Long-term consequences of adolescent cannabis use: Examining intermediary processes.
Long-term consequences of adolescent cannabis use: Examining intermediary processes.
复制标题
青少年大麻使用的长期后果：检查中间过程。
DOI：
10.1080/00952990.2016.1258706
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发表时间：
2017-09
期刊：
影响因子：
--
通讯作者：
Ensminger ME
中科院分区：
文献类型：
--
作者：
Green KM;Doherty EE;Ensminger ME
在美国，对大麻可接受性的认知处于历史最高水平，年轻人对大麻的风险认知较低，黑人青年的大麻吸食率正在上升。因此，增加对青少年使用大麻的长期影响的了解以及减轻不良后果的方法是势在必行的。在城市黑人人群中，确定青少年大量使用大麻的中年后果及其驱动机制。本研究分析了Woodlawn研究的倾向评分匹配的前瞻性数据，Woodlawn研究是一项对6-42岁的城市黑人青年进行的社区队列研究。在将165名重度吸食大麻的青少年与165名非重度/非重度吸食大麻的青少年在背景混杂因素上进行匹配以减少选择效应（64.5%为男性）后，我们测试了16岁时重度吸食大麻与中年社会、经济和身心健康结果的关系，以及成人吸毒轨迹（17-42岁吸食大麻、可卡因和海洛因）和辍学的能力来调节影响。青少年大量吸食大麻与贫穷和中年未婚的风险增加有关。吸食大麻还预示着中年时收入较低、焦虑情绪较高。成人药物使用轨迹和辍学显著调节社会经济效应，但不影响婚姻或焦虑情绪结果。青少年大量吸食大麻似乎使城市黑人青年长期处于不利地位，这种状况一直持续到中年。通过防止青少年大量使用大麻，长期使用大麻和其他药物，以及辍学，来中断这种长期劣势是至关重要的。
In the United States, perceptions of marijuana’s acceptability are at an all-time high, risk perceptions among youth are low, and rates are rising among Black youth. Thus, it is imperative to increase the understanding of long-term effects of adolescent marijuana use and ways to mitigate adverse consequences. To identify the midlife consequences of heavy adolescent marijuana use and the mechanisms driving effects among a Black, urban population. This study analyzed the propensity score-matched prospective data from the Woodlawn Study, a community cohort study of urban Black youth followed from ages 6–42. After matching the 165 adolescents who used marijuana heavily to 165 non-heavy/nonusers on background confounders to reduce selection effects (64.5% male), we tested the association of heavy marijuana use by age 16 with social, economic, and physical and psychological health outcomes in midlife and the ability of adult drug trajectories (marijuana, cocaine, and heroin use from ages 17–42) and school dropout to mediate effects. Heavy adolescent marijuana use was associated with an increased risk of being poor and of being unmarried in midlife. Marijuana use also predicted lower income and greater anxious mood in midlife. Both adult drug use trajectories and school dropout significantly mediated socioeconomic effects but not marital or anxious mood outcomes. Heavy adolescent marijuana use seems to set Black, urban youth on a long-term trajectory of disadvantage that persists into midlife. It is critical to interrupt this long-term disadvantage through the prevention of heavy adolescent marijuana use, long-term marijuana and other drug use, and school dropout.
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影响因子：
4
作者：
Green, Kerry M.;Ensminger, Margaret E.
通讯作者：
Ensminger, Margaret E.
影响因子：
6
作者：
Fergusson, David M.;Boden, Joseph M.
通讯作者：
Boden, Joseph M.
影响因子：
4.2
作者：
Johnson, Renee M.;Fairman, Brian;Furr-Holden, C. Debra M.
通讯作者：
Furr-Holden, C. Debra M.
影响因子：
4.4
作者：
Chen, Chuan-Yu;Storr, Carla L.;Anthony, James C.
通讯作者：
Anthony, James C.
影响因子：
4.4
作者：
Green, Kerry M.;Musci, Rashelle J.;Ialongo, Nicholas S.
通讯作者：
Ialongo, Nicholas S.