Birth Cohorts Analysis of Adolescent Cigarette Smoking and Subsequent Marijuana and Cocaine Use.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Adolescent Behavior* ; Cocaine* ; Illicit Drugs*; Marijuana Smoking/*epidemiology ; Smoking/*epidemiology; Adolescent ; Alcohol Drinking/epidemiology ; Cohort Studies ; Cross-Sectional Studies ; Female ; Humans ; Male ; Marijuana Smoking/ethnology ; Prevalence ; Risk Factors ; Smoking/ethnology ; United States/epidemiology

Objectives: To examine whether the drug behavior of adults from different birth cohorts is shaped by adolescent drug experiences and whether adult prevalence of marijuana and cocaine use depends on adolescent cigarette or alcohol use prevalence.
Methods: We analyzed 18 birth cohorts comprising 8th, 10th, and 12th graders, sampled from 1991 to 2008, from Monitoring the Future, an annual nationally representative cross-sectional survey of high school students in the United States (n = 864 443).
Results: Within cohorts, lifetime rates of 8th and 10th grade cigarette use were significantly associated with subsequent lifetime rates of marijuana and cocaine use, controlling for trends in use and social norms toward drug use. Each percent increase (or decrease) in 8th and 10th grade smoking was associated with an 8% increase (or decrease) in prevalence of later marijuana use and 14% to 23% increase (or decrease) in prevalence of later cocaine use. Relationships were consistent by gender and race/ethnicity.
Conclusions: Prevalences of smoking in 8th and 10th grade and of marijuana and cocaine use in 12th grade are associated. Public health campaigns should focus on early stages of adolescence, when drug use habits are forming.

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K01 AA021511 United States AA NIAAA NIH HHS; R01 DA001411 United States DA NIDA NIH HHS

0 (Illicit Drugs)
I5Y540LHVR (Cocaine)

Date Created: 20160415 Date Completed: 20170606 Latest Revision: 20191210

20231215

PMC4880234

10.2105/AJPH.2016.303128

27077359