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Drug use, HIV/AIDS, and health outcomes among racial and ethnic populations. Early and mid-adolescence risk factors for later substance abuse by African Americans and European Americans.

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Titre :	Drug use, HIV/AIDS, and health outcomes among racial and ethnic populations. Early and mid-adolescence risk factors for later substance abuse by African Americans and European Americans. (2002)
Auteurs :	Andres-G GIL ; Henry-L FRANCIS, éd. ; Dionne-J JONES, éd. ; Arnold-R MILLS, éd. ; Rjay TURNER ; William-A VEGA ; Center on Aids and Other Medical Consequences of Drug Abuse. National Institute on Drug Abuse. National Institutes of Health. USA
Type de document :	Article
Dans :	Public health reports (vol. 117, 2002)
Pagination :	S15-S29
Langues:	Anglais
Mots-clés :	Facteur risque ; Epidémiologie ; Adolescent ; Toxicomane ; Homme ; Cannabis ; Alcoolisme ; Toxicomanie ; Adulte
Résumé :	[BDSP. Notice produite par INIST-CNRS FR0xtDHi. Diffusion soumise à autorisation]. Objective : This study examines the relationship between risk factors experienced during adolescence by African Americans and European Americans and DSM-IV alcohol dependence and marijuana abuse or dependence in early adulthood. Methods : The authors followed a cohort of adolescents from 1990-91 (grades 6 and 7) to 1998-2000 (ages 19-21), evaluating risk factors during early adolescence as predictors of DSM-IV alcohol dependence and marijuana abuse and dependence. Results : African Americans had higher exposure to school, family structure, delinquency, and psychosocial factors. School factors and drug-use modeling of peers and family were the most important risk factors for marijuana abuse or dependence for both European and African Americans. Conclusion : Personal, familial, and social context factors during early adolescence affect adult drug-use problems, particularly for African Americans. Levels of drug use are lower among African Americans, but exposure to risks is higher and there are clear differences in the long-range impact of risk factors. These findings highlight the importance of developing and timing appropriate prevention efforts.