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Category Archives: Access to Treatment
Race/Ethnicity Differences in Alcohol, Marijuana, and Co-occurring Alcohol and Marijuana Use Disorders
Race/Ethnicity Differences between Alcohol, Marijuana, and Co-occurring Alcohol and Marijuana Use Disorders and Their Association with Public Health and Social Problems
Lauren R. Pacek BS1, Robert J. Malcolm MD2 & Silvia S. Martins MD, PhD1
Article first published online: 10 AUG 2012. Complete article available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1521-0391.2012.00249.x/abstract
Abstract:
Background: Alcohol and marijuana are commonly used and misused in the United States, both singly and together. Despite this, few studies examine their co-occurring use and the corresponding association with public health and other problems. Moreover, there is a lack of investigation into differences in these associations on the basis of race/ethnicity.
Methods: The present study estimated the frequency of alcohol use disorder, marijuana use disorder, and co-occurring alcohol and marijuana use disorder and their associated public health and social problems in Whites, African Americans, and Hispanics. This cross-sectional study included 13,872 individuals and used data from the 2005–2007 National Survey on Drug Use and Health. Frequency was calculated and multinomial regression was used to assess associations between substance use disorder and psychosocial, adverse consequences such as history of being arrested, substance use treatment, and sexually transmitted infection.
Results: Alcohol use disorder was comparable between, and most prevalent among, Whites and Hispanics compared to African Americans, whereas marijuana use disorder was greatest among African Americans compared to other race/ethnicities. Co-occurring alcohol and marijuana use disorders were most prevalent for African Americans versus Whites and Hispanics, and similar in Whites and Hispanics. In general, major depressive episode was more prevalent for respondents with co-occurring use disorders or single marijuana use disorders. However, race/ethnicity differences in associations between substance use disorder and psychosocial correlates and adverse consequences were observed.
Conclusions: Findings have implications for race/ethnicity appropriate integrated prevention and treatment of single and co-occurring use disorders and psychiatric comorbidities. (Am J Addict 2012;21:435–444)
Copyright © American Academy of Addiction Psychiatry
DOI: 10.1111/j.1521-0391.2012.00249.x
Parental alcohol dependence, socioeconomic disadvantage and alcohol and cannabis dependence among young adults in the community
Parental alcohol dependence, socioeconomic disadvantage and alcohol and cannabis dependence among young adults in the community
M. Melchior, M. Choquet, Y. Le Strat, C. Hassler, P. Gorwood
European Psychiatry Volume 26, Issue 1 , Pages 13-17, January 2011
Abstract
We tested the hypothesis that socioeconomic disadvantage exacerbates the intergenerational transmission of substance dependence. Among 3056 community-based young adults (18–22 years, 2007), the prevalence of alcohol dependence (WHO AUDIT, 5.8%) and cannabis dependence (DSM IV criteria, 7.3%) was doubled in the presence of combined parental alcohol dependence and socioeconomic disadvantage.
The complete article is available at:
http://www.europsy-journal.com/article/S0924-9338(10)00057-X/abstract
Teens in child welfare system show higher drug abuse rate
Teens in child welfare system show higher drug abuse rate
Source: (As reported in ScienceDaily, November 4, 2013) Journal of Studies on Alcohol and Drugs. (2013, November 4). Teens in child welfare system show higher drug abuse rate. ScienceDaily. Retrieved May 22, 2014 fromwww.sciencedaily.com/releases/2013/11/131104035404.htm
ScienceDaily Summary:
Teenagers in the child welfare system are at higher-than-average risk of abusing marijuana, inhalants and other drugs. However, the study also shows that parental involvement matters.
WTR-RI Research & Analysis Team Note:
This ScienceDaily article report that this study’s authors identified several significant differences in marijuana, alcohol and other drug use between socially vulnerable youth and youth in the general population. They further note differences in drugs of choice, including the finding that “teens in the welfare system were more likely to have tried marijuana, inhalants or hard drugs – but not alcohol”. ScienceDaily also observed that across all youth in the study both socially vulnerable and in the general population, “a key risk factor was delinquency”. Implications for treatment and parenting support are also discussed.
Journal Reference:
Fettes, D. L., Aarons, G. A., & Green, A. E. Higher rates of adolescent substance use in child welfare versus community populations in the United States. Journal of Studies on Alcohol and Drugs, November 2013