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Assessing the relationship between drug use initiation age and racial characteristics

Bibliographic Data

ID15415038
AuthorsDiandian Yilin (0000-0002-2916-6624, University of Wisconsin–Madison, corresponding author), Meghan Bellerose (0000-0003-2281-8957, Columbia University), Carson Borbely (University of Wisconsin–Madison), Tawandra L Rowell‐Cunsolo (0000-0003-3715-8998, University of Wisconsin–Madison)
Year2023
Volume24
Issue3
Pages810-826
Publication date2023-10-26
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Ethnicity in Substance Abuse (JOURNAL)
Journal identifiersISSN: 1533-2640 • E-ISSN: 1533-2659
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15332640.2023.2271871
PMID37882363
OpenAlexW4387948657
LanguageEN
Citations received1
References cited25

Initiating drug use in adolescence is associated with greater risk of drug misuse and dependence in adulthood and co-occurring mental health disorders. Initiating drug use in adulthood has been linked to higher-risk drug use networks and primary use of "harder drugs". The aim of our research is to examine racial/ethnic differences in age at drug use initiation and its relationship with adult outcomes. Based on data from the 2019 National Survey on Drug Use and Health (NSDUH), we used survey-weighted Poisson regression models with robust variance to identify associations between racial characteristics, age at drug use initiation, and three adult outcomes - past year polydrug use, substance use, and mental illness - adjusting for individual-level characteristics. Among 25,986 respondents who ever used drugs and reported their drug use initiation age, Asian-Americans reported the oldest drug use initiation age (19.5) on average, while Native Americans reported the youngest initiation age (16.6). While there were no significant differences in type of drug used during onset by race or ethnicity, generally, individuals start to use inhalants at the earliest age (17.4), while the misuse of sedatives is initiated at the oldest age (46.4). Initiation during late adolescence was associated with greater likelihood of a substance use disorder diagnosis, mental health diagnoses, and polydrug use in adulthood. Drug use prevention interventions should be tailored and accessible during adolescence to delay onset. Interventions that are culturally sensitive, screen for vulnerability to drug use, and offer age-appropriate services should be prioritized

Drug · Environmental health · Ethnic group · Mental health · Poisson regression · Population · Psychiatry · Psychological intervention · Substance abuse · Child and Adolescent Psychosocial and Emotional Development · Demography · Medicine · Prenatal Substance Exposure Effects · Substance Abuse Treatment and Outcomes

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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