The dynamics of alcohol and marijuana initiation: patterns and predictors of first use in adolescence

Am J Public Health. 2000 Mar;90(3):360-6. doi: 10.2105/ajph.90.3.360.

Abstract

Objectives: This study, guided by the social development model, examined the dynamic patterns and predictors of alcohol and marijuana use onset.

Methods: Survival analysis and complementary log-log regression were used to model hazard rates and etiology of initiation with time-varying covariates. The sample was derived from a longitudinal study of 808 youth interviewed annually from 10 to 16 years of age and at 18 years of age.

Results: Alcohol initiation rose steeply up to the age of 13 years and then increased more gradually; most participants had initiated by 13 years of age. Marijuana initiation showed a different pattern, with more participants initiating after the age of 13 years.

Conclusions: This study showed that: (1) the risk of initiation spans the entire course of adolescent development; (2) young people exposed to others who use substances are at higher risk for early initiation; (3) proactive parents can help delay initiation; and (4) clear family standards and proactive family management are important in delaying alcohol and marijuana use, regardless of how closely bonded a child is to his or her mother.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Alcohol Drinking*
  • Child
  • Female
  • Humans
  • Life Tables
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Marijuana Smoking*
  • Multivariate Analysis
  • Odds Ratio
  • Predictive Value of Tests
  • Risk
  • Risk Factors
  • Survival Analysis
  • Washington / epidemiology