Document Detail


Interrelationship of substance use and psychological distress over the life course among a cohort of urban African Americans.
MedLine Citation:
PMID:  22189347     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Substance use and psychological problems are major public health issues because of their high prevalence, co-occurrence, clustering in socio-economically disadvantaged groups, and serious consequences. However, their interrelationship over time is not well understood.
METHODS: This study identifies and compares the developmental epidemiology from age 6 to 42 of substance use and psychological distress in a population of African American men and women. Data come from the Woodlawn study, a longitudinal study of an urban community cohort followed since 1966. We use structural equation modeling to examine pathways between substance use (i.e., alcohol, marijuana, and cocaine) and psychological distress over time by gender.
RESULTS: We find significant continuity from adolescence to midlife for substance use and for psychological distress, as well as significant correlations within time periods between substance use and psychological distress, particularly among women. We also find greater adolescent substance use predicts psychological distress in young adulthood for men, but no cross-lag associations for women. Women's adolescent psychological distress and substance use are linked uniquely to that of their mothers. Findings show additional gender differences in the developmental etiology of substance use and psychological distress.
CONCLUSIONS: Findings demonstrate the continuity of substance use and psychological distress over time; the contemporaneous relationships between psychological distress and substance use within time periods, and minimal cross-lagged relationships. Findings also show that adolescent substance use may set boys on a pathway of long-term psychological distress, thus adding to evidence of negative consequences of frequent use.
Authors:
Kerry M Green; Katarzyna A Zebrak; Judith A Robertson; Kate E Fothergill; Margaret E Ensminger
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-12-19
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  123     ISSN:  1879-0046     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-21     Completed Date:  2012-09-13     Revised Date:  2012-10-09    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  239-48     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
University of Maryland School of Public Health, Department of Behavioral and Community Health, College Park, MD 20742, USA. greenkm@umd.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / statistics & numerical data*
Age Factors
Alcohol Drinking / epidemiology,  psychology
Child
Cocaine-Related Disorders / epidemiology,  psychology
Cohort Studies
Family
Female
Humans
Longitudinal Studies
Male
Marijuana Smoking / epidemiology,  psychology
Mental Health
Mothers
Risk
Sex Factors
Stress, Psychological / complications,  epidemiology,  psychology*
Substance-Related Disorders / complications,  epidemiology,  psychology*
United States / epidemiology
Young Adult
Grant Support
ID/Acronym/Agency:
R01 DA022366-01A2/DA/NIDA NIH HHS; R01 DA026863-01/DA/NIDA NIH HHS; R01DA026863-01/DA/NIDA NIH HHS; R24 HD042854/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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