Predictors and consequences of simultaneous alcohol and cannabis use in adolescents
Predictors and consequences of simultaneous alcohol and cannabis use in adolescents
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DOI：
10.1016/j.addbeh.2011.02.012
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发表时间：
2011-07-01
影响因子：
4.4
通讯作者：
Janosz, M.
中科院分区：
文献类型：
--
作者：
Briere, F. N.;Fallu, J. -S.;Janosz, M.
背景/目的：同时使用酒精和大麻在青少年中很常见，但很少进行研究。在这项研究中，我们在以人口为基础的高中生样本中检查了这种行为的预测因素和后果。方法：从魁北克（加拿大）的学生中获得自我报告，随访整个高中阶段（N = 6589）。使用逻辑回归来检验7-8年级的个人、家庭和同伴相关预测因子与10年级同时使用酒精和大麻之间的关联，以及10年级同时使用酒精和大麻与11年级经历3种或更多不同类型的物质相关问题（法律、身体等）之间的关联。结果：7-8年级的大多数预测因子与10年级同时使用酒精和大麻有关。在多变量模型中，只有反映早发性物质使用的变量包括酒精中毒、大麻使用和亲密朋友使用药物仍然具有预测性。同时使用酒精和大麻与11年级的药物相关问题增加有关，超出了基线问题，并且在10年级的不同时期同时使用这两种物质。结论：同时使用酒精和大麻1)是由多个社会心理风险因素预测的，这些因素与高中早期的个人和同伴物质使用一起出现；2)是随后物质相关问题的独立预测因素。向青少年提供有关同时使用毒品的潜在危害的充分信息可能是一种有用的预防策略。(C) 2011 Elsevier Ltd.版权所有。
Background/Aims: The simultaneous use of alcohol and cannabis is common among adolescents, but has been little studied. In this study, we examine predictors and consequences of this behavior in a population-based sample of high school students.Method: Self-reports were obtained from students in Quebec (Canada) followed throughout high school (N = 6589). Logistic regressions were used to test the association between individual, family, and peer-related predictors in grades 7-8 and simultaneous alcohol and cannabis use in grade 10, as well as between simultaneous alcohol and cannabis use in grade 10 and experiencing 3 or more substance-related problems of various types (legal, physical, etc.) in grade 11.Results: Most predictors in grades 7-8 were associated with simultaneous alcohol and cannabis use in grade 10. Only variables reflecting early-onset substance use involvement alcohol intoxication, cannabis use, and drug use by close friend(s) remained predictive in a multivariate model. Simultaneous alcohol and cannabis use was associated with increased substance-related problems in grade 11, above and beyond baseline problems and the concurrent use of the two substances in separate episodes in grade 10.Conclusions: Simultaneous alcohol and cannabis use 1) is anticipated by multiple psychosocial risk factors which come together with individual and peer substance use in early high school and 2) is independently predictive of subsequent substance-related problems. Providing adolescents with adequate information regarding the potential harm of simultaneous use may be a useful prevention strategy. (C) 2011 Elsevier Ltd. All rights reserved.