Adverse Childhood Experiences and Risk Patterns of Alcohol and Cannabis Co-Use: A Longitudinal Study of Puerto Rican Youth

被引:4
作者
Goncalves, Priscila Dib [1 ,2 ,3 ]
Duarte, Cristiane S. [2 ,4 ]
Corbeil, Thomas [2 ,5 ]
Ramos-Olazagasti, Maria A. [6 ]
Sussman, Tamara [2 ,4 ]
Talati, Ardesheer [2 ,3 ]
Alegria, Margarita [7 ]
Canino, Glorisa [8 ]
Bird, Hector [2 ]
Martins, Silvia S. [1 ,9 ]
机构
[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
[2] Columbia Univ, Irving Med Ctr, Dept Psychiat, New York, NY USA
[3] New York State Psychiat Inst & Hosp, Div Translat Epidemiol, New York, NY USA
[4] Columbia Univ, New York State Psychiat Inst, Ctr Intergenerat Psychiat, Div Child Psychiat,Irving Med Ctr, New York, NY USA
[5] New York State Psychiat Inst & Hosp, Area Mental Hlth Data Sci, New York, NY USA
[6] Child Trends, Bethesda, MD USA
[7] Massachusetts Gen Hosp, Dept Med, Dispar Res Unit, Boston, MA USA
[8] Univ Puerto Rico, Behav Sci Res Inst, San Juan, PR USA
[9] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, 722 West 168th St,Room 509, New York, NY 10032 USA
关键词
Adverse childhood experiences (ACEs); Binge drinking; Cannabis; Polysubstance use; Co-use; PSYCHIATRIC-DISORDERS; SUBSTANCE USE; SURVEY HABLAS; MARIJUANA USE; YOUNG-ADULTS; PREVALENCE; PSYCHOPATHOLOGY; CONSUMPTION; PREDICTORS; SUBGROUPS;
D O I
10.1016/j.jadohealth.2023.04.010
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: Adverse childhood experiences (ACEs) are common in Puerto Rican youths. Few large longitudinal studies of Latine youth examined what predicts co-use of alcohol and cannabis in late adolescence and young adulthood. We investigated the prospective association between ACEs with alcohol/cannabis co-use in Puerto Rican youth. Methods: Participants from a longitudinal study of Puerto Rican youth (n = 2,004) were included. Using multinomial logistic regressions to test associations between prospectively reported ACEs (11 types, reported by parents and/or children, categorized as 0-1, 2-3, and 4+ ACEs) with young adult alcohol/cannabis use patterns in the past month (i.e., no lifetime use, low-risk [no binge drinking and cannabis use < 10], binge-drinking only, regular cannabis use only, and alcohol/cannabis co-use). Models were adjusted for sociodemographic variables. Results: In this sample, 27.8% reported 4+ ACEs, 28.6% endorsed binge drinking, 4.9% regular cannabis use, and 5.5% alcohol/cannabis co-use. Compared to individuals with no lifetime use, those reporting 4+(vs. 0-1) ACEs had greater odds of low-risk use (adjusted odds ratio [aOR] 1.60, 95% confidence interval [CI] = 1.04-2.45), regular cannabis use (aOR 3.13 95% CI = 1.44-6.77), and alcohol/cannabis co-use (aOR 3.57, 95% CI = 1.89-6.75). In relation to low-risk use, reporting 4thorn ACEs (vs. 0-1) was associated with 1.96 odds (95% CI = 1.01-3.78) of regular cannabis use and 2.24 odds (95% CI = 1.29-3.89) of alcohol/cannabis co-use. Discussion: Exposure to 4+ ACEs was associated with the occurrence of adolescent/young adulthood regular cannabis use and alcohol/cannabis co-use. Importantly, ACEs exposure differentiated young adults who were co-using compared to those engaged in low-risk use. Preventing ACE or interventions for Puerto Rican youth experiencing 4thorn ACEs may mitigate negative consequences associated with alcohol/cannabis co-use. (c) 2023 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码:421 / 427
页数:7
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