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Public Health Rep. 2002;117 Suppl 1:S15-29.

Early and mid-adolescence risk factors for later substance abuse by African Americans and European Americans.

Author information

1
School of Social Work, Florida International University, Miami, FL 33199, USA. gila@fiu.edu

Abstract

OBJECTIVE:

This study examines the relationship between risk factors experienced during adolescence by African Americans and European Americans and DSM-IV alcohol dependence and marijuana abuse or dependence in early adulthood.

METHODS:

The authors followed a cohort of adolescents from 1990-91 (grades 6 and 7) to 1998-2000 (ages 19-21), evaluating risk factors during early adolescence as predictors of DSM-IV alcohol dependence and marijuana abuse and dependence.

RESULTS:

African Americans had higher exposure to school, family structure, delinquency, and psychosocial factors. School factors and drug-use modeling of peers and family were the most important risk factors for marijuana abuse or dependence for both European and African Americans.

CONCLUSION:

Personal, familial, and social context factors during early adolescence affect adult drug-use problems, particularly for African Americans. Levels of drug use are lower among African Americans, but exposure to risks is higher and there are clear differences in the long-range impact of risk factors. These findings highlight the importance of developing and timing appropriate prevention efforts.

PMID:
12435824
PMCID:
PMC1913702
[Indexed for MEDLINE]
Free PMC Article
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