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Patterns of drug use from adolescence to young adulthood: I. Periods of risk for initiation, continued use, and discontinuation

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  • Kandel, D.B.
  • Logan, J.A.

Abstract

Patterns of initiation, continued use, and decline in drug use are described on the basis of detailed drug histories in a longitudinal cohort representative of former New York State adolescents. In this cohort, the period of major risk for initiation to cigarettes, alcohol, and marijuana, is completed for the most part by age 20, and to illicit drugs other than cocaine by age 21. Those who have not experimented with any of these substances by that age are unlikely to do so thereafter. Initiation into prescribed psychoactive drugs occurs at a later age than for the licit and illicit drugs and continues through the age period covered by the survey. A potential maturational trend in marijuana use in this cohort is apparent with a decline beginning approximately at age 22.5 for most usage patterns. The period of highest marijuana and alcohol usage decline beginning at ages 20-21 and contrast sharply with cigarettes which exhibit climbing rates of highest use through the end of the surveillance period (age 25). Overall patterns are similar for men and women, with men initiating all drugs at higher rates than women, except for prescribed psychoactives.

Suggested Citation

  • Kandel, D.B. & Logan, J.A., 1984. "Patterns of drug use from adolescence to young adulthood: I. Periods of risk for initiation, continued use, and discontinuation," American Journal of Public Health, American Public Health Association, vol. 74(7), pages 660-666.
    • Handle: RePEc:aph:ajpbhl:1984:74:7:660-666_0
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    Cited by:

    1. Gray, M. Kevin & Brown, Kelly L., 2009. "Drinking and drug use by college students: Comparing criminal justice majors and non-majors," Journal of Criminal Justice, Elsevier, vol. 37(3), pages 234-240, May.
    2. Jason Delaney & John Winters, 2014. "Sinners or Saints? Preachers’ Kids and Risky Health Behaviors," Journal of Family and Economic Issues, Springer, vol. 35(4), pages 464-476, December.
    3. Lucas Marín Llanes & Hernando Zuleta, 2022. "Myths of drug consumption decriminalization: effects of Portuguese decriminalization on violent and drug use mortality," Documentos CEDE 20328, Universidad de los Andes, Facultad de Economía, CEDE.
    4. Beau Kilmer & Rosalie Liccardo Pacula, 2010. "Preventing Drug Use," NBER Chapters, in: Targeting Investments in Children: Fighting Poverty When Resources Are Limited, pages 181-220, National Bureau of Economic Research, Inc.
    5. Baraldi, Anna Laura & Ronza, Carla, 2019. "Organized crime and women in politics: Evidence from a quasi-experiment in southern Italy," MPRA Paper 98473, University Library of Munich, Germany.
    6. Hasan, Hamid & Ejaz, Nauman, 2013. "Testing for Differences across Genders: A Replication of Ultimatum Game at International Islamic University, Islamabad," MPRA Paper 44923, University Library of Munich, Germany.
    7. David Kline & Staci A. Hepler, 2021. "Estimating the burden of the opioid epidemic for adults and adolescents in Ohio counties," Biometrics, The International Biometric Society, vol. 77(2), pages 765-775, June.
    8. Robert Andrew Yockey & Tracey E. Barnett, 2023. "Past-Year Blunt Smoking among Youth: Differences by LGBT and Non-LGBT Identity," IJERPH, MDPI, vol. 20(7), pages 1-8, March.
    9. Terence P. Thornberry, 2005. "Explaining Multiple Patterns of Offending across the Life Course and across Generations," The ANNALS of the American Academy of Political and Social Science, , vol. 602(1), pages 156-195, November.
    10. Cody Jorgensen, 2018. "Badges and Bongs: Police Officers’ Attitudes Toward Drugs," SAGE Open, , vol. 8(4), pages 21582440188, October.
    11. Sandra Müller & Gerhard Gmel, 2002. "Veränderungen des Einstiegsalters in den Cannabiskonsum: Ergebnisse der zweiten Schweizer Gesundheitsbefragung 1997," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 47(1), pages 14-23, March.
    12. Jacob Kraemer Tebes & David L. Snow & Michael W. Arthur, 1992. "Panel Attrition and External Validity in the Short-Term Follow-Up Study of Adolescent Substance Use," Evaluation Review, , vol. 16(2), pages 151-170, April.

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