Historique
Périodique
Conduct problems and early cannabis initiation: a longitudinal study of gender differences
(Problèmes de conduite automobile et inititation précoce à la consommation de cannabis : une étude longitudinale sur les différences hommes - femmes.)
Auteur(s) :
W. PEDERSEN ;
A. MASTEKAASA ;
L. WICHSTROM
Article en page(s) :
415-431
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs ; Tabac / Tobacco / e-cigarette
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
ALCOOL
;
TABAC
;
CANNABIS
;
USAGE REGULIER
;
CONDUITE DE VEHICULE
;
ADOLESCENT
;
SEXE FEMININ
;
SEXE MASCULIN
;
COMPARAISON
;
ETUDE LONGITUDINALE
;
COMORBIDITE
;
ETIOLOGIE
Thésaurus géographique
NORVEGE
Note générale :
Addiction, 2001, 96, (3), 415-431
Résumé :
FRANÇAIS :
2436 adolescents norvégiens ont été suivis pendant un an et demi, dans le but d'évaluer la corrélation entre problèmes de conduites automobiles (tels que définis comme "troubles de la conduite" selon le DSM-III-R) et usage d'alcool ou consommation quotidienne de cannabis. L'étude s'est aussi intéressée au développement de la puberté, en particulier à la découverte de la sexualité, aux caractéristiques du milieu familial, au rôle des pairs ; mais l'influence de ces facteurs sur les troubles étudiés n'a pas été démontrée. En revanche les résultats font apparaître une forte corrélation entre la précocité des troubles de la conduite automobile et celle de l'initiation au cannabis (elle-même associée à l'usage du tabac) ; cette corrélation étant significativement plus élevée chez les filles que chez les garçons.
ENGLISH:
Aim. To investigate the relationship between early conduct problems and early onset of cannabis use, with special emphasis on possible gender differences. Design. A prospective longitudinal study of a national sample of 2436 adolescents. The sample was followed up over a year and a half, when the adolescents were in their early teens. Setting. Norway. Measurements. On the basis of an earlier study, conduct problems (GP) closely related to the criteria for conduct disorder (CD) in DSM-III-R were decomposed into three dimensions, labelled serious, aggressive and covert. Further, information was collected about alcohol intoxication, daily smoking and use of cannabis. A number of questions were posed about sexual interactions and perceived puberty development. Parental socioeconomic status was measured according to the ISCO-88. Separate information was collected as to whether the parents were on social welfare or unemployed. A parental bonding measure (PBI) was used to measure the emotional relationship between respondents and parents. Further, a measure of parental monitoring was used, and information was also collected on other aspects of the family milieu, and on the adolescents'peers. Statistical models. Logistic regression analysis was employed. As the sample consisted of pupils clustered within classes within schools, a three-level error structure for the logistic regression model was estimated. Findings. There was a strong association between early conduct problems and subsequent cannabis initiation. Also conduct problems at a potential subclinical level seemed to have great impact. The effect was significantly stronger in girls than in boys. Serious CP was found to have a moderate effect upon cannabis initiation in boys, whereas aggressive and covert CP had strong effects in girls. Early onset of puberty and early sexual involvement had no inipact, whereas early use of cigarettes proved an important precursor to cannabis use. Conclusions. Conduct problems are important precursors of early, onset cannabis use, but probably represent gender-specific aetiologies. There might be an important potential for prevention of early onset drug use in the prevention of earlv conduct problems, in particular for girls. (Author' s abstract)
2436 adolescents norvégiens ont été suivis pendant un an et demi, dans le but d'évaluer la corrélation entre problèmes de conduites automobiles (tels que définis comme "troubles de la conduite" selon le DSM-III-R) et usage d'alcool ou consommation quotidienne de cannabis. L'étude s'est aussi intéressée au développement de la puberté, en particulier à la découverte de la sexualité, aux caractéristiques du milieu familial, au rôle des pairs ; mais l'influence de ces facteurs sur les troubles étudiés n'a pas été démontrée. En revanche les résultats font apparaître une forte corrélation entre la précocité des troubles de la conduite automobile et celle de l'initiation au cannabis (elle-même associée à l'usage du tabac) ; cette corrélation étant significativement plus élevée chez les filles que chez les garçons.
ENGLISH:
Aim. To investigate the relationship between early conduct problems and early onset of cannabis use, with special emphasis on possible gender differences. Design. A prospective longitudinal study of a national sample of 2436 adolescents. The sample was followed up over a year and a half, when the adolescents were in their early teens. Setting. Norway. Measurements. On the basis of an earlier study, conduct problems (GP) closely related to the criteria for conduct disorder (CD) in DSM-III-R were decomposed into three dimensions, labelled serious, aggressive and covert. Further, information was collected about alcohol intoxication, daily smoking and use of cannabis. A number of questions were posed about sexual interactions and perceived puberty development. Parental socioeconomic status was measured according to the ISCO-88. Separate information was collected as to whether the parents were on social welfare or unemployed. A parental bonding measure (PBI) was used to measure the emotional relationship between respondents and parents. Further, a measure of parental monitoring was used, and information was also collected on other aspects of the family milieu, and on the adolescents'peers. Statistical models. Logistic regression analysis was employed. As the sample consisted of pupils clustered within classes within schools, a three-level error structure for the logistic regression model was estimated. Findings. There was a strong association between early conduct problems and subsequent cannabis initiation. Also conduct problems at a potential subclinical level seemed to have great impact. The effect was significantly stronger in girls than in boys. Serious CP was found to have a moderate effect upon cannabis initiation in boys, whereas aggressive and covert CP had strong effects in girls. Early onset of puberty and early sexual involvement had no inipact, whereas early use of cigarettes proved an important precursor to cannabis use. Conclusions. Conduct problems are important precursors of early, onset cannabis use, but probably represent gender-specific aetiologies. There might be an important potential for prevention of early onset drug use in the prevention of earlv conduct problems, in particular for girls. (Author' s abstract)
Affiliation :
Norwegian Soc. Res., Munthes gate 29, 0260 Oslo
Norvège. Norway.
Norvège. Norway.
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