Conjoint adolescent developmental trajectories of alcohol and marijuana use and early adult outcomes among North American Indigenous people.

Conjoint adolescent developmental trajectories of alcohol and marijuana use and early adult outcomes among North American Indigenous people.
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DOI:
10.1016/j.addbeh.2020.106758
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发表时间:
2021-03
影响因子:
4.4
通讯作者:
Walls ML
Walls ML
中科院分区:
医学2区
文献类型:
--
作者:
Sittner KJ;Hautala DS;Walls ML

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目前的研究检查了北美土著青少年样本中10至18岁酒精和大麻使用轨迹之间的发展相互关系。形成了不同的共同使用小组,以创建年轻成人的结果。双组为基础的轨迹模型的大麻和酒精的频率进行了估计,使用的数据从纵向社区为基础的参与性研究土著青少年从上中西部和加拿大。使用联合概率创建共同使用组,并使用早期成人(平均年龄-26.28岁)结局创建概况。确定了四个联合轨迹组:1)不使用大麻和无/低酒精使用(34.4%),2)仅中期发作酒精(14%),3)从13岁开始的中期发作共同使用(24%),以及4)从11岁开始的早发性共同使用(22%)。如果青少年在很小的时候就开始喝酒,那么他们很可能会在很早的时候就使用大麻,如果他们不经常喝酒或推迟到青春期中期才喝酒,那么青少年就不会使用大麻。早期和中期发作的合并使用组的成人结局较差,但无/低使用组和仅酒精组之间几乎没有差异。大麻和酒精的共同使用与成年早期的不良后果有关,特别是对于发病年龄较早的群体。在青春期戒除任何一种物质都与更好的结果有关。
The current study examined the developmental interrelationships between alcohol and marijuana use trajectories from ages 10 to 18 years in a sample of North American Indigenous adolescents. Distinct co-use groups were formed to create profiles of young adult outcomes. Dual group-based trajectory models of marijuana and alcohol frequency were estimated using data from a longitudinal community-based participatory study of Indigenous adolescents from the upper Midwest and Canada. Joint probabilities were used to create co-use groups, and profiles were created using early adult (Mean Age – 26.28 years) outcomes. Four joint trajectory groups were identified: 1) no marijuana and no/low alcohol use (34.4%), 2) mid-onset alcohol only (14%), 3) mid-onset co-use starting at age 13 (24%), and 4) early-onset co-use starting at age 11 (22%). High probabilities existed that adolescents would use marijuana early if they began drinking alcohol at the youngest ages, and that adolescents would not use marijuana if they drank infrequently or delayed drinking until mid-adolescence. Adult outcomes were poorer for the early- and mid-onset co-use groups, but there were few differences between the no/low use and alcohol-only groups. Co-use of marijuana and alcohol was associated with poorer outcomes in early adulthood, particularly for the group with an earlier age of onset. Abstaining from either substance in adolescence was associated with better outcomes.
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