Risk factors for alcohol, marijuana, and cigarette polysubstance use during adolescence and young adulthood: A 7-year longitudinal study of youth at high risk for smoking escalation.
Risk factors for alcohol, marijuana, and cigarette polysubstance use during adolescence and young adulthood: A 7-year longitudinal study of youth at high risk for smoking escalation.
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DOI：
10.1016/j.addbeh.2021.106944
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发表时间：
2021-08
影响因子：
4.4
通讯作者：
Mermelstein RJ
中科院分区：
文献类型：
--
作者：
Crane NA;Langenecker SA;Mermelstein RJ
酒精、尼古丁和大麻是青少年和年轻人中使用最广泛的三种物质，同时使用多种物质很常见。很少有纵向研究检查酒精，大麻和尼古丁多种物质使用的风险因素。我们研究了酒精，大麻和香烟多种物质使用的频率随着时间的推移，以及关键的风险因素如何在青春期和青年期导致这种物质的使用。参与者（N= 1，263名9年级和10年级学生）在2004年至2006年期间从芝加哥地区16所高中的基线上过度抽样吸烟。随着时间的推移，许多参与者逐渐增加了香烟的使用，以及酒精和大麻的使用。参与者完成了评估基线、6个月、15个月、24个月、33个月和5年、6年和7年时物质使用和心理社会因素的问卷。纵向多水平模型表明，在基线和随着时间的推移，更多的抑郁症状，更多的焦虑症状，消极的情绪调节预期，以及较低的平均成绩（GPA）都与随着时间的推移更多的多种物质的使用相关。此外，还有一些性别的相互作用效应（例如，抑郁症与物质使用的男性）和发展阶段调节这些关系。抑郁、焦虑、消极情绪调节预期和GPA都显著影响青少年和青年时期物质使用的初始和纵向水平。我们的研究结果强调了识别和治疗患有抑郁和焦虑症状的青少年的重要性，并尽早为那些在学校苦苦挣扎的人提供资源，以帮助进行药物使用预防和干预工作。
Alcohol, nicotine, and marijuana are the three most widely used substances among adolescents and young adults, with co-use of multiple substances being common. Few longitudinal studies have examined risk factors of alcohol, marijuana, and nicotine poly-substance use. We examined frequency of alcohol, marijuana, and cigarette poly-substance use over time and how key risk factors contribute to this substance use during adolescence and young adulthood. Participants (N=1,263 9th and 10th graders) were oversampled for ever-smoking a cigarette at baseline from 16 Chicago-area high schools between 2004-2006. Many participants progressed to heavier cigarette use, as well as alcohol and marijuana use over time. Participants completed questionnaires assessing substance use and psychosocial factors at baseline, 6-, 15-, 24-, 33-months, and 5-, 6-, and 7-years. Longitudinal multi-level models demonstrated that at baseline and over time, more depression symptoms, more anxiety symptoms, negative mood regulation expectancies, and lower grade point average (GPA) were each associated with more poly-substance use over time. In addition, there were a number of interaction effects of gender (e.g., depression was related to substance use in males) and developmental stage moderated these relationships. Depression, anxiety, negative mood regulation expectancies, and GPA all significantly influence both initial and longitudinal levels of substance use across adolescence and young adulthood. Our findings underscore the importance of identifying and treating youth with depression and anxiety symptoms, as well as providing resources early for those struggling in school in order to help with substance use prevention and intervention efforts.
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影响因子：
4.4
作者：
Crane, Natania A.;Langenecker, Scott A.;Mermelstein, Robin J.
通讯作者：
Mermelstein, Robin J.
影响因子：
12.7
作者：
KANDEL, D;YAMAGUCHI, K
通讯作者：
YAMAGUCHI, K
影响因子：
4.4
作者：
Magid, Viktoriya;Colder, Craig R.;Nichter, Mark
通讯作者：
Nichter, Mark
影响因子：
6
作者：
Degenhardt, Louisa;Coffey, Carolyn;Patton, George C.
通讯作者：
Patton, George C.
影响因子：
4.4
作者：
Evans-Polce, Rebecca J.;Vasilenko, Sara A.;Lanza, Stephanie T.
通讯作者：
Lanza, Stephanie T.