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首页> 外文期刊>The Journal of adolescent health: official publication of the Society for Adolescent Medicine >Can the gateway hypothesis, the common liability model and/or, the route of administration model predict initiation of cannabis use during adolescence? A survival analysis--the TRAILS study.
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Can the gateway hypothesis, the common liability model and/or, the route of administration model predict initiation of cannabis use during adolescence? A survival analysis--the TRAILS study.

机译:网关假设,共同责任模型和/或给药途径模型能否预测青春期期间大麻使用的启动?生存分析-TRAILS研究。

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PURPOSE: There is substantial research linking tobacco and alcohol use to subsequent cannabis use, yet the specificity of this relationship is still under debate. The aim of this study was to examine which substance use model--the gateway hypothesis, the common liability (CL) model and/or the route of administration model--best explains the relationship between early onset of tobacco and alcohol use and subsequent cannabis use initiation. METHODS: We used data from 2,113 (51% female) Dutch adolescents who participated in three consecutive assessment waves (mean age: 11.09, 13.56, and 16.27 years, respectively) of the TRacking Adolescents' Individual Lives Survey study. (Pre)adolescent cannabis, tobacco and alcohol use was assessed using the Youth Self-Report and a TRacking Adolescents' Individual Lives Survey developed questionnaire. RESULTS: We found that, during adolescence, early onset of tobacco use does not pose a significantly higher risk of initiating cannabis use than early onset alcohol use. Therefore, we can rule out the route of administration model. Moreover, we found that adolescents who reported early onset comorbid use of both tobacco and alcohol have a higher likelihood to initiate cannabis use than adolescents who have tried either tobacco or alcohol. The gateway hypothesis is not broad enough to explain this finding. Therefore, the CL model best predicts our findings. CONCLUSION: Future research on adolescent cannabis initiation should focus on testing the robustness of the CL model. Furthermore, identifying adolescents who use both tobacco and alcohol, before the age of 13, may help to curtail the onset of cannabis use.
机译:目的:有大量的研究将烟草和酒精的使用与随后的大麻使用联系起来,但是这种关系的特异性仍在争论中。这项研究的目的是研究哪种药物使用模型-门户假设,共同责任(CL)模型和/或给药途径模型-最好地解释了烟草和酒精使用的早期发作与随后的大麻之间的关系使用启动。方法:我们使用了来自“追踪青少年的个人生活调查”研究的连续三个评估阶段(分别为11.09、13.56和16.27岁)的2113名荷兰青少年的数据。使用“青年自我报告”和“追踪青少年的个人生活调查”制定的问卷评估了(青春期前)青少年大麻,烟草和酒精的使用。结果:我们发现,在青春期期间,早起吸烟并没有比早起酗酒显着提高开始使用大麻的风险。因此,我们可以排除管理模型的路径。此外,我们发现,与那些尝试吸烟或饮酒的青少年相比,报告较早发病同时吸烟和吸烟的青少年开始使用大麻的可能性更高。网关假设尚不足以解释这一发现。因此,CL模型最能预测我们的发现。结论:关于青少年大麻启动的未来研究应侧重于测试CL模型的鲁棒性。此外,确定在13岁之前同时使用烟酒的青少年可能有助于减少大麻的使用。

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