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发表时间：
2007-05-01
影响因子：
2.8
通讯作者：
Laucht, Manfred
中科院分区：
文献类型：
--
作者：
Schmid, Brigitte;Hohm, Erika;Laucht, Manfred
目的：调查青春期早期同时饮酒和吸烟是否是一个亚组的特征，该亚组仅在导致后期药物使用问题的几个危险因素方面与仅使用一种物质的人不同。方法：参与者来自一项前瞻性纵向队列研究，该研究涉及 384 名有日后精神病理学风险的儿童，其中大多数出生时患有产科并发症和心理社会逆境。对青少年毒品消费和相关个人特征的评估是在 15 岁时进行的。结果：与仅饮酒的消费者相比，在同一时间段（过去 4 周）饮酒和吸烟的 15 岁青少年的饮酒水平明显更高，饮酒过量、开始饮酒的年龄更早、在 Fagerstrom 尼古丁依赖性测试中得分更高，并且吸食更多大麻。这一群体与酒精使用者的区别仅在于更高的新奇追求和更积极的酒精效应预期。与仅吸烟的消费者相比，同时使用者报告了更高的尼古丁依赖性和更多的大麻使用。在开始使用烟草的频率和年龄、与烟草相关的敏感性、自我效能和工具性以及新奇寻求方面，没有观察到显着差异。结论：青春期早期同时饮酒和吸烟与众所周知的特征有关，这些特征是后来饮酒问题和依赖的危险因素，应该成为预防计划的目标。
Aims: To investigate whether concurrent alcohol and tobacco use during early adolescence characterizes a subgroup that differs from users of one substance only regarding several risk factors for later substance use problems. Methods: Participants were from a prospective longitudinal cohort study of 384 children at risk for later psychopathology, with the majority being born with obstetric complications and psychosocial adversities. Assessments of adolescent drug consumption and related intrapersonal characteristics were obtained at age 15. Results: Compared to consumers of alcohol only, 15-year-olds drinking and smoking during the same time period (past 4 weeks) had significantly higher levels of consumption and more excessive use of alcohol, started drinking at an earlier age, had higher scores on the Fagerstrom Test for Nicotine Dependence, and more cannabis use. This group could be distinguished from users of alcohol only by higher novelty seeking and more positive alcohol effect expectancies. Compared to consumers of tobacco only, concurrent users reported higher nicotine dependence and more cannabis use. No significant differences were observed regarding frequency and age at initiation of tobacco use, tobacco-related sensitivity, self-efficacy and instrumentality as well as novelty seeking. Conclusions: Concurrent alcohol and tobacco use during early adolescence is associated with characteristics that are well known as risk factors for later alcohol use problems and dependence and that should be targeted by prevention programs.