Substance use Trajectories from Early Adolescence to Emerging Adulthood: A Comparison of Smoking, Binge Drinking, and Marijuana use

2005 ◽  
Vol 35 (2) ◽  
pp. 307-332 ◽  
Author(s):  
Joan S. Tucker ◽  
Phyllis L. Ellickson ◽  
Maria Orlando ◽  
Steven C. Martino ◽  
David J. Klein

Over the past several years, there has been growing interest in identifying distinct developmental trajectories of substance use. Using data from the RAND Adolescent/Young Adult Panel Study (N = 6,527), we synthesize our prior findings on patterns of smoking, binge drinking, and marijuana use from early adolescence (age 13) to emerging adulthood (age 23). We also present new data on how these trajectory classes compare on key psychosocial and behavioral outcomes during emerging adulthood. For each type of substance use, we found two periods of vulnerability: early adolescence and the transition to emerging adulthood. As expected, early users were at relatively high risk for poor outcomes at age 23 compared to consistent low-level users and abstainers, even if they reduced their use during adolescence. However, youths who were not early users, but steadily increased their use over time, also tended to be at relatively high risk. Results suggest that multiple prevention approaches might be needed to successfully reach at-risk youths.

2016 ◽  
Vol 40 (4) ◽  
pp. 401-408 ◽  
Author(s):  
Jon-Patrick Allem ◽  
Steve Sussman ◽  
Jennifer B. Unger

Transition-to-adulthood themes, or thoughts and feelings about emerging adulthood, have been measured by the Inventory of the Dimensions of Emerging Adulthood (IDEA) and found to be associated with substance use among emerging adults. It has been suggested, however, that the IDEA is lengthy and may not include the most unique and theoretically relevant constructs of emerging adulthood. The Revised Inventory of the Dimensions of Emerging Adulthood (IDEA-R) was developed as an alternative instrument, but research has yet to determine the relationship between the IDEA-R and substance use among emerging adults (ages 18–25 years). College students completed surveys indicating their identification with transition-to-adulthood themes and substance use. Logistic regression models examined the associations between transition-to-adulthood themes and marijuana use and binge drinking, respectively. Participants who felt emerging adulthood was a time of identity exploration were less likely to report marijuana use, while feelings of experimentation/possibility were positively associated with marijuana use and binge drinking. The IDEA-R may be useful for identifying correlates of substance use among emerging adults. Future research should evaluate the IDEA-R among representative samples of emerging adults to confirm the findings of this study. Health professionals working in substance use prevention may consider targeting the themes of identity exploration and experimentation/possibility in programs intended for emerging adults.


2014 ◽  
Vol 27 (1) ◽  
pp. 253-277 ◽  
Author(s):  
Sarah E. Nelson ◽  
Mark J. Van Ryzin ◽  
Thomas J. Dishion

AbstractSubstance use trajectories were examined from early adolescence to young adulthood among a diverse sample of 998 youths. Analysis of longitudinal data from ages 12 to 24 identified distinct trajectories for alcohol, marijuana, and tobacco use. Modeling revealed 8 alcohol, 7 marijuana, and 6 tobacco use trajectories. Analyses assessed risk for substance use problems in early adulthood within each trajectory, as well as overlap among alcohol, marijuana, and tobacco use trajectories. Findings confirmed that adolescents with early- and rapid-onset trajectories are particularly vulnerable to the development of problematic substance use in early adulthood. However, analyses also identified an escalating high school onset trajectory for alcohol and for marijuana use that was equally prognostic of problem use in adulthood. Moreover, tobacco use in early adolescence was associated with developing high-risk marijuana and alcohol use patterns. Random assignment to the Family Check-Up intervention was found to reduce risk for membership in the high-risk marijuana use trajectories, suggesting that family-based approaches delivered during adolescence can prevent escalations to problematic substance use. These findings suggest the importance of developmental heterogeneity and equifinality in considering prevention for alcohol and drug use.


2004 ◽  
Vol 19 (5) ◽  
pp. 521-540 ◽  
Author(s):  
Steven C. Martino ◽  
Rebecca L. Collins ◽  
Phyllis L. Ellickson

Using data from 2,170 individuals who participated in Waves 8 (age 23) and 9 (age 29) of a multiyear panel study, this study examined whether alcohol and marijuana use in young adulthood increase one’s risk for experiencing subsequent sexual or physical assault victimization, whether victims’ own violent behavior or involvement in the sale of drugs explain any effects of substance use on victimization, and whether these associations differ by gender. Controlling for prior victimization, we found that marijuana use, but not alcohol use, predicted women’s and men’s subsequent sexual victimization and men’s subsequent physical assault victimization, and that heavy alcohol use, but not marijuana use, predicted women’s subsequent physical assault victimization. Whereas the links from marijuana use to victimization were explained by users’ own violent behavior, the link from alcohol use to women’s physical assault victimization was not.


2014 ◽  
Vol 33 (3) ◽  
pp. 1-15 ◽  
Author(s):  
Danielle Quigley ◽  
Stefania Maggi

This research uses a longitudinal design to examine aggression and prosocial behaviour as early predictors of substance use behaviours in emerging adulthood. Using data from the National Longitudinal Survey of Children and Youth (NLSCY), self- and maternal reports of early engagement in relationally and physically aggressive behaviours and prosocial behaviours are examined as predictors of cigarette smoking, marijuana use, and alcohol use in emerging adulthood. Using multinomial regression analyses we found that maternal reports of relational aggression significantly predicted daily smoking whereas self-reports did not. Maternal reports of relational and physical aggression did not predict alcohol use and marijuana use; however, self-reports of relational aggression and prosocial behaviour predicted weekly marijuana use in this representative Canadian sample.


2019 ◽  
Vol 63 (4) ◽  
pp. 225-242 ◽  
Author(s):  
Anneliese C. Bolland ◽  
Kevin D. Besnoy ◽  
Sara Tomek ◽  
John M. Bolland

Although there is much research on adolescent poverty, research related to youth living in communities characterized by extreme poverty who are also identified as academically gifted is lacking. This study explores the development of hopelessness in these youths, compared with peers not identified as gifted, using data from the Mobile Youth and Poverty Study. Specifically, trajectories of hopelessness as a function of gifted status and gender are explored. Results indicate that boys experience greater feelings of hopelessness than girls, regardless of their gifted status, and students identified as gifted have lower levels of hopelessness than their peers not identified as gifted. These latter differences are particularly pronounced during early adolescence (age 10 years) but decline over time and largely disappear by later adolescence (age 18 years). Results suggest that boys may be particularly vulnerable to declining effects of gifted classification as a protector against hopelessness across age and that disadvantaged students who are identified as gifted may benefit from gifted programs that continue at an intense level through their high school years.


2015 ◽  
Vol 9s1 ◽  
pp. SART.S22441 ◽  
Author(s):  
Julie Maslowsky ◽  
John Schulenberg ◽  
Lisa M. Chiodo ◽  
John H. Hannigan ◽  
Mark K. Greenwald ◽  
...  

African-American adolescents experience disproportionate rates of negative consequences of substance use despite using substances at average or below-average rates. Due to underrepresentation of African-American adolescents in etiological literature, risk and protective processes associated with their substance use require further study. This study examines the role of parental support in adolescents’ conduct problems (CPs), depressive symptoms (DSs), and alcohol and marijuana use in a national sample and a high-risk sample of African-American adolescents. In both samples, parental support was inversely related to adolescent CPs, DSs, and alcohol and marijuana use. CPs, but not DSs, partially mediated the relation of parental support to substance use. Results were consistent across the national and high-risk samples, suggesting that the protective effect of parental support applies to African-American adolescents from a range of demographic backgrounds.


2021 ◽  
pp. 104345422110110
Author(s):  
Christopher Cappelli ◽  
Kimberly A. Miller ◽  
Anamara Ritt-Olson ◽  
Mary A. Pentz ◽  
Sofia Salahpour ◽  
...  

Objectives: Substance use among young adult childhood cancer survivors (YACCSs) has been found to increase during survivorship, resulting in increased risk of developing long-term negative health outcomes. This investigation sought to determine various risk and protective factors of tobacco, alcohol, or marijuana use over time among a sample of YACCSs. Methods: 127 YACCSs (57% Hispanic, 55% female, average age at diagnosis 12.4 years) who were diagnosed with any cancer type (except Hodgkin lymphoma) at two large pediatric medical centers in Los Angeles County between 2000 and 2007 responded to two surveys separated by ∼5 years. Bivariate logistic regression models were used to assess independent clinical and psychosocial Time 1 variables associated with each substance use outcome at Time 2. Time 1 variables significant at p < .10 were included in multivariable logistic regression models for each Time 2 substance use variable. Results: Rates of 30-day use increased over time for binge drinking alcohol (from 25.6% to 37.7%), marijuana (from 10.6% to 22.1%), and cigarette/tobacco (from 8.9% to 12.2%). Of the following Time 1 variables, marijuana use, cigarette use, and binge drinking were associated with Time 2 marijuana, cigarette, and binge drinking, respectively. Of the following clinical factors, receipt of more intensive cancer treatment was associated with decreased tobacco use. All other psychosocial and clinical factors analyzed were not associated with any increase or decrease in substance use. Conclusions: A greater emphasis on early health education efforts regarding the health risks of tobacco, alcohol, and marijuana use is needed in this at-risk population.


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