Interrelationship of substance use and psychological distress over the life course among a cohort of urban African Americans
Interrelationship of substance use and psychological distress over the life course among a cohort of urban African Americans
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DOI：
10.1016/j.drugalcdep.2011.11.017
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发表时间：
2012-06-01
影响因子：
4.2
通讯作者：
Ensminger, Margaret E.
中科院分区：
文献类型：
--
作者：
Green, Kerry M.;Zebrak, Katarzyna A.;Ensminger, Margaret E.
背景：物质使用和心理问题因其在社会经济弱势群体中的高患病率、共生性、聚集性和严重后果而成为主要的公共卫生问题。然而，随着时间的推移，他们之间的相互关系还没有得到很好的了解。方法：本研究确定并比较了非洲裔美国人男性和女性从6岁到42岁的药物使用和心理困扰的发展流行病学。数据来自伍德劳恩研究，这是一项自1966年以来对城市社区队列进行的纵向研究。我们使用结构方程模型来检验物质使用(即酒精、大麻和可卡因)与心理痛苦之间随时间的变化路径。结果：我们发现从青春期到中年物质使用和心理痛苦具有显著的连续性，并且在时间段内物质使用和心理痛苦之间存在显著的相关性，尤其是在女性中。我们还发现，更多的青春期药物使用预示着男性在年轻成年期的心理痛苦，但对女性来说没有交叉滞后的关联。女性青春期的心理痛苦和药物使用与她们的母亲有着独特的联系。结论：研究结果表明，物质使用和心理痛苦随着时间的推移具有连续性；心理痛苦和物质使用在一段时间内的同时关系，以及最小的交叉滞后关系。研究结果还表明，青春期使用药物可能会让男孩走上一条长期的心理困扰之路，从而增加了频繁使用药物的负面后果的证据。(C)2011爱思唯尔爱尔兰有限公司。保留所有权利。
Background: Substance use and psychological problems are major public health issues because of their high prevalence, co-occurrence, clustering in socio-economically disadvantaged groups, and serious consequences. However, their interrelationship over time is not well understood.Methods: This study identifies and compares the developmental epidemiology from age 6 to 42 of substance use and psychological distress in a population of African American men and women. Data come from the Woodlawn study, a longitudinal study of an urban community cohort followed since 1966. We use structural equation modeling to examine pathways between substance use (i.e., alcohol, marijuana, and cocaine) and psychological distress over time by gender.Results: We find significant continuity from adolescence to midlife for substance use and for psychological distress, as well as significant correlations within time periods between substance use and psychological distress, particularly among women. We also find greater adolescent substance use predicts psychological distress in young adulthood for men, but no cross-lag associations for women. Women's adolescent psychological distress and substance use are linked uniquely to that of their mothers. Findings show additional gender differences in the developmental etiology of substance use and psychological distress.Conclusions: Findings demonstrate the continuity of substance use and psychological distress over time; the contemporaneous relationships between psychological distress and substance use within time periods, and minimal cross-lagged relationships. Findings also show that adolescent substance use may set boys on a pathway of long-term psychological distress, thus adding to evidence of negative consequences of frequent use. (c) 2011 Elsevier Ireland Ltd. All rights reserved.