Role transitions and substance use among Hispanic emerging adults: A longitudinal study using coarsened exact matching
Role transitions and substance use among Hispanic emerging adults: A longitudinal study using coarsened exact matching
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DOI：
10.1016/j.addbeh.2016.02.032
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发表时间：
2016-07-01
影响因子：
4.4
通讯作者：
Unger, Jennifer B.
中科院分区：
文献类型：
--
作者：
Allem, Jon-Patrick;Sussman, Steve;Unger, Jennifer B.
简介：成年初期(18至25岁)的特点是人际关系、教育、工作和人生观的变化。药物使用的流行率也在这一时期达到顶峰。在新兴成年人中，拉美裔人有独特的药物使用概况，并被描述为预防药物使用的优先人群。西班牙裔美国人的横断面研究表明，特定的角色转换(例如，开始或结束浪漫关系)与物质使用有关。在成年初期，伴随着角色转换的不确定性/压力的负面影响可能会导致物质使用作为一种不适应的应对机制。为了更完整地了解这些关联，需要进行纵向研究。方法：参与者完成了对南加州拉美裔美国人物质使用情况的纵向研究项目RED的调查。这项研究使用粗略的精确匹配，以克服先前研究的方法论局限性。参与者在治疗前变量上进行了匹配，包括年龄、性别、高中期间的药物使用行为和抑郁症状。过去一个月的吸烟、酗酒、大麻使用和硬毒品使用都是令人感兴趣的结果。结果：恋爱和工作中的角色转换与多种药物使用呈正相关。结论：预防项目应该教会初出茅庐的成年人如何应对角色转换带来的压力。个人角色转换可用于筛查新出现的成年人中使用药物的高风险亚群。(C)2015爱思唯尔有限公司。保留所有权利。
Introduction: Emerging adulthood (ages 18 to 25) is characterized by changes in relationships, education, work, and viewpoints on life. The prevalence of substance use also peaks during this period. Among emerging adults, Hispanics have a unique substance use profile, and have been described as a priority population for substance use prevention. Cross-sectional studies among Hispanics have shown that specific role transitions (e.g., starting or ending romantic relationships) were associated with substance use. Negative affect from uncertainty/stress that accompanies role transitions in emerging adulthood may lead to substance use as a maladaptive coping mechanism. Longitudinal studies are needed to gain a more complete understanding of these associations.Methods: Participants completed surveys for Project RED, a longitudinal study of substance use among Hispanics in Southern California. This study used Coarsened Exact Matching to overcome the methodological limitations of previous studies. Participants were matched on pretreatment variables including age, gender, substance use behavior in high school, and depressive symptoms. Past-month cigarette use, binge drinking, marijuana use, and hard drug use were the outcomes of interest. After matching, each outcome was regressed on each individual role transition in year one of emerging adulthood with this process repeated in year two of emerging adulthood.Results: Role transitions in romance and work were positively associated with multiple categories of substance use.Conclusions: Prevention programs should teach emerging adults ways to cope with the stress from role transitions. Individual role transitions may be used to screen for subgroups of emerging adults at high risk for substance use. (C) 2015 Elsevier Ltd. All rights reserved.