National Institute on Drug Abuse, Bethesda, MD 20892, USA.
Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Rockville, MD 20852, USA.
Int J Environ Res Public Health. 2024 Aug 14;21(8):1067. doi: 10.3390/ijerph21081067.
Adults aged 21-29 have the highest past-month prevalence of tobacco, alcohol, and illicit drug use in the U.S. Currently, young adults often delay traditional adulthood milestones (e.g., marriage and childbearing), which may impact their household composition and substance use.
We examined how the past-month prevalence of eight mutually exclusive substance use outcomes varied by household composition among young adults using the 2016-2019 National Surveys on Drug Use and Health (NSDUH) data. Bivariable and multivariable multinomial logistic regression analyses were applied.
Among young adults residing with their children, the most common household composition was residing with children and a spouse/partner (16.6%, 95% CI = 16.5-16.8%). Among those residing without children, common household compositions included residing with parents (22.8%, 95% CI = 22.2-23.4%) and residing only with a spouse/partner (17.9%, 95% CI = 17.6-18.3%). Past-month prevalence of binge alcohol, tobacco, and illicit drug use varied by household composition. Residing only with children and a spouse/partner was associated with a low prevalence of most examined substance use patterns. Across household compositions, those residing solely with unrelated individuals had the highest adjusted prevalence of tobacco, drug, and binge alcohol use (13.8%, 95% CI = 12.5-15.1%).
The prevalence of substance use patterns among U.S. young adults varies by household composition. Those residing solely with unrelated individuals had the highest prevalence of tobacco, binge alcohol, and drug use. The presence of a young adult's own children and a spouse/partner is associated with a lower prevalence of most examined substance use patterns. As household compositions continue to diversify, targeted substance use prevention/treatment strategies may be needed.
21-29 岁成年人是美国当前过去一个月内烟草、酒精和非法药物使用患病率最高的群体。目前，年轻人经常推迟传统的成年里程碑（例如结婚和生育），这可能会影响他们的家庭结构和物质使用。
我们使用 2016-2019 年全国毒品使用与健康调查（NSDUH）数据，研究了八种相互排斥的物质使用结果在年轻人中的家庭结构差异。采用双变量和多变量多项逻辑回归分析。
在与子女同住的年轻人中，最常见的家庭结构是与子女和配偶/伴侣同住（16.6%，95%CI=16.5-16.8%）。在没有子女同住的年轻人中，常见的家庭结构包括与父母同住（22.8%，95%CI=22.2-23.4%）和仅与配偶/伴侣同住（17.9%，95%CI=17.6-18.3%）。 binge 饮酒、吸烟和非法药物使用的过去一个月的流行率因家庭结构而异。仅与子女和配偶/伴侣同住与大多数被检查的物质使用模式的低流行率相关。在各种家庭结构中，仅与无关联的人同住的人，吸烟、吸毒和 binge 饮酒的调整后患病率最高（13.8%，95%CI=12.5-15.1%）。
美国年轻人的物质使用模式的流行率因家庭结构而异。仅与无关联的人同住的人吸烟、 binge 饮酒和吸毒的流行率最高。年轻人自己的孩子和配偶/伴侣的存在与大多数被检查的物质使用模式的低流行率相关。随着家庭结构的不断多样化，可能需要有针对性的物质使用预防/治疗策略。
