Historique
Article de Périodique
Prioritizing alcohol prevention: Establishing alcohol as the gateway drug and linking age of first drink with illicit drug use (2016)
Auteur(s) :
BARRY, A. E. ;
KING, J. ;
SEARS, C. ;
HARVILLE, C. ;
BONDOC, I. ;
JOSEPH, K.
Année
2016
Page(s) :
31-38
Langue(s) :
Anglais
Refs biblio. :
61
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
PRECOCITE
;
ALCOOL
;
EPIDEMIOLOGIE
;
ADOLESCENT
;
THEORIE DE L'ESCALADE
;
PRODUIT ILLICITE
;
AGE
;
INITIATION
Résumé :
ENGLISH:
BACKGROUND: Given ever-reducing budgets of community and school substance use prevention programs, there is a call for identifying the first substance in the sequence leading to polydrug use.
METHODS: Examining data from a nationally representative sample of 2835 United States 12th graders, we sought to determine (1) the first substance adolescents use; (2) order in which adolescents progress through alcohol, tobacco, and marijuana use; and (3) impact of age of initial substance use on lifetime and frequency of illicit substance use.
RESULTS: Alcohol is the most commonly used substance, and the majority of polysubstance using respondents consumed alcohol prior to tobacco or marijuana initiation. Respondents initiating alcohol use in sixth grade reported significantly greater lifetime illicit substance use (M = 1.9, standard deviation [SD] = 1.7, p < .001) and more frequent illicit substance use (M = 6.0, SD = 6.5, p < .001) than those initiating alcohol use in ninth grade or later. Overall, effect sizes for these differences were large (eta squared = 0.30 and 0.28, respectively).
CONCLUSIONS: Findings underscore the importance of screening for substance use, even among youth enrolled in elementary/middle school. In addition, school prevention programs should begin in elementary school (third grade) and target alcohol use.
FRANÇAIS :
Cette étude incluant 2835 étudiants de classe de terminale a montré que l'alcool est la substance la plus consommée. La majorité des interrogés prenant différentes substances indiquent que l'alcool est premier, puis le tabac et enfin le cannabis. [IACM, 12/02/2016]
BACKGROUND: Given ever-reducing budgets of community and school substance use prevention programs, there is a call for identifying the first substance in the sequence leading to polydrug use.
METHODS: Examining data from a nationally representative sample of 2835 United States 12th graders, we sought to determine (1) the first substance adolescents use; (2) order in which adolescents progress through alcohol, tobacco, and marijuana use; and (3) impact of age of initial substance use on lifetime and frequency of illicit substance use.
RESULTS: Alcohol is the most commonly used substance, and the majority of polysubstance using respondents consumed alcohol prior to tobacco or marijuana initiation. Respondents initiating alcohol use in sixth grade reported significantly greater lifetime illicit substance use (M = 1.9, standard deviation [SD] = 1.7, p < .001) and more frequent illicit substance use (M = 6.0, SD = 6.5, p < .001) than those initiating alcohol use in ninth grade or later. Overall, effect sizes for these differences were large (eta squared = 0.30 and 0.28, respectively).
CONCLUSIONS: Findings underscore the importance of screening for substance use, even among youth enrolled in elementary/middle school. In addition, school prevention programs should begin in elementary school (third grade) and target alcohol use.
FRANÇAIS :
Cette étude incluant 2835 étudiants de classe de terminale a montré que l'alcool est la substance la plus consommée. La majorité des interrogés prenant différentes substances indiquent que l'alcool est premier, puis le tabac et enfin le cannabis. [IACM, 12/02/2016]
Affiliation :
Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA