Abstract
Objectives: To evaluate ethnic differences in the initiation sequences of tobacco, alcohol, marijuana, and cocaine use among US high school students and to determine if ethnicity is a predictor of progression from licit to illicit substances or initiation of illicit substances before licit substances. Design: Cross-sectional analyses of the Centers for Disease Control and Prevention's 1995 Youth Risk Behavior Survey. Setting: US high schools. Participants: A total of 8550 high school students randomly selected by cluster design. Main Outcome Measures: Respondents were categorized based on self-reported sequence of initiating substances as follows: none, licit substances only, licit substances then illicit substances (typical), illicit substances first (reverse), and licit and illicit substances at the same time (concurrent). Results: Adjusting for age, maternal education, and region, progression from licit to illicit substances was significantly associated with black ethnicity (odds ratio [OR], 1.5; 95% confidence interval [CI], 1.04-2.1) and male sex (OR, 1.4; 95% CI, 1.2-1.6). Black male and katino female students whose mothers completed at least high school were more. likely than white students with similarly educated mothers to initiate illicit substances before licit substances (OR, 3.0; 95% CI, 1.7-5.3; and OR, 5.9; 95% CI, 1.7-20; respectively). Similar trends were noted for the concurrent sequence. Conclusion: The pattern of initiating tobacco, alcohol, marijuana, and cocaine use differs by ethnicity. Maternal education may be a proxy variable for other significant risk factors.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1089-1095 |
| Number of pages | 7 |
| Journal | Archives of Pediatrics and Adolescent Medicine |
| Volume | 154 |
| Issue number | 11 |
| State | Published - 2000 |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Ethnic differences in adolescent substance initiation sequences. / Guerra, Lisa M.; Romano, Patrick S; Samuels, Steven J.; Kass, Philip H.
In: Archives of Pediatrics and Adolescent Medicine, Vol. 154, No. 11, 2000, p. 1089-1095.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ethnic differences in adolescent substance initiation sequences
AU - Guerra, Lisa M.
AU - Romano, Patrick S
AU - Samuels, Steven J.
AU - Kass, Philip H
PY - 2000
Y1 - 2000
N2 - Objectives: To evaluate ethnic differences in the initiation sequences of tobacco, alcohol, marijuana, and cocaine use among US high school students and to determine if ethnicity is a predictor of progression from licit to illicit substances or initiation of illicit substances before licit substances. Design: Cross-sectional analyses of the Centers for Disease Control and Prevention's 1995 Youth Risk Behavior Survey. Setting: US high schools. Participants: A total of 8550 high school students randomly selected by cluster design. Main Outcome Measures: Respondents were categorized based on self-reported sequence of initiating substances as follows: none, licit substances only, licit substances then illicit substances (typical), illicit substances first (reverse), and licit and illicit substances at the same time (concurrent). Results: Adjusting for age, maternal education, and region, progression from licit to illicit substances was significantly associated with black ethnicity (odds ratio [OR], 1.5; 95% confidence interval [CI], 1.04-2.1) and male sex (OR, 1.4; 95% CI, 1.2-1.6). Black male and katino female students whose mothers completed at least high school were more. likely than white students with similarly educated mothers to initiate illicit substances before licit substances (OR, 3.0; 95% CI, 1.7-5.3; and OR, 5.9; 95% CI, 1.7-20; respectively). Similar trends were noted for the concurrent sequence. Conclusion: The pattern of initiating tobacco, alcohol, marijuana, and cocaine use differs by ethnicity. Maternal education may be a proxy variable for other significant risk factors.
AB - Objectives: To evaluate ethnic differences in the initiation sequences of tobacco, alcohol, marijuana, and cocaine use among US high school students and to determine if ethnicity is a predictor of progression from licit to illicit substances or initiation of illicit substances before licit substances. Design: Cross-sectional analyses of the Centers for Disease Control and Prevention's 1995 Youth Risk Behavior Survey. Setting: US high schools. Participants: A total of 8550 high school students randomly selected by cluster design. Main Outcome Measures: Respondents were categorized based on self-reported sequence of initiating substances as follows: none, licit substances only, licit substances then illicit substances (typical), illicit substances first (reverse), and licit and illicit substances at the same time (concurrent). Results: Adjusting for age, maternal education, and region, progression from licit to illicit substances was significantly associated with black ethnicity (odds ratio [OR], 1.5; 95% confidence interval [CI], 1.04-2.1) and male sex (OR, 1.4; 95% CI, 1.2-1.6). Black male and katino female students whose mothers completed at least high school were more. likely than white students with similarly educated mothers to initiate illicit substances before licit substances (OR, 3.0; 95% CI, 1.7-5.3; and OR, 5.9; 95% CI, 1.7-20; respectively). Similar trends were noted for the concurrent sequence. Conclusion: The pattern of initiating tobacco, alcohol, marijuana, and cocaine use differs by ethnicity. Maternal education may be a proxy variable for other significant risk factors.
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UR - http://www.scopus.com/inward/citedby.url?scp=0033769225&partnerID=8YFLogxK
M3 - Article
C2 - 11074848
AN - SCOPUS:0033769225
VL - 154
SP - 1089
EP - 1095
JO - JAMA Pediatrics
JF - JAMA Pediatrics
SN - 2168-6203
IS - 11
ER -