Childhood characteristics associated with stage of substance use of American Indians: Family background, traumatic experiences, and childhood behaviors

被引:23
作者
O'Connell, Joan M. [1 ]
Novins, Douglas K. [1 ]
Beals, Janette [1 ]
Whitesell, Nancy [1 ]
Libby, Anne M. [1 ]
Orton, Heather D. [1 ]
Croy, Calvin D. [1 ]
机构
[1] Univ Colorado Denver & Hlth Sci Ctr, Dept Psychiat, Amer Indian Alaska Nat Programs, Denver, CO USA
关键词
American Indian; substance use; alcohol use; stage theory; gateway theory; drug use initiation;
D O I
10.1016/j.addbeh.2007.07.012
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The purpose of this analysis is to examine childhood characteristics associated with stage of substance use in adulthood in two American Indian (AI) populations. Data were drawn from an epidemiologic study of two AI reservation populations for persons age 18-44 years (n = 2070). We used descriptive and multivariate analysis to examine correlates of four mutually exclusive stages of substance use: lifetime abstinence (Stage 0), use of alcohol only (Stage 1A), use of marijuana/inhalants with or without alcohol (Stage 1B), and use of other illicit drugs with or without the previously listed substances (Stage 2). Problematic substance use by parents, younger age of first substance use, initiating substance use with a drug (with or without alcohol), and adolescent conduct problems were associated with higher stage substance use. Persons who experienced sexual abuse, witnessed family violence, or experienced other traumatic events before the age of 18 were more likely to be at Stage 1B than Stage
引用
收藏
页码:3142 / 3152
页数:11
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