Miech Richard, Chilcoat Howard
Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Baltimore, MD 21205-1999, USA.
Soc Sci Med. 2005 Feb;60(4):725-35. doi: 10.1016/j.socscimed.2004.06.025.
Current evidence indicates that in the USA illegal drug use among adolescents between the 1980s and 1990s became significantly more prevalent in families with lower maternal education in comparison to families with higher maternal education. In this study, we examine whether this inter-generational change results from either (a) a changing influence of socioeconomic status on drug use, as predicted by the inter-generational social 'causation' hypothesis, or (b) a negative influence of drug use on socioeconomic status, as predicted by the inter-generational social 'selection/drift' hypothesis. The analyses are based on the US National Longitudinal Study of 1979, which includes information on drug use for both a nationally representative sample of respondents aged 19-27 in 1984, as well as drug use information for the children of these respondents, who were aged 18-27 in 1998. The results indicate that inter-generation change in cocaine and marijuana use resulted almost entirely from social causation. These findings support illegal drug use as a good candidate for analyses in the 'fundamental cause' tradition that seek to understand the social factors that concentrate poor health and health behaviors in the lower social strata over historical time.
目前的证据表明,在美国,与母亲受教育程度较高的家庭相比,20世纪80年代至90年代青少年中的非法药物使用在母亲受教育程度较低的家庭中变得明显更为普遍。在本研究中,我们考察这种代际变化是源于以下哪种情况:(a) 如代际社会“因果关系”假说所预测的,社会经济地位对药物使用的影响发生变化;或者(b) 如代际社会“选择/漂移”假说所预测的,药物使用对社会经济地位产生负面影响。分析基于1979年美国全国纵向研究,该研究包括1984年全国代表性的19 - 27岁受访者样本的药物使用信息,以及这些受访者在1998年时年龄为18 - 27岁的子女的药物使用信息。结果表明,可卡因和大麻使用的代际变化几乎完全是由社会因果关系导致的。这些发现支持将非法药物使用作为“根本原因”传统分析的一个良好候选对象,该传统旨在理解在历史时期内将不良健康和健康行为集中在社会较低阶层的社会因素。