The increasing global health priority of substance use in young people
Open accessAbstract
Substance use in young people (aged 10-24 years) might disrupt key periods of transition that occur as the adolescent brain undergoes cognitive and emotional development, and key psychosocial transitions are made. Adolescence is the peak time for initiation of substance use, with tobacco and alcohol usually preceding the use of illicit drugs. Substantial variation is noted between countries in the levels, types, and sequences of substance use in young people, indicating that a young person's use of substances depends on their social context, drug availability, and their personal characteristics. The Global Burden of Disease (GBD) 2013 study suggests that the burden attributable to substance use increases substantially in adolescence and young adulthood. In young men aged 20-24 years, alcohol and illicit substance use are responsible for 14% of total health burden. Alcohol causes most health burden in eastern Europe, and illicit drug burden is higher in the USA, Canada, Australia, New Zealand, and western Europe. Large gaps exist in epidemiological data about the extent of drug use worldwide and much of what we know about the natural history of substance use comes from cohort studies in high-income countries undertaken decades ago, which hinders effective global policy responses. In view of the global epidemiological transitions from diseases of poverty to non-communicable diseases, the burden of disease and health risks among adolescents and young adults is likely to change s…
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Emerging adulthood, commonly referred to as the developmental period between 18 and 25 years, is a critical period of increased vulnerability for the onset of both alcohol use and anxiety disorders.
“Although emerging adulthood, commonly referred to as the developmental period between 18 and 25 years (Arnett, 2000), is a critical period of increased vulnerability for the onset of both alcohol use and anxiety disorders (de Lijster et al., 2017; Degenhardt et al., 2016; Kessler et al., 2005; Teesson et al., 2010)”
From Acceptability and Co-Development of an Online Cognitive Bias Modification Intervention for Emerging Adults With Hazardous Alcohol Use and Social Anxiety: A Mixed Methods Study (2020) · cites this paper as Degenhardt et al., 2016
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“The increased burden due to drug abuse among adolescents and young adults was shown by the Global Burden of Disease (GBD) study in 2013 [2].”
BackgroundPrevention, early intervention, harm reduction, and treatment of substance use in young people
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- Authors
- Degenhardt, L., Stockings, E., Patton, G., Hall, W. D., & Lynskey, M.
- Affiliations
- UNSW Sydney (AU)
- Murdoch Children's Research Institute (AU)
- The University of Queensland (AU)
- King's College London (GB)
- Corresponding author
- Degenhardt, Louisa
- Venue
- The Lancet Psychiatry
- Publisher
- Elsevier BV
- Published
- 2016-03
- Volume
- 3
- Issue
- 3
- Pages
- 251-264
- ISSN
- 2215-0366 (ISSN-L)
- OpenAlex
- W2281226773
- Cited by
- 601
- References
- 11
- Citations by year
- 2026: 47 · 2025: 64 · 2024: 96 · 2023: 74 · 2022: 63 · 2021: 66 · 2020: 67 · 2019: 53 · 2018: 41 · 2017: 14 · 2016: 16
- FWCI
- 5.60
- Type
- journal article
- Language
- en
- Open access
- green
- handle.unsw.edu.au
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- The Lancet Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
- Research Portal (King's College London) (submittedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Funders
- Australian Government
- University of New South Wales
- University of South Africa
- National Health and Medical Research Council
- National Medical Research Council
- National Drug and Alcohol Research Centre
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Keywords
- adolescent substance use, young adults, alcohol consumption, illicit drug use, tobacco use, global burden of disease, health burden, adolescent brain development, epidemiological transition, non-communicable diseases, global health policy
- MeSH terms
- Adolescent, Child, Health Priorities, Humans, Global Health, Substance-Related Disorders, Young Adult
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