Greene B T
Am J Drug Alcohol Abuse. 1979;6(4):447-62. doi: 10.3109/00952997909007055.
A treatment population of 1,544 drug/alcohol abusers at 10 combined treatment centers was studied to determine the various patterns of sequential use and their corresponding policy implications. Most of the persons who began their substance abuse with alcohol continued to use only alcohol. Alcoholics who did use another substance, either sequentially or concurrently, tended to select a drug other than opiates or marijuana. Although a majority of opiate users eventually became concurrent or sequential users of another substance, a sizable number remained mono-users. A miniscule number of the opiate users moved on to alcohol or marijuana. Most of the users initiated into regular use with marijuana eventually began to use a nonopiate, nonalcoholic substance. A majority of the users who started with a nonalcohol, nonopiate, nonmarijuana substance eventually used marijuana. Sequential and concurrent users in general were more similar to each other than to mono-users. The implications of the development of drug use typologies for direct treatment are discussed. Having identified target groups, the author then suggests policies for controlling substance abuse indirectly, such as those dealing with employment.
对10个综合治疗中心的1544名药物/酒精滥用者的治疗人群进行了研究，以确定连续使用的各种模式及其相应的政策影响。大多数以酒精开始滥用药物的人继续只使用酒精。确实顺序或同时使用另一种物质的酗酒者倾向于选择阿片类药物或大麻以外的药物。尽管大多数阿片类药物使用者最终成为另一种物质的同时使用者或顺序使用者，但仍有相当数量的人保持单一药物使用者状态。极少数阿片类药物使用者转而使用酒精或大麻。大多数开始经常使用大麻的使用者最终开始使用非阿片类、非酒精类物质。大多数从非酒精、非阿片类、非大麻物质开始使用的使用者最终使用了大麻。一般来说，顺序使用者和同时使用者彼此之间比与单一使用者更相似。讨论了药物使用类型发展对直接治疗的影响。在确定了目标群体之后，作者接着提出了间接控制药物滥用的政策，例如那些与就业有关的政策。
