Continuities in maternal substance use from early adolescence to parenthood: findings from the intergenerational cohort consortium

Abstract Background This study assessed the extent to which women's preconception binge drinking, tobacco use and cannabis use, reported prospectively in adolescence and young adulthood, predicted use of these substances during pregnancy and at 1 year postpartum. Methods Data were pooled from two intergenerational cohort studies: the Australian Temperament Project Generation 3 Study (395 mothers, 691 pregnancies) and the Victorian Intergenerational Health Cohort Study (398 mothers, 609 pregnancies). Alcohol, tobacco and cannabis use were assessed in adolescence (13–18 years), young adulthood (19–29 years) and at ages 29–35 years for those transitioning to parenthood. Exposures were weekly or more frequent preconception binge drinking (5 + drinks in one session), tobacco use and cannabis use. Outcomes were any alcohol, tobacco and cannabis use prior to awareness of the pregnancy, after awareness of pregnancy (up to and including the third trimester pregnancy) and at 1 year postpartum. Results Frequent preconception binge drinking, tobacco use and cannabis use across both adolescence and young adulthood were strong predictors of continued use post-conception, before and after awareness of the pregnancy and at 1 year postpartum. Substance use limited to young adulthood also predicted continued use post-conception. Conclusions Persistent alcohol, tobacco use and cannabis use that starts in adolescence has a strong continuity into parenthood. Reducing substance use in the perinatal period requires action well before pregnancy, commencing in adolescence and continuing into the years before conception and throughout the perinatal period.

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Adult Gambling Problems and Histories of Mental Health and Substance Use: Findings from a Prospective Multi-Wave Australian Cohort Study

Journal of Clinical Medicine ◽

10.3390/jcm10071406 ◽

2021 ◽

Vol 10 (7) ◽

pp. 1406

Author(s):

Stephanie S. Merkouris ◽

Christopher J. Greenwood ◽

George J. Youssef ◽

Primrose Letcher ◽

Suzanne Vassallo ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Young Adult ◽

Binge Drinking ◽

Young Adulthood ◽

Tobacco Use ◽

Adolescent And Young Adult ◽

Gambling Problems ◽

Mental Health Symptoms ◽

Health Symptoms

Little is known about the cumulative effect of adolescent and young adult mental health difficulties and substance use problems on gambling behaviour in adulthood. We use data from one of Australia’s longest running studies of social and emotional development to examine the extent to which: (1) mental health symptoms (depressive and anxiety symptoms) and substance use (weekly binge drinking, tobacco, and cannabis use) from adolescence (13–18 years) into young adulthood (19–28 years) predict gambling problems in adulthood (31–32 years); and (2) risk relationships differ by sex. Analyses were based on responses from 1365 adolescent and young adult participants, spanning seven waves of data collection (1998–2014). Persistent adolescent to young adult binge drinking, tobacco use and cannabis use predicted gambling at age 31–32 years (OR = 2.30–3.42). Binge drinking and tobacco use in young adulthood also predicted gambling at age 31–32 years (OR = 2.04–2.54). Prior mental health symptoms were not associated with gambling and no risk relationships differed by sex. Findings suggest that gambling problems in adulthood may be related to the earlier development of other addictive behaviours, and that interventions targeting substance use from adolescence to young adulthood may confer additional gains in preventing later gambling behaviours.

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Testing the dual pathway hypothesis to substance use in adolescence and young adulthood

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2006.08.001 ◽

2007 ◽

Vol 87 (1) ◽

pp. 83-93 ◽

Cited By ~ 54

Author(s):

Lisa C. Dierker ◽

Faiza Vesel ◽

Eve M. Sledjeski ◽

Darce Costello ◽

Nicholas Perrine

Keyword(s):

Substance Use ◽

Young Adulthood ◽

Dual Pathway ◽

Adolescence And Young Adulthood

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Inclusion of Cannabis Users in Alcohol Research Samples: Screening In, Screening Out, and Implications

Alcohol and Alcoholism ◽

10.1093/alcalc/agaa023 ◽

2020 ◽

Vol 55 (4) ◽

pp. 416-423

Author(s):

Alexandra Venegas ◽

Lindsay R Meredith ◽

Ziva D Cooper ◽

Brandon Towns ◽

Lara A Ray

Keyword(s):

Alcohol Use ◽

Binge Drinking ◽

Tobacco Use ◽

Alcohol Use Disorder ◽

Cannabis Use ◽

Clinical Severity ◽

Treatment Seeking ◽

Higher Alcohol ◽

The Past ◽

Heavy Drinkers

Abstract Background Alcohol and cannabis are frequently co-used, as 20–50% of those who drink alcohol report co-using cannabis. This study is based on the argument that alcohol researchers should enroll cannabis users in human laboratory studies of alcohol use disorder (AUD) to strengthen generalizability. This study examines how heavy drinking cannabis users differ from non-cannabis using heavy drinkers. Methods In a community sample of non-treatment-seeking heavy drinkers (n = 551, 35% female), cannabis users were identified through: (a) self-reported cannabis use in the past 6 months and (b) positive urine toxicology test for tetrahydrocannabinol (THC). Cannabis users, identified as described previously, were compared with non-cannabis users on demographic and clinical characteristics. Results Those who endorsed cannabis use in the past 6 months reported more binge drinking days. Participants who tested positive for THC had higher Alcohol Use Disorder Identification Test scores and more binge drinking days. Younger age and being a tobacco smoker were associated with an increased likelihood of cannabis use in the past 6 months, whereas male gender and being a tobacco use were associated with a greater likelihood of testing positive for THC. Individuals with cannabis use disorder (CUD) endorsed more depression and anxiety and had higher AUD symptom counts than cannabis users without CUD. Conclusions The inclusion of cannabis users in AUD samples allows for increased clinical severity. Excluding cannabis users from AUD studies may limit representativeness and expend unnecessary study resources. Lastly, tobacco use may explain a large portion of the effects of cannabis use on sample characteristics. Short Summary Alcohol and cannabis are frequently co-used substances. In a sample of non-treatment-seeking heavy drinkers (n = 551, 35% female), cannabis users reported higher alcohol use and higher likelihood of tobacco use than non-cannabis users. Including cannabis users in alcohol research studies will improve representativeness and likely increase clinical severity.

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Addressing Substance Use in Childhood, Adolescence, and Young Adulthood

Treating Adolescent Substance Use ◽

10.1007/978-3-030-01893-1_9 ◽

2019 ◽

pp. 105-114

Author(s):

Ann Bruner ◽

Marc Fishman

Keyword(s):

Substance Use ◽

Young Adulthood ◽

Adolescence And Young Adulthood

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Substance use, affective symptoms, and suicidal ideation among Russian, Somali, and Kurdish migrants in Finland

Transcultural Psychiatry ◽

10.1177/1363461520906028 ◽

2020 ◽

pp. 136346152090602

Author(s):

Essi Salama ◽

Anu E. Castaneda ◽

Jaana Suvisaari ◽

Shadia Rask ◽

Tiina Laatikainen ◽

...

Keyword(s):

Substance Use ◽

Suicidal Ideation ◽

General Population ◽

Binge Drinking ◽

Migrant Health ◽

Cannabis Use ◽

Daily Smoking ◽

Related Factors ◽

Cross Sectional ◽

Affective Symptoms

Comorbidity of substance use with affective symptoms and suicidality has been well documented in the general population. However, population-based migrant studies about this association are scarce. We examined the association of affective symptoms and suicidal ideation with binge drinking, daily smoking, and lifetime cannabis use among Russian, Somali, and Kurdish migrants in comparison with the Finnish general population. Cross-sectional data from the Finnish Migrant Health and Wellbeing Study (Maamu, n = 1307) and comparison group data of the general Finnish population ( n = 860) from the Health 2011 Survey were used. Substance use included self-reported current binge drinking, daily smoking, and lifetime cannabis use. Affective symptoms and suicidal ideation were measured using the Hopkins Symptom Checklist-25 (HSCL-25). We performed multivariate logistic regression analyses, including age, gender, and additional socio-demographic and migration-related factors. Suicidal ideation (OR 2.4 95% CI 1.3–4.3) was associated with binge drinking among Kurds and lifetime cannabis use among Russians (OR 5.6, 95% CI 1.9–17.0) and Kurds (OR 5.5, 95% CI 1.9–15.6). Affective symptoms were associated with daily smoking (OR 1.6, 95% CI 1.02–2.6) and lifetime cannabis use (OR 6.1, 95% CI 2.6–14.5) among Kurdish migrants. Our results draw attention to the co-occurrence of suicidal ideation, affective symptoms, and substance use, especially among Kurdish migrants. These results highlight the variation of comorbidity of substance use and affective symptoms between the different populations. This implies that screening for substance use in mental healthcare cannot be neglected based on presumed habits of substance use.

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Electroencephalographic signatures of the binge drinking pattern during adolescence and young adulthood: a PRISMA-driven systematic review

NeuroImage Clinical ◽

10.1016/j.nicl.2020.102537 ◽

2020 ◽

pp. 102537

Author(s):

Natália Antunes ◽

Alberto Crego ◽

Carina Carbia ◽

Sónia S. Sousa ◽

Rui Rodrigues ◽

...

Keyword(s):

Systematic Review ◽

Binge Drinking ◽

Young Adulthood ◽

Drinking Pattern ◽

Adolescence And Young Adulthood

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Spry_VIHCS Study design_Preprint

10.31234/osf.io/7bfjh ◽

2020 ◽

Author(s):

Liz Spry

Keyword(s):

Mental Health ◽

Substance Use ◽

Cohort Study ◽

Young Adulthood ◽

Common Mental Disorder ◽

Parental Mental Health ◽

School Students ◽

Socioeconomic Characteristics ◽

Adolescence And Young Adulthood ◽

One Year

Background: There is increasing evidence that parental determinants of offspring early life development begin well before pregnancy. Objectives: We established the Victorian Intergenerational Health Cohort Study (VIHCS) to examine the contributions of parental mental health, substance use and socioeconomic characteristics before pregnancy to child emotional, physical, social, and cognitive development. Population: Men and women were recruited from the Victorian Adolescent Health Cohort (VAHCS), an existing cohort study beginning in 1992 that assessed a representative sample of 1943 secondary school students in Victoria, Australia, repeatedly from adolescence (Wave 1, mean age 14 years) to adulthood (Wave 10, mean age 35 years). Methods: VAHCS participants with children born between 2006 and 2013 were recruited to VIHCS, and invited to participate during trimester three, at 2 months postpartum, and one year postpartum. Parental mental health, substance use and socioeconomic characteristics were assessed repeatedly throughout; infant characteristics were assessed postnatally and in infancy. Data will be supplemented by linkage to routine datasets. A further follow-up is underway as children reach eight years of age.Preliminary results: Of the 1307 infants born to VAHCS participants between 2006 and 2013, 1030 were recruited to VIHCS. At VIHCS study entry, 18% of recruited parents had preconception common mental disorder in adolescence and young adulthood, 18% smoked daily in adolescence and young adulthood, and 6% had not completed high school. Half of VIHCS infants were female (48%), 4% were from multiple births, and 7% were preterm (<37 weeks gestation). Conclusions: VIHCS is a prospective cohort of 1030 children with up to nine waves of preconception parental data, and three waves of perinatal parental and infant data. These will allow examination of continuities of parental health and health risks from the decades before pregnancy to offspring childhood, and the contributions of exposures before pregnancy to offspring outcomes in childhood.

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Does substance use play a role in gender differences in residential independence and returns to the parental home?

Longitudinal and Life Course Studies ◽

10.1332/175795921x16385639148370 ◽

2022 ◽

Author(s):

Cody Warner ◽

Emily Cady

Keyword(s):

Gender Differences ◽

At Risk ◽

Substance Use ◽

Young Adults ◽

Young Adulthood ◽

Adolescent Females ◽

Parental Home ◽

The Past ◽

Adolescence And Young Adulthood ◽

Home Leaving

Young adults are co-residing with their parents at higher rates now than in the past, and recent research has explored the correlates of both leaving and subsequently returning to the parental home. Of relevance here, females tend to leave home earlier than their male counterparts, and research finds that drinking and drug use are also linked to residential transitions. This research note explores if substance use during adolescence and young adulthood plays a role in gender differences in home-leaving and home-returning. We find that marijuana use plays a role in both home-leaving and home-returning, with adolescent females who use marijuana the most at risk for early exits from home, and marijuana using males the most at risk for home-returning.

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