Age of onset and alcohol and cannabis use disorders among Mexican American young adults: Robust substance-specific effects of early use as a risk factor.

IF 1.1 4区 医学 Q4 SUBSTANCE ABUSE Journal of Ethnicity in Substance Abuse Pub Date : 2024-07-01 Epub Date: 2022-09-10 DOI:10.1080/15332640.2022.2111388
Christina C Tam, David A Gilder, Libo Li, Katherine J Karriker-Jaffe, Sarah E Duhart Clarke, Cindy L Ehlers
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Abstract

We investigated the substance-specific and cross-substance risk associated with early onset (before age 15) of drunkenness and cannabis use in the subsequent development of alcohol (AUD) and cannabis use disorder (CUD) in Mexican American young adults. Survival analyses employed Cox proportional hazards models for AUD and CUD, separately. In cross-risk analyses, we modeled estimates for those participants reporting lifetime use of both substances. Early onset of drunkenness and early onset of cannabis use were associated with shorter time to AUD and CUD, respectively, even after accounting for psychiatric disorders. While there were no cross-risk associations, adjusting for psychiatric disorders and early onset cannabis use attenuated the association of early drunkenness with AUD.

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墨西哥裔美国年轻人的发病年龄与酒精和大麻使用障碍:早期使用作为风险因素对特定物质的稳健影响。
我们调查了墨西哥裔美国年轻人在酗酒(AUD)和大麻使用障碍(CUD)的后续发展中,早期(15 岁前)开始酗酒和使用大麻与特定物质和跨物质相关的风险。生存分析分别采用了 AUD 和 CUD 的 Cox 比例危险模型。在交叉风险分析中,我们对报告终生使用这两种物质的参与者进行了模型估计。即使考虑到精神障碍因素,早开始醉酒和早开始使用大麻也分别与较短的 AUD 和 CUD 时间相关。虽然不存在交叉风险关联,但对精神障碍和早期开始吸食大麻进行调整后,早期醉酒与 AUD 的关联有所减弱。
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来源期刊
CiteScore
3.20
自引率
7.70%
发文量
50
期刊介绍: The Journal of Ethnicity in Substance Abuse presents rigorous new studies and research on ethnicity and cultural variation in alcohol, tobacco, licit and illicit forms of substance use and abuse. The research is drawn from many disciplines and interdisciplinary areas in the social and behavioral sciences, public health, and helping professions. The Journal of Ethnicity in Substance Abuse is an international forum for identification of emergent and culturally diverse substance use and abuse trends, and the implementation of culturally competent strategies in harm reduction, individual, group, and family treatment of substance abuse. The Journal systematically investigates the beliefs, attitudes, and values of substance abusers, searching for the answers to the origins of drug use and abuse for different ethnic groups. The Journal publishes research papers, review papers, policy commentaries, and conference proceedings. The Journal welcomes submissions from across the globe, and strives to ensure efficient review and publication outcomes.
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