Fleming Charles B, White Helene R, Haggerty Kevin P, Abbott Robert D, Catalano Richard F
Social Development Research Group at the University of Washington School of Social Work.
Center of Alcohol Studies at Rutgers--the State University of New Jersey, 607 Allison Road, Piscataway, NJ 08854.
J Drug Issues. 2012 Apr 1;42(2). doi: 10.1177/0022042612446590.
This study examined how substance use trajectories from ages 15 to 23 in a community sample (N=921) were related to educational pathways. Rates of heavy drinking converged across different paths, but starting college at a 2-year college before transferring to a 4-year college was related to later increase in drinking after high school. Higher future educational attainment was negatively associated with high school marijuana use, but marijuana use increased after high school for individuals who went to 4-year colleges compared to those who did not. Noncollege youth had the highest rates of daily cigarette smoking throughout adolescence and early adulthood, while college dropouts had higher rates of smoking than college students who did not drop out. The findings support the need for universal prevention for early adult heavy drinking, addressing increases in drinking and marijuana use in 4-year colleges, and targeting marijuana use and cigarette smoking interventions at noncollege youth and college dropouts.
本研究调查了一个社区样本（N = 921）中15至23岁的物质使用轨迹与教育途径之间的关系。不同路径下的重度饮酒率趋于一致，但先在两年制学院开始上大学，然后转入四年制学院，这与高中毕业后饮酒量的增加有关。未来较高的教育成就与高中时期使用大麻呈负相关，但与未进入四年制学院的人相比，进入四年制学院的人在高中毕业后大麻使用量增加。在整个青春期和成年早期，未上大学的年轻人每日吸烟率最高，而大学辍学者的吸烟率高于未辍学的大学生。研究结果支持有必要针对成年早期的重度饮酒进行普遍预防，解决四年制学院中饮酒和大麻使用增加的问题，并针对未上大学的年轻人和大学辍学者开展大麻使用和吸烟干预措施。
