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.
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]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd 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: Secular Trends in Hazardous Alcohol and Cannabis Use from 2015 to 2024 in Diverse Subgroups of Youth Entering Residential Care.
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– Name: Abstract
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  Data: 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 &lt; 0.05) but decreased among males (OR = 0.981, se = 0.021, p &lt; 0.05). Both Latinx youth (OR = 0.944, se = 0.038, p &lt; 0.05) and American Indian youth (OR = 0.909, se = 0.066, p &lt; 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 &lt; 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]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Substance Use &amp; Misuse is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2025.2565434
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 491
    Subjects:
      – SubjectFull: Prevention of alcoholism
        Type: general
      – SubjectFull: Substance abuse prevention
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Hispanic Americans
        Type: general
      – SubjectFull: Behavior
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Behavior disorders in children
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Alcohol drinking
        Type: general
      – SubjectFull: Cannabis (Genus)
        Type: general
      – SubjectFull: Hazardous substances
        Type: general
      – SubjectFull: Residential care
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Native Americans
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Midwest (U.S.)
        Type: general
    Titles:
      – TitleFull: Secular Trends in Hazardous Alcohol and Cannabis Use from 2015 to 2024 in Diverse Subgroups of Youth Entering Residential Care.
        Type: main
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            NameFull: Mason, W. Alex
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            NameFull: Wilmayani, Ni Ketut
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            NameFull: Chmelka, Mary B.
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            – D: 01
              M: 04
              Text: 2026
              Type: published
              Y: 2026
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            – TitleFull: Substance Use & Misuse
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