ADOLESCENTS MULTISUBSTANCE USE PATTERNS - THE ROLE OF HEAVY ALCOHOL AND CIGARETTE USE
ADOLESCENTS MULTISUBSTANCE USE PATTERNS - THE ROLE OF HEAVY ALCOHOL AND CIGARETTE USE
复制标题
DOI：
10.2105/ajph.82.9.1220
复制
发表时间：
1992-09-01
影响因子：
12.7
通讯作者：
BAILEY, SL
中科院分区：
文献类型：
--
作者：
BAILEY, SL
目标.尽管研究表明，青少年物质使用者通常是多种物质使用者，而且酒精和香烟通常被那些使用非法物质的人大量使用，但缺乏关于大量饮酒和吸烟在青少年同时使用物质模式中所起作用的知识。在一个队列的4192名中学生进行了调查，在4年的时间里，三次增加使用和大量的第一次使用酒精和香烟的多物质使用模式的作用进行了研究。当随后的使用模式进行比较的学生谁增加了他们的酒精或香烟的使用水平和那些谁开始使用的第一次，但在沉重的频率，分析表明，前一组更有可能开始随后使用其他物质，并保持和增加使用已经启动。这些结果表明，青少年很可能已经参与了合法的物质使用的历史，其特点是使用水平的增加，然后才进展到并保持使用其他物质。因此，酒精和香烟使用频率的增加可能是更严重的物质使用模式的标志。
Objectives. Knowledge about the roles that heavy alcohol and cigarette use play in patterns of concurrent substance use among adolescents is lacking despite studies showing that adolescent substance users are typically multisubstance users and that alcohol and cigarettes are commonly used heavily by those who use illicit substances.Methods. The roles of increasing use and heavy first-time use of alcohol and cigarettes in multisubstance use patterns were examined in a cohort of 4192 secondary students who were surveyed three times over a 4-year period.Results. When subsequent use patterns were compared for students who increased their levels of alcohol or cigarette use and those who initiated use for the first time but at heavy frequencies, analysis indicated that the former group was more likely to initiate the subsequent use of other substances and to maintain and increase use already initiated.Conclusions. These results suggest that adolescents are likely to have been involved in a history of licit substance use characterized by increasing levels of use before progressing to and maintaining the use of other substances. Increasing frequencies of alcohol and cigarette use, therefore, may be markers for more serious patterns of substance use.