Onset, Comorbidity, and Predictors of Nicotine, Alcohol, and Marijuana Use Disorders Among North American Indigenous Adolescents

被引:24
|
作者
Hautala, Dane [1 ]
Sittner, Kelley [2 ]
Walls, Melissa [1 ]
机构
[1] Univ Minnesota, Sch Med, Dept Family Med & Biobehav Hlth, Duluth Campus,231 SMed,1035 Univ Dr, Duluth, MN 55812 USA
[2] Oklahoma State Univ, Dept Sociol, 471 Murray Hall, Stillwater, OK 74078 USA
关键词
American Indian; First Nations; Psychiatric comorbidity; Substance abuse; Longitudinal; SUBSTANCE USE DISORDERS; LIFETIME PREVALENCE; MENTAL-DISORDERS; YOUNG ADULTHOOD; USE INITIATION; CANNABIS USE; DRUG-USE; YOUTH; TRAJECTORIES; DEPENDENCE;
D O I
10.1007/s10802-018-0500-0
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
North American Indigenous (i.e., American Indian and Canadian First Nations) youth experience inequities in rates of substance abuse and dependence. Despite this, few longitudinal studies examine the developmental course of substance use disorders (SUD) among community-based samples of Indigenous youth. The purpose of the study was to examine onset and predictors of nicotine dependence, alcohol use disorders, marijuana use disorders, any SUD, and multiple SUDs across the entire span of adolescence among a longitudinal sample (N=744) of reservation/reserve Indigenous youth in the upper-Midwest of the United States and Ontario, Canada. Using discrete time survival analysis, the results show that rates of meeting criteria for SUDs by late adolescence were 22% for nicotine, 43% for alcohol, and 35% for marijuana. Peak periods of risk for new nicotine dependence and marijuana use disorder cases occurred around 14years of age, whereas peak periods of risk for new alcohol use disorder cases emerged slightly later around 16years of age. We found high rates of SUD comorbidity, and the cumulative probability of developing two or more SUDs during adolescence was 31%. Internalizing disorders increased the odds of nicotine dependence and multiple SUDs, while externalizing disorders increased the odds of all outcomes except nicotine dependence. Gender, age, and per capita family income were inconsistently associated with SUD onset. The findings are embedded within broader substance use patterns identified among Indigenous youth, and prevention, intervention, and treatment implications are discussed.
引用
收藏
页码:1025 / 1038
页数:14
相关论文
共 50 条
  • [21] Predictors of alcohol use among rural adolescents
    Felton, GM
    Parsons, MA
    Pate, RR
    Ward, D
    Saunders, R
    Valois, R
    Dowda, M
    Trost, S
    JOURNAL OF RURAL HEALTH, 1996, 12 (05): : 378 - 385
  • [22] Patterns of simultaneous and concurrent alcohol and marijuana use among adolescents
    Patrick, Megan E.
    Kloska, Deborah D.
    Terry-McElrath, Yvonne M.
    Lee, Christine M.
    O'Malley, Patrick M.
    Johnston, Lloyd D.
    AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2018, 44 (04): : 441 - 451
  • [23] Predictors of motives for marijuana use in African American adolescents and emerging adults
    King, Vinetra L.
    Mrug, Sylvie
    Windle, Michael
    JOURNAL OF ETHNICITY IN SUBSTANCE ABUSE, 2022, 21 (01) : 3 - 21
  • [24] Social predictors of marijuana use among African American youth
    Hollar, Madison K.
    Brubaker, Michael D.
    Richardson, George
    Alvarez, Jenna
    JOURNAL OF ADDICTIONS & OFFENDER COUNSELING, 2023, 44 (02) : 98 - 112
  • [25] The Link Between Marijuana Use and Hallucinogen Use Among American Adolescents
    Desai, Saral
    Kulkarni, Nishat
    Gandhi, Kunal
    Gerolemou, Adela
    AMERICAN JOURNAL ON ADDICTIONS, 2022, 31 (04): : 341 - 341
  • [26] The role of culture in the association between racial discrimination and alcohol use among North American Indigenous adolescents reporting recent drinking
    Schick, Melissa R.
    Nalven, Tessa
    Egan, Alana
    Spillane, Nichea S.
    ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH, 2023, 47 (06): : 1109 - 1118
  • [27] Adolescents' Reported Reasons for Alcohol and Marijuana Use as Predictors of Substance Use and Problems in Adulthood
    Patrick, Megan E.
    Schulenberg, John E.
    O'Malley, Patrick M.
    Johnston, Lloyd D.
    Bachman, Jerald G.
    JOURNAL OF STUDIES ON ALCOHOL AND DRUGS, 2011, 72 (01) : 106 - 116
  • [28] RECREATIONAL MARIJUANA LEGALIZATION AND ALCOHOL AND MARIJUANA CO-USE AMONG CALIFORNIA ADOLESCENTS
    Paschall, M. J.
    Garcia-Ramirez, G.
    Grube, J. W.
    ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2021, 45 : 190A - 190A
  • [29] The Role of Norms in Marijuana Use Among American Indian Adolescents
    Linda R. Stanley
    Randall C. Swaim
    Sara E. Dieterich
    Prevention Science, 2017, 18 : 406 - 415
  • [30] The Role of Norms in Marijuana Use Among American Indian Adolescents
    Stanley, Linda R.
    Swaim, Randall C.
    Dieterich, Sara E.
    PREVENTION SCIENCE, 2017, 18 (04) : 406 - 415