Department of Psychiatry, New York University School of Medicine, New York, NY, USA.
Subst Abus. 2013;34(3):298-305. doi: 10.1080/08897077.2013.775092.
The objective of this study is to examine trajectories of marijuana use among African Americans and Puerto Ricans from adolescence to adulthood, with attention paid to work commitment, financial stability, drug use, and violence.
Participants (N = 816) completed in-class questionnaires as students in the East Harlem area of New York City at the first wave and provided follow-up data at 4 additional points in time (mean ages = 14, 19, 24, 29, and 32 years). Among 816 participants, there were 60% females, 52% African American, and 48% Puerto Ricans.
The chronic marijuana user trajectory group compared with the none or low, increasing, and/or moderate marijuana user trajectory group was associated with negative aspects of work commitment, financial stability, and the social environment. The chronic marijuana user group was similar to the increasing marijuana user group on work commitment and financial stability.
These results suggest that treating marijuana use in late adolescence may reduce difficulty in the assumption of adult roles. Because chronic marijuana users experienced the most adverse effects in each of the domains, they require more intense clinical intervention than moderate marijuana users.
本研究旨在探讨非裔美国人和波多黎各人从青春期到成年期的大麻使用轨迹,同时关注工作投入、财务稳定、药物使用和暴力问题。
参与者(N=816)在纽约市东哈莱姆区的课堂上完成了问卷调查,并在另外 4 个时间点提供了后续数据(平均年龄分别为 14、19、24、29 和 32 岁)。在 816 名参与者中,有 60%是女性,52%是非裔美国人,48%是波多黎各人。
与无或低、增加和/或适度大麻使用者轨迹组相比,慢性大麻使用者轨迹组与工作投入、财务稳定和社会环境的负面方面相关。慢性大麻使用者组在工作投入和财务稳定方面与增加大麻使用者组相似。
这些结果表明,在青少年后期治疗大麻使用可能会减少成年角色的适应困难。由于慢性大麻使用者在每个领域都经历了最不利的影响,因此他们需要比中度大麻使用者更强烈的临床干预。