The dynamics of alcohol and marijuana initiation: patterns and predictors of first use in adolescence

Rick Kosterman; J. David Hawkins; Jie Guo; Richard F. Catalano; Robert D. Abbott

doi:10.2105/ajph.90.3.360

Cited by 413Substance Abuse Treatment and OutcomesYouth, Drugs, and ViolenceSmoking Behavior and Cessation

The dynamics of alcohol and marijuana initiation: patterns and predictors of first use in adolescence

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Rick Kosterman, J. David Hawkins, Jie Guo, Richard F. Catalano, Robert D. Abbott·2000·American Journal of Public Health

DOI 10.2105/ajph.90.3.360PMC PMC1446176

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OBJECTIVES: This study, guided by the social development model, examined the dynamic patterns and predictors of alcohol and marijuana use onset. METHODS: Survival analysis and complementary log-log regression were used to model hazard rates and etiology of initiation with time-varying covariates. The sample was derived from a longitudinal study of 808 youth interviewed annually from 10 to 16 years of age and at 18 years of age. RESULTS: Alcohol initiation rose steeply up to the age of 13 years and then increased more gradually; most participants had initiated by 13 years of age. Marijuana initiation showed a different pattern, with more participants initiating after the age of 13 years. CONCLUSIONS: This study showed that: (1) the risk of initiation spans the entire course of adolescent development; (2) young people exposed to others who use substances are at higher risk for early initiation; (3) proactive parents can help delay initiation; and (4) clear family standards and proactive family management are important in delaying alcohol and marijuana use, regardless of how closely bonded a child is to his or her mother.

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Authors: Kosterman, R., Hawkins, J. D., Guo, J., Catalano, R. F., & Abbott, R. D.
Affiliations: University of Washington (US)
ORCID: Rick Kosterman
Jie Guo
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2000-03-01
Volume: 90
Issue: 3
Pages: 360-366
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.90.3.360
PMC: PMC1446176
OpenAlex: W1831640509
Cited by: 413
References: 47
Citations by year: 2025: 5 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 10 · 2020: 10 · 2019: 13 · 2018: 24 · 2017: 24 · 2016: 21 · 2015: 24 · 2014: 17 · 2013: 29 · 2012: 24
FWCI: 10.10
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Robert Wood Johnson Foundation
National Institutes of Health (5r21aa010989-02)
National Institute on Alcohol Abuse and Alcoholism (1R21AA10989)
National Institute on Drug Abuse (R01DA009679)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Demography › Youth, Drugs, and Violence
Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords: alcohol initiation, marijuana initiation, adolescent substance use, social development model, peer influence, parental influence, parent-child bonding, age of onset, substance use risk factors
MeSH terms: Adolescent, Adolescent Behavior, Alcohol Drinking, Child, Female, Humans, Longitudinal Studies, Male, Marijuana Smoking, Predictive Value of Tests, Risk, Risk Factors, Washington, Life Tables, Multivariate Analysis, Logistic Models, Odds Ratio, Survival Analysis

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The dynamics of alcohol and marijuana initiation: patterns and predictors of first use in adolescence

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