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Marijuana use trajectories among drug-using youth presenting to an urban emergency department: Violence and social influences
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Feb 03 2017
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Source: Drug Alcohol Depend. 173:117-125.
Details:
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Alternative Title:Drug Alcohol Depend
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Personal Author:
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Description:Aims
This paper examined longitudinal marijuana use trajectories among drug-using youth presenting to the ED to inform intervention development.
Methods
Given interest in substance use and violence, this study oversampled those presenting with assault injuries. Assault-injured youth (ages 14-24) endorsing past 6-month drug use (n=349), and a sex and age proportionally-sampled comparison group (n=250) endorsing drug use, completed a baseline assessment and follow-ups at 6, 12, 18, and 24 months. Latent class trajectory analyses examined days of marijuana use over 2 years. Multinomial regression analyses examined baseline, 12-month and 24-month factors associated with substance use trajectory groups.
Results
Trajectory analyses identified 5 groups: Low (Low; 28.2%; n=169); Intermittent (INT; 16.2%; n=97); Moderate Decline (MD; 12.0%; n=72); High decline (HD, 13.2%; n=79) and Chronic (C; 30.4%; n=182). At baseline, as compared to the Low group, the other trajectory groups were more likely to be male and have greater levels of physical aggression. At 12- and 24-months, negative and positive peer influences, incarceration and community violence were additional characteristics associated with the greater marijuana use trajectories (as compared to the Low group).
Conclusions
Interventions for drug-using youth presenting to the urban ED should address peer influences, physical aggression and community violence exposure, given the association between these characteristics and greater marijuana use trajectories.
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Pubmed ID:28219802
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Pubmed Central ID:PMC5366264
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Volume:173
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