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Conjoint Developmental Trajectories of Young Adult Substance Use
Open accessAbstract
Background. Despite the prominence of comorbidity among substances and the recent attention focused on trajectory‐based approaches to characterizing developmental change, little research in the substance use field has simultaneously considered both course and comorbidity. Methods. Using nationally representative panel data from the Monitoring the Future Project (MTF; n = 32,087; 56% female; 82% Caucasian), we identified developmental courses of heavy drinking, smoking, and marijuana use using 4 waves of data spanning ages 18 to 26 in a multi‐cohort young adult sample. Comorbidity was examined by cross‐classifying group membership in substance use trajectories. Finally, the extent to which risk factors (sex, race, alcohol expectancies, delinquency, sensation seeking, depressive affect, religiosity, academic achievement, and parent education) accounted for combinations of comorbidity that occurred at a rate greater than chance was examined. Results. For each substance, we identified 4 courses of substance use that were largely consistent with those found in the literature (chronic high use, late‐onset use, developmentally limited use, and low‐use), with a fifth moderate smoking group. Heavy drinking, smoking, and marijuana use were each highly associated, and distinct patterns of comorbidity were evident, with greatest agreement along the diagonal. All risk factors explained comorbidity to some degree, with delinquency, sensation seeking, alcohol expectancies, and religion in particular predicting combinations of comorbidity that were characterized by early onset and chronic high use. Conclusions. Cross‐substance trajectory concordance was high, with parallel changes in substance use over emerging adulthood. This suggests similar developmental timing of use, perhaps due to the experience of developmental transitions that have a common influence on use of different substances. Prediction of combinations of comorbidity characterized by early onset and persistently high use suggests that to some extent, individuals use multiple substances because of a common vulnerability to each, rather than directional relations among substances (e.g., cross‐tolerance, cueing).
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From Understanding the Role of Alcohol, Anxiety, and Trait Mindfulness in the Perpetration of Physical and Sexual Dating Violence in Emerging Adults. (2018) · cites this paper as Jackson, Sher, & Schulenberg, 2008
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Nelson, S. E., Ryzin, M. J. V., & Dishion, T. J. (2014) · Development and Psychopathology · doi:10.1017/s0954579414000650 · Cited by 216
“…in studies that found similar trajectories for each substance, adolescents who belonged to a specific trajectory for one substance were more likely to belong to that same trajectory for another substance (e.g., Flory, Lynam, Milich, Leukefeld, & Clayton, 2004; Jackson, Sher, & Schulenberg, 2008).”
Metadata
- Authors
- Jackson, K. M., Sher, K. J., & Schulenberg, J. E.
- Affiliations
- Brown University (US)
- Corresponding author
- Jackson, Kristina M.
- Venue
- Alcoholism: Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2008-03-11
- Volume
- 32
- Issue
- 5
- Pages
- 723-737
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- PMC
- PMC2705997
- OpenAlex
- W2049130925
- Cited by
- 206
- References
- 104
- Citations by year
- 2026: 2 · 2025: 6 · 2023: 46 · 2022: 5 · 2021: 3 · 2020: 10 · 2019: 7 · 2018: 18 · 2017: 6 · 2016: 20 · 2015: 15 · 2014: 10 · 2013: 10 · 2012: 16
- FWCI
- 7.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA12383, K01AA013938, R21AA012383, AA13938, K05AA017242)
- National Institute on Drug Abuse (DA-01411, R01DA001411)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- substance use trajectories, comorbidities, emerging adulthood, heavy drinking, smoking, cannabis use, developmental transitions, delinquency, sensation seeking, alcohol expectancies, religiosity, risk factors, early onset of substance use
- MeSH terms
- Adolescent, Adult, Age Factors, Alcohol Drinking, Female, Humans, Male, Marijuana Smoking, Risk Factors, Smoking, Models, Statistical, Comorbidity
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