University of Southern California, Keck School of Medicine, Department of Preventive Medicine, Institute for Health Promotion and Disease Prevention, United States.
Addict Behav. 2014 Mar;39(3):644-51. doi: 10.1016/j.addbeh.2013.11.021. Epub 2013 Nov 28.
The present study compares statistical models for three conceptualizations of drug use in 11th grade (past 30 day ever/never use, past 30 day frequency of drug use and past 30 day drug use consequences) with externalizing and internalizing problems in emerging adulthood when controlling for age, academic achievement and socioeconomic status in a Hispanic sample. Multivariate logistic regression models for the different drug use variables were compared when modeling weapon carrying, arrest, multiple lifetime sex partners, drug/alcohol use before sex and condom use in emerging adulthood. A multivariate linear regression model was used to model depression in emerging adulthood as a function of drug use measurement controlling for other covariates and depression in adolescence. Our findings suggest that any conceptualization of drug use will produce equitable results and model fit statistics when examining externalizing problems. However, when investigating internalizing problems, such as depression, lower frequency drug use-and not high frequency-was more strongly associated with depression whereas experiencing high levels of drug use consequences-and not low levels of consequences-was associated with depression in emerging adulthood despite similar model fit values. Variation between drug use and the experience of drug use consequences may lead to misspecification of "at-risk" subgroups of drug users. Implications and future directions are discussed.
本研究在控制年龄、学业成就和社会经济地位的情况下,比较了 11 年级(过去 30 天曾经/从未使用过、过去 30 天药物使用频率和过去 30 天药物使用后果)三种药物使用概念的统计模型与西班牙裔样本成年早期的外化和内化问题之间的关系。在成年早期,当涉及武器携带、被捕、多个性伴侣、性行为前的药物/酒精使用和使用避孕套时,对不同药物使用变量的多元逻辑回归模型进行了比较。使用多元线性回归模型,根据其他协变量和青春期抑郁,将药物使用测量作为功能建模为成年早期的抑郁。我们的研究结果表明,当检查外化问题时,任何药物使用概念化都会产生公平的结果和模型拟合统计数据。然而,当调查内化问题,如抑郁时,与经历高水平的药物使用后果相比,低水平的药物使用频率(而非高水平的药物使用频率)与成年早期的抑郁更相关,尽管模型拟合值相似。药物使用和药物使用后果之间的差异可能导致“高危”药物使用者亚组的指定不当。讨论了其影响和未来方向。