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Trajectories of adolescent poly-substance use and their long-term social and economic outcomes for males from low-income backgrounds.

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Title: Trajectories of adolescent poly-substance use and their long-term social and economic outcomes for males from low-income backgrounds.
Authors: Vergunst, Francis, Chadi, Nicholas, Orri, Massimiliano, Brousseau-Paradis, Camille, Castellanos-Ryan, Natalie, Séguin, Jean R., Vitaro, Frank, Nagin, Daniel, Tremblay, Richard E., Côté, Sylvana M.
Source: European Child & Adolescent Psychiatry. Nov2022, Vol. 31 Issue 11, p1729-1738. 10p. 3 Charts, 1 Graph.
Subjects: Social participation, Substance abuse, Psychology of men, Economic impact, Confidence intervals, Marriage, Alcoholism, Regression analysis, Crime, Cost control, Social security, Socioeconomic factors, Descriptive statistics, Poverty, Statistical models, Public welfare, Smoking, Drugs of abuse, Educational attainment, Longitudinal method, Adults
Abstract: Substance abuse is a significant public health concern that disproportionately burdens males and low-income communities. This study examined (1) longitudinal profiles of male adolescent poly-substance use and (2) their association with social and economic participation across early adulthood. Drawing on a cohort of males (n = 890) from low-income neighborhoods, we used group-based multi-trajectory modeling to identify profiles of poly-substance use (alcohol, tobacco, cannabis, illicit drugs) from age 13–17 years. Regression models were used to link substance use profiles to high school graduation, criminal convictions, personal and household earnings, welfare receipt and partnership from age 19–37 years, obtained from administrative records. Child IQ, family adversity and behavioral problems were adjusted for. Four poly-substance use profiles were identified: abstinent (n = 128, 14.4%), late-onset (n = 412, 46.5%), mid-onset (n = 249, 28.1%), and early-onset (n = 98, 11.1%). Relative to the late-onset (reference) group, participants in the early-onset profile were 3.0 times (95%CI = 1.68–5.53) more likely to have left school without a diploma, 2.7 times (95% CI = 1.56–4.68) more likely to have a criminal conviction by age 24 years, earned 10,185 USD less (95% CI = − 15,225– − 5144) per year at age 33–37 years and had 15,790 USD lower (95% CI = − 23,378– − 8218) household income at age 33–37 years, a 1.3 times (95%CI = 1.15–1.57) higher incidence of annual welfare receipt and a 24% (95% CI = 5–40) lower incidence of marriage/cohabitation from age 18-35 years. We show that adolescent-onset poly-substance use by age 13 is associated with poor social and economic outcomes. Delaying the onset of substance use and reducing exposure to additional substance classes has potential for high societal cost savings. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Trajectories of adolescent poly-substance use and their long-term social and economic outcomes for males from low-income backgrounds.
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  Data: <searchLink fieldCode="AR" term="%22Vergunst%2C+Francis%22">Vergunst, Francis</searchLink><br /><searchLink fieldCode="AR" term="%22Chadi%2C+Nicholas%22">Chadi, Nicholas</searchLink><br /><searchLink fieldCode="AR" term="%22Orri%2C+Massimiliano%22">Orri, Massimiliano</searchLink><br /><searchLink fieldCode="AR" term="%22Brousseau-Paradis%2C+Camille%22">Brousseau-Paradis, Camille</searchLink><br /><searchLink fieldCode="AR" term="%22Castellanos-Ryan%2C+Natalie%22">Castellanos-Ryan, Natalie</searchLink><br /><searchLink fieldCode="AR" term="%22Séguin%2C+Jean+R%2E%22">Séguin, Jean R.</searchLink><br /><searchLink fieldCode="AR" term="%22Vitaro%2C+Frank%22">Vitaro, Frank</searchLink><br /><searchLink fieldCode="AR" term="%22Nagin%2C+Daniel%22">Nagin, Daniel</searchLink><br /><searchLink fieldCode="AR" term="%22Tremblay%2C+Richard+E%2E%22">Tremblay, Richard E.</searchLink><br /><searchLink fieldCode="AR" term="%22Côté%2C+Sylvana+M%2E%22">Côté, Sylvana M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Nov2022, Vol. 31 Issue 11, p1729-1738. 10p. 3 Charts, 1 Graph.
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  Label: Abstract
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  Data: Substance abuse is a significant public health concern that disproportionately burdens males and low-income communities. This study examined (1) longitudinal profiles of male adolescent poly-substance use and (2) their association with social and economic participation across early adulthood. Drawing on a cohort of males (n = 890) from low-income neighborhoods, we used group-based multi-trajectory modeling to identify profiles of poly-substance use (alcohol, tobacco, cannabis, illicit drugs) from age 13–17 years. Regression models were used to link substance use profiles to high school graduation, criminal convictions, personal and household earnings, welfare receipt and partnership from age 19–37 years, obtained from administrative records. Child IQ, family adversity and behavioral problems were adjusted for. Four poly-substance use profiles were identified: abstinent (n = 128, 14.4%), late-onset (n = 412, 46.5%), mid-onset (n = 249, 28.1%), and early-onset (n = 98, 11.1%). Relative to the late-onset (reference) group, participants in the early-onset profile were 3.0 times (95%CI = 1.68–5.53) more likely to have left school without a diploma, 2.7 times (95% CI = 1.56–4.68) more likely to have a criminal conviction by age 24 years, earned 10,185 USD less (95% CI = − 15,225– − 5144) per year at age 33–37 years and had 15,790 USD lower (95% CI = − 23,378– − 8218) household income at age 33–37 years, a 1.3 times (95%CI = 1.15–1.57) higher incidence of annual welfare receipt and a 24% (95% CI = 5–40) lower incidence of marriage/cohabitation from age 18-35 years. We show that adolescent-onset poly-substance use by age 13 is associated with poor social and economic outcomes. Delaying the onset of substance use and reducing exposure to additional substance classes has potential for high societal cost savings. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00787-021-01810-w
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      – SubjectFull: Psychology of men
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