Comorbid Trajectories of Tobacco and Marijuana Use as Related to Psychological Outcomes
Comorbid Trajectories of Tobacco and Marijuana Use as Related to Psychological Outcomes
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DOI：
10.1080/08897077.2011.640202
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发表时间：
2012-01-01
期刊：
影响因子：
3.5
通讯作者：
Finch, Stephen J.
中科院分区：
文献类型：
--
作者：
Brook, Judith S.;Lee, Jung Yeon;Finch, Stephen J.
研究了烟草和大麻使用的共病轨迹的异质类，以确定它们与随后的反社会行为，自我控制不良和内化行为的关系。数据来自一项4波纵向研究，研究对象为社区中的非裔美国人（n = 243）和波多黎各人（n = 232）青少年和成人。采用逻辑回归分析来衡量烟草和大麻使用的共病轨迹与心理困难变量之间的关联。作者发现了6个关节轨迹组。作者将非或实验性烟草/大麻使用组与其他用户组在每个心理困难领域进行了比较。在反社会行为、自我控制能力差和内化问题领域，不经常使用烟草/晚发型大麻和长期使用烟草/大麻的群体与非或实验性使用烟草/大麻的群体差异最大。慢性烟草/成熟大麻使用组在这些领域中的每一个领域也有显着的关联。不经常使用烟草/大麻和迟发性烟草/不经常使用大麻组与心理结果没有或弱相关。烟草和大麻戒烟计划应该识别和解决烟草和大麻的共病使用，反社会行为，自我控制能力差，以及内化问题，这些问题与这两种物质的共病使用史有关。
Heterogeneous classes of comorbid trajectories of tobacco and marijuana use were examined in order to determine how they are related to subsequent antisocial behavior, poor self-control, and internalizing behavior. Data are from a 4-wave longitudinal study of African American (n = 243) and Puerto Rican (n = 232) adolescents and adults in the community. Logistic regression analyses were employed to measure the association between the comorbid trajectories of tobacco and marijuana use and the psychological difficulty variables. The authors found 6 joint trajectory groups. The authors compared the non-or-experimental tobacco/marijuana use group with the other user groups in each of the psychological difficulty domains. The infrequent tobacco/late-onset marijuana use and chronic tobacco/marijuana use groups differed most strongly from the non-or-experimental tobacco/marijuana use group across the antisocial behavior, poor self-control, and internalizing problems domains. The chronic tobacco/maturing out marijuana use group also had significant associations in each of these domains. The infrequent tobacco/marijuana use and late-onset tobacco/infrequent marijuana use groups had no or weak associations with the psychological outcomes. Tobacco and marijuana cessation programs should identify and address comorbid use of tobacco and marijuana, and antisocial behavior, poor self-control, and internalizing problems, which are associated with histories of comorbid use of the 2 substances.