Department of Human Development and Family Studies, Texas Tech University, Lubbock, Texas, USA.
Department of Psychology, University of Victoria, Victoria, British Columbia, Canada.
Subst Use Misuse. 2020;55(7):1129-1137. doi: 10.1080/10826084.2020.1729200. Epub 2020 Feb 24.
Few studies have examined social-contextual moderators of substance use transitions from adolescence to young adulthood. A better understanding of the extent to which school, employment, and romantic relationships can disrupt high-risk use patterns could inform strategies for substance use prevention and treatment. The current study examines the extent school, employment, and relationship factors can disrupt transition in high-risk substance use patterns from adolescence to young adulthood. Data were collected biennially from 662 youth in six assessments across ten years (2003-2013). Using latent transition analysis (LTA) that examined transition is substance use classes, we examined school, employment, and relationship moderators of use transitions.: Few differences were found during adolescence with the most significant findings occurring in the transition from adolescence to young adulthood. Examining the transitions from adolescence to young adulthood (W4 to W6), we found evidence that school, employment, and relationship status disrupted problematic substance use patterns, such that, individuals that indicated entering school, working full-time, or getting married or entering a relationship were more likely to transition to a low-risk substance use class than remain in the high-risk class.: Findings underscore the importance of school completion, obtaining stable career employment, and quality relationship to help reduce high-risk substance use patterns leading into young adulthood. Prevention and intervention efforts should consider the diverse needs of youth and be prepared to provide a wide range of services that include educational opportunities and career development if they want to reduce high-risk substance use patterns.
几乎没有研究探讨过从青少年到成年早期的物质使用转变的社会背景调节因素。更好地了解学校、就业和恋爱关系在多大程度上可以打破高危使用模式，可以为物质使用预防和治疗策略提供信息。本研究考察了学校、就业和关系因素在多大程度上可以打破青少年到成年早期高危物质使用模式的转变。数据是从 662 名青少年在十年（2003-2013 年）的六次评估中每两年收集一次。使用潜变量转换分析（LTA）来检查物质使用类别的转换，我们研究了学校、就业和关系因素对使用转换的调节作用：青少年时期的差异不大，最显著的发现发生在从青少年到成年早期的过渡时期。在从青少年到成年早期（W4 到 W6）的过渡时期，我们发现有证据表明，学校、就业和关系状况打破了有问题的物质使用模式，例如，那些表示进入学校、全职工作、结婚或建立关系的人更有可能过渡到低风险物质使用类别，而不是停留在高风险类别。研究结果强调了完成学业、获得稳定的职业就业和良好的关系的重要性，以帮助减少进入成年早期的高危物质使用模式。预防和干预措施应考虑到青少年的不同需求，并准备提供广泛的服务，包括教育机会和职业发展，如果他们想减少高危物质使用模式。
