Changes in gender and racial/ethnic disparities in rates of cigarette use, regular heavy episodic drinking, and marijuana use: Ages 14 to 32

Changes in gender and racial/ethnic disparities in rates of cigarette use, regular heavy episodic drinking, and marijuana use: Ages 14 to 32
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DOI:
10.1016/j.addbeh.2014.10.029
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发表时间:
2015-02-01
影响因子:
4.4
通讯作者:
Lanza, Stephanie T.
Lanza, Stephanie T.
中科院分区:
医学2区
文献类型:
--
作者:
Evans-Polce, Rebecca J.;Vasilenko, Sara A.;Lanza, Stephanie T.

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工作背景:本研究的目的是调查从青春期中期到青年期的物质使用行为在性别和种族/民族之间的差异,作为年龄的灵活函数。方法:使用来自国家青少年健康纵向研究的数据,使用时变效应模型(TVEM)来检查吸烟、定期重度间歇性饮酒(HED)、和大麻的使用作为一个平滑的功能的发展age.Results:吸烟的患病率,定期HED,大麻的使用是男性高于女性的整体,虽然性别差异随年龄而变化。就种族而言,白色人每种物质的流行率高于西班牙裔或黑人;这些差异从16岁到20岁大大增加,特别是吸烟。不同年龄的种族/民族的香烟使用的差异,但最大的年龄在18岁时,香烟使用的峰值为白色个人,但继续攀升,在整个20年代之间的西班牙裔和黑人individuals.Conclusions:这些结果表明,物质的使用,特别是对某些人口亚组,增加过去的青春期早期。物质使用行为的差异在整个青春期和青年期波动很大,这表明有针对性的干预计划在特定年龄段更重要。这些研究结果还表明,TVEM可以促进我们对健康风险行为及其在整个发育过程中的相关性的理解。(C)2014爱思唯尔有限公司版权所有。
Background: The purpose of this study is to investigate disparities in substance use behaviors across gender and race/ethnicity as a flexible function of age from mid-adolescence through young adulthood.Methods: Using data from the National Longitudinal Study of Adolescent Health, the time-varying effect model (TVEM) was used to examine gender and racial/ethnic differences in the prevalence of cigarette use, regular heavy episodic drinking (HED), and marijuana use as a smooth function of developmental age.Results: Prevalence of cigarette use, regular HED, and marijuana use was higher for males than females overall, although gender differences varied with age. With regard to race, prevalence of each substance was higher for White than Hispanic or Black individuals; these differences increased considerably from ages 16 to 20, particularly for cigarette use. Differences in cigarette use by race/ethnicity were found across age, but were largest at age 18, when cigarette use peaks for White individuals, but continues to climb throughout the 20s among Hispanic and Black individuals.Conclusions: These results suggest that substance use, particularly for certain population subgroups, increases past early adolescence. Disparities in substance use behaviors fluctuate considerably throughout adolescence and young adulthood, suggesting that targeted intervention programs are more critical at particular ages. These findings also demonstrate that TVEM can advance our understanding of health risk behaviors and their correlates across developmental time. (C) 2014 Elsevier Ltd. All rights reserved.