The effects of purchasing alcohol and marijuana among adolescents at-risk for future substance use

Substance Abuse Treatment, Prevention, and Policy

Elizabeth J D’Amico²  Rajeev Ramchand¹  Jeremy NV Miles²  Brett A Ewing²  Eric R Pedersen²  Karen Chan Osilla² 

[1] RAND Corporation, 1200 South Hayes Street, Arlington, VA 22202-5050, USA;RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407-2138, USA

关键词: Purchasing;    Substance use;    Alcohol and drug outcomes;    Marijuana;    Drug market;    Adolescents;   

Others  :  1135453
DOI  :  10.1186/1747-597X-9-38

 received in 2014-05-13, accepted in 2014-09-11,  发布年份 2014

【 摘 要 】

Background

Among high-risk youth, those who may be at increased risk for adverse alcohol and other drug (AOD) use outcomes may benefit from targeted prevention efforts; how youth acquire AOD may provide an objective means of identifying youth at elevated risk.

Methods

We assessed how youth acquired alcohol and marijuana (purchasing vs. other means), demographics, AOD behaviors/consequences, and environment among adolescents referred to a diversion program called Teen Court (N = 180) at two time points (prior to the program and 180 days from baseline). Participants were predominantly White and Hispanic/Latino(a).

Results

In cross-sectional analyses among alcohol and marijuana users, purchasing marijuana was associated with more frequent marijuana use and consequences, time spent around teens who use marijuana, higher likelihood of substance use disorders, and lower resistance self-efficacy compared to non-purchasers. Teens who purchased both alcohol and marijuana experienced similar outcomes to those who purchased only marijuana, and also reported more frequent and higher quantity of drinking, greater alcohol-related consequences, time spent around teens who use other drugs, and prescription drug misuse. Longitudinally, purchasing alcohol and marijuana at baseline was associated with more frequent and higher quantity of drinking compared to non-purchasers at follow-up. Marijuana only purchasers had a greater likelihood of substance use disorders at follow-up compared to non-purchasers.

Conclusions

In an era where drinking is commonplace and attitudes towards marijuana use are becoming more tolerant, it is essential to evaluate how accessibility to AOD and subsequent purchasing behaviors affect youth consumption and intervene accordingly to prevent future consequences.

【 授权许可】

   
2014 Osilla et al.; licensee BioMed Central Ltd.

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