Abstract
Background: Life course theory emphasizes the need to examine a wide variety of distal factors along with proximal factors, longitudinally. Yet research on who obtains substance use treatment is generally cross-sectional and limited to examining developmentally proximal factors (e.g., substance use severity) and demographic factors. Methods: To investigate treatment within a life-course framework, we studied 522 drug and/or alcohol users from a community cohort of African Americans followed prospectively from age 6. Developmentally distal factors of childhood and adolescent social behavior, family environment, academic achievement, mental health, and substance use along with the key proximal factors of substance use severity and socioeconomic status were examined using regression analyses to assess their impact on obtaining adult substance use treatment. Results: One-fifth of the study population obtained treatment for substance use by age 32 (20.5%). Although adult socioeconomic status was not associated with substance use treatment in adulthood in the multivariable model, the proximal factor of substance use severity was a strong predictor of obtaining substance use treatment, as expected. After including several developmentally distal factors in the model, childhood aggression also had an independent effect on adult substance use treatment, above and beyond substance use severity. Conclusions: These findings emphasize the importance of using a life course framework when exploring predictors of treatment; early life characteristics are important influences beyond the more proximal factors in adulthood. Research should continue to take a life course approach to better understand pathways to substance use treatment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 216-223 |
| Number of pages | 8 |
| Journal | Drug and Alcohol Dependence |
| Volume | 142 |
| DOIs | |
| State | Published - Sep 1 2014 |
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Keywords
- Life course
- Risk factors
- Substance abuse treatment
- Substance use
ASJC Scopus subject areas
- Psychiatry and Mental health
- Toxicology
- Pharmacology
- Pharmacology (medical)
- Medicine(all)
Cite this
Taking a life course approach to studying substance use treatment among a community cohort of African American substance users. / Evans-Polce, Rebecca J.; Doherty, Elaine E.; Ensminger, Margaret.
In: Drug and Alcohol Dependence, Vol. 142, 01.09.2014, p. 216-223.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Taking a life course approach to studying substance use treatment among a community cohort of African American substance users
AU - Evans-Polce, Rebecca J.
AU - Doherty, Elaine E.
AU - Ensminger, Margaret
PY - 2014/9/1
Y1 - 2014/9/1
N2 - Background: Life course theory emphasizes the need to examine a wide variety of distal factors along with proximal factors, longitudinally. Yet research on who obtains substance use treatment is generally cross-sectional and limited to examining developmentally proximal factors (e.g., substance use severity) and demographic factors. Methods: To investigate treatment within a life-course framework, we studied 522 drug and/or alcohol users from a community cohort of African Americans followed prospectively from age 6. Developmentally distal factors of childhood and adolescent social behavior, family environment, academic achievement, mental health, and substance use along with the key proximal factors of substance use severity and socioeconomic status were examined using regression analyses to assess their impact on obtaining adult substance use treatment. Results: One-fifth of the study population obtained treatment for substance use by age 32 (20.5%). Although adult socioeconomic status was not associated with substance use treatment in adulthood in the multivariable model, the proximal factor of substance use severity was a strong predictor of obtaining substance use treatment, as expected. After including several developmentally distal factors in the model, childhood aggression also had an independent effect on adult substance use treatment, above and beyond substance use severity. Conclusions: These findings emphasize the importance of using a life course framework when exploring predictors of treatment; early life characteristics are important influences beyond the more proximal factors in adulthood. Research should continue to take a life course approach to better understand pathways to substance use treatment.
AB - Background: Life course theory emphasizes the need to examine a wide variety of distal factors along with proximal factors, longitudinally. Yet research on who obtains substance use treatment is generally cross-sectional and limited to examining developmentally proximal factors (e.g., substance use severity) and demographic factors. Methods: To investigate treatment within a life-course framework, we studied 522 drug and/or alcohol users from a community cohort of African Americans followed prospectively from age 6. Developmentally distal factors of childhood and adolescent social behavior, family environment, academic achievement, mental health, and substance use along with the key proximal factors of substance use severity and socioeconomic status were examined using regression analyses to assess their impact on obtaining adult substance use treatment. Results: One-fifth of the study population obtained treatment for substance use by age 32 (20.5%). Although adult socioeconomic status was not associated with substance use treatment in adulthood in the multivariable model, the proximal factor of substance use severity was a strong predictor of obtaining substance use treatment, as expected. After including several developmentally distal factors in the model, childhood aggression also had an independent effect on adult substance use treatment, above and beyond substance use severity. Conclusions: These findings emphasize the importance of using a life course framework when exploring predictors of treatment; early life characteristics are important influences beyond the more proximal factors in adulthood. Research should continue to take a life course approach to better understand pathways to substance use treatment.
KW - Life course
KW - Risk factors
KW - Substance abuse treatment
KW - Substance use
UR - http://www.scopus.com/inward/record.url?scp=84905580607&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84905580607&partnerID=8YFLogxK
U2 - 10.1016/j.drugalcdep.2014.06.025
DO - 10.1016/j.drugalcdep.2014.06.025
M3 - Article
C2 - 25042214
AN - SCOPUS:84905580607
VL - 142
SP - 216
EP - 223
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
SN - 0376-8716
ER -