Secular Trends in Hazardous Alcohol and Cannabis Use from 2015 to 2024 in Diverse Subgroups of Youth Entering Residential Care.
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| Title: | Secular Trends in Hazardous Alcohol and Cannabis Use from 2015 to 2024 in Diverse Subgroups of Youth Entering Residential Care. |
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| Authors: | Mason, W. Alex (AUTHOR), Wilmayani, Ni Ketut (AUTHOR), Chmelka, Mary B. (AUTHOR) |
| Source: | Substance Use & Misuse. 2026, Vol. 61 Issue 4, p491-499. 9p. |
| Subjects: | Prevention of alcoholism, Substance abuse prevention, Substance abuse, Cross-sectional method, Logistic regression analysis, Sex distribution, Hispanic Americans, Behavior, Descriptive statistics, Odds ratio, Behavior disorders in children, Medical records, Acquisition of data, Health behavior, Alcohol drinking, Cannabis (Genus), Hazardous substances, Residential care, Comorbidity, Native Americans, Adolescence |
| Geographic Terms: | Midwest (U.S.) |
| Abstract: | Background: Secular trends in adolescent alcohol and cannabis use in the general population have shown declines in both substances, but trends among high-risk youth placed in residential care are unclear. Understanding these differences could help address substance-related issues in this vulnerable population. Objectives: This study examines subgroup differences in the secular trends in hazardous alcohol and cannabis use and co-use among youth entering residential care using clinical records data collected over a 10-year period from 2015 to 2024. Repeated cross-sectional data from 2,256 youth (ages 9–18 years) entering a Midwestern U.S. residential care facility (2015–2024) were analyzed. Hazardous alcohol and cannabis use were assessed using the AUDIT (Alcohol Use Disorders Identification Test) and CUDIT-R (Cannabis Use Disorders Identification Test-Revised), respectively. Subgroup differences were examined through product-term logistic regressions, testing trends by age, sex, and race/ethnicity. Results: Hazardous alcohol use significantly increased over time among females (OR = 1.043, se = 0.026, p < 0.05) but decreased among males (OR = 0.981, se = 0.021, p < 0.05). Both Latinx youth (OR = 0.944, se = 0.038, p < 0.05) and American Indian youth (OR = 0.909, se = 0.066, p < 0.05) reported a significant decrease in hazardous alcohol use over time compared to a significant increase among White youth (OR = 1.021, se = 0.018, p < 0.05). A similar interaction pattern was shown for American Indian compared to White youth for comorbid use. Conclusions: Results have implications for ongoing monitoring and development of tailored interventions for youth entering residential care. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Secular trends in adolescent alcohol and cannabis use in the general population have shown declines in both substances, but trends among high-risk youth placed in residential care are unclear. Understanding these differences could help address substance-related issues in this vulnerable population. Objectives: This study examines subgroup differences in the secular trends in hazardous alcohol and cannabis use and co-use among youth entering residential care using clinical records data collected over a 10-year period from 2015 to 2024. Repeated cross-sectional data from 2,256 youth (ages 9–18 years) entering a Midwestern U.S. residential care facility (2015–2024) were analyzed. Hazardous alcohol and cannabis use were assessed using the AUDIT (Alcohol Use Disorders Identification Test) and CUDIT-R (Cannabis Use Disorders Identification Test-Revised), respectively. Subgroup differences were examined through product-term logistic regressions, testing trends by age, sex, and race/ethnicity. Results: Hazardous alcohol use significantly increased over time among females (OR = 1.043, se = 0.026, p < 0.05) but decreased among males (OR = 0.981, se = 0.021, p < 0.05). Both Latinx youth (OR = 0.944, se = 0.038, p < 0.05) and American Indian youth (OR = 0.909, se = 0.066, p < 0.05) reported a significant decrease in hazardous alcohol use over time compared to a significant increase among White youth (OR = 1.021, se = 0.018, p < 0.05). A similar interaction pattern was shown for American Indian compared to White youth for comorbid use. Conclusions: Results have implications for ongoing monitoring and development of tailored interventions for youth entering residential care. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10826084 |
| DOI: | 10.1080/10826084.2025.2565434 |
