Outcomes associated with adolescent marijuana and alcohol use among urban young adults: A prospective study
Outcomes associated with adolescent marijuana and alcohol use among urban young adults: A prospective study
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DOI：
10.1016/j.addbeh.2015.10.014
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发表时间：
2016-02-01
影响因子：
4.4
通讯作者：
Ialongo, Nicholas S.
中科院分区：
文献类型：
--
作者：
Green, Kerry M.;Musci, Rashelle J.;Ialongo, Nicholas S.
目的：本研究确定并比较了城市青年在青少年时期酒精和大麻使用的纵向模式与青年成年期相关的结果。方法：数据来自678个城市队列，主要是6-25岁的黑人儿童（1993-2012）。分析基于608名长期参与的儿童（53.6%为男性）。酒精和大麻使用的纵向模式基于8-12年级的年度频率报告，并通过潜在剖面分析进行估计。结果：我们鉴定出四类。酒精和大麻的使用，包括不使用（47%）、适度饮酒（28%）、适度饮酒/增加大麻使用（12%）和高度双重使用（13%）。一个只吸食大麻的班级没有被确定。分析表明，这三种青少年药物使用类别与成年期的负面结果有关。与不吸毒的人相比，所有吸毒的人都有更高的物质依赖率。“高双重用途”班级的高中毕业率最低。与酒精含量相似但吸食大麻方式不同的班级相比，“适度饮酒/吸食大麻增多”的班级有刑事司法记录和成年后药物使用依赖的风险在统计上显著增加。结论：在城市青年中，整个青春期酒精和大麻使用的异质性模式是明显的，这些模式与成年期不同的结果相关。这些发现表明，需要有针对性的教育和干预工作，以解决青少年使用大麻和酒精的需求，以及普遍的早期预防干预工作的重要性。(C) 2015 Elsevier Ltd.版权所有。
Objective: This study identifies and compares outcomes in young adulthood associated with longitudinal patterns of alcohol and marijuana use during adolescence among urban youth.Method: Data come from a cohort of 678 urban, predominantly Black children followed from ages 6-25 (1993-2012). Analyses are based on the 608 children who participated over time (53.6% male). Longitudinal patterning of alcohol and marijuana use were based on annual frequency reports from grades 8-12 and estimated through latent profile analysis.Results: We identified four classes of. alcohol and marijuana use including Non-Use (47%), Moderate Alcohol Use (28%), Moderate Alcohol/Increasing Marijuana Use (12%) and High Dual Use (13%). A marijuana only class was not identified. Analyses show negative outcomes in adulthood associated with all three adolescent substance use classes. Compared to the non-use class, all use classes had statistically significantly higher rates of substance dependence. Those in the 'High Dual Use' class had the lowest rate of high school graduation. Comparing classes with similar alcohol but different marijuana patterns, the 'Moderate Alcohol/Increasing Marijuana Use' class had a statistically significant increased risk of having a criminal justice record and developing substance use dependence in adulthood.Conclusion: Among urban youth, heterogeneous patterns of alcohol and marijuana use across adolescence are evident, and these patterns are associated with distinct outcomes in adulthood. These findings suggest a need for targeted education and intervention efforts to address the needs of youth using both marijuana and alcohol, as well as the importance of universal early preventive intervention efforts. (C) 2015 Elsevier Ltd. All rights reserved.