THE NATURAL-HISTORY OF DRUG-USE FROM ADOLESCENCE TO THE MID-THIRTIES IN A GENERAL-POPULATION SAMPLE
THE NATURAL-HISTORY OF DRUG-USE FROM ADOLESCENCE TO THE MID-THIRTIES IN A GENERAL-POPULATION SAMPLE
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DOI：
10.2105/ajph.85.1.41
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发表时间：
1995-01-01
影响因子：
12.7
通讯作者：
KANDEL, DB
中科院分区：
文献类型：
--
作者：
CHEN, K;KANDEL, DB
目的：本研究旨在描述从20多岁到30多岁的个体开始吸毒、持续吸毒和停止吸毒的模式，研究范围涵盖从青春期到成年期的19年。第四波个人访谈是在34-35岁之间进行的，对象是一组男性和女性（n = 1160），代表以前在纽约州公立中学就读的青少年。对15-16岁的学生进行了学校调查，对24-25岁和28-29岁的参与者和学校缺勤者进行了个人访谈。每次随访均获得12种药物的回顾性连续病史。没有人在29岁以后开始酗酒和吸烟，也几乎没有人在29岁以后开始吸毒，而29岁是大多数人停止吸毒的年龄。新用户比例最大；服用处方精神活性药物。根据相对和绝对标准，划定了青少年以来最高使用时间。在日常使用者中，酒精和大麻的重度使用者比例下降，但香烟的比例没有下降。香烟是所有毒品中最持久的。以药物为重点的干预措施必须针对青少年和年轻人。
Objectives, This study sought to describe patterns of initiation, persistence, and Cessation in drug use in individuals from their late 20s to their mid-30s, within a broad perspective that spans 19 years from adolescence:to adulthood.Methods. A fourth wave of personal interviews was conducted at ages 34-35 with a cohort of men and women (n = 1160) representative of adolescents formerly enrolled in New York State public secondary high schools. A school survey was administered at ages 15-16, and personal interviews with participants and school absentees were conducted at: ages 24-25 and 28-29. Retrospective continuous histories of 12 drug classes were obtained at each follow-up.Results. There was no initiation into alcohol and cigarettes and hardly any initiation into illicit drugs after age 29, the age at which most use ceased. The largest proportion of new users;was observed for prescribed psychoactives. Periods of highest use since adolescence based on relative and absolute criteria were delineated. Among daily users, the proportions of heavy users declined for alcohol and marijuana but not for cigarettes.Conclusions. Cigarettes are the most persistent of any drug used. Drug-focused interventions must target adolescents and young adults.