TY - JOUR
T1 - Examining the internalizing pathway to substance use frequency in 10 cultural groups
AU - Andrew Rothenberg, W.
AU - Lansford, Jennifer E.
AU - Chang, Lei
AU - Deater-Deckard, Kirby
AU - Di Giunta, Laura
AU - Dodge, Kenneth A.
AU - Malone, Patrick S.
AU - Oburu, Paul
AU - Pastorelli, Concetta
AU - Skinner, Ann T.
AU - Sorbring, Emma
AU - Steinberg, Laurence
AU - Tapanya, Sombat
AU - Maria Uribe Tirado, Liliana
AU - Yotanyamaneewong, Saengduean
AU - Peña Alampay, Liane
AU - Al-Hassan, Suha M.
AU - Bacchini, Dario
AU - Bornstein, Marc H.
N1 - Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2020/3
Y1 - 2020/3
N2 - Use of alcohol, tobacco, and drugs (i.e., substance use) is a leading cause of global health burden for 10-to-24-year-olds, according to the World Health Organization's index of number of years of life lost, leading international health organizations to prioritize the prevention of substance use before it escalates in adolescence. Pathways defined by childhood externalizing symptoms and internalizing symptoms identify precursors to frequent substance use toward which interventions can be directed. However, these pathways are rarely examined beyond the United States and Europe. We investigated these pathways in our sample of 1083 children from 10 cultural groups followed from ages 8–14. We found that age-10 externalizing symptoms predicted more frequent mother-reported age-13 and self-reported age-14 substance use. We also found that a depressive pathway, marked by behavioral inhibition at age 8 and subsequent elevation in depressive symptoms across ages 8–12 predicted more frequent substance use at age 13 and 14. Additionally, we found a combined externalizing and internalizing pathway, wherein elevated age-9 depressive symptoms predicted elevated externalizing symptoms at age-10 which predicted greater peer support for use at age-12, which led to more frequent substance use at age-13 and -14. These pathways remained significant within the cultural groups we studied, even after controlling for differences in substance use frequency across groups. Additionally, cultures with greater opportunities for substance use at age-12 had more frequent adolescent substance use at age-13. These findings highlight the importance of disaggregating between- and within-culture effects in identifying the etiology of early adolescent substance use.
AB - Use of alcohol, tobacco, and drugs (i.e., substance use) is a leading cause of global health burden for 10-to-24-year-olds, according to the World Health Organization's index of number of years of life lost, leading international health organizations to prioritize the prevention of substance use before it escalates in adolescence. Pathways defined by childhood externalizing symptoms and internalizing symptoms identify precursors to frequent substance use toward which interventions can be directed. However, these pathways are rarely examined beyond the United States and Europe. We investigated these pathways in our sample of 1083 children from 10 cultural groups followed from ages 8–14. We found that age-10 externalizing symptoms predicted more frequent mother-reported age-13 and self-reported age-14 substance use. We also found that a depressive pathway, marked by behavioral inhibition at age 8 and subsequent elevation in depressive symptoms across ages 8–12 predicted more frequent substance use at age 13 and 14. Additionally, we found a combined externalizing and internalizing pathway, wherein elevated age-9 depressive symptoms predicted elevated externalizing symptoms at age-10 which predicted greater peer support for use at age-12, which led to more frequent substance use at age-13 and -14. These pathways remained significant within the cultural groups we studied, even after controlling for differences in substance use frequency across groups. Additionally, cultures with greater opportunities for substance use at age-12 had more frequent adolescent substance use at age-13. These findings highlight the importance of disaggregating between- and within-culture effects in identifying the etiology of early adolescent substance use.
KW - Adolescence
KW - Cultural differences
KW - Externalizing symptoms
KW - Internalizing pathway
KW - Multilevel
KW - Substance use frequency
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U2 - 10.1016/j.addbeh.2019.106214
DO - 10.1016/j.addbeh.2019.106214
M3 - Article
C2 - 31809879
AN - SCOPUS:85075793311
SN - 0306-4603
VL - 102
JO - Addictive Behaviors
JF - Addictive Behaviors
M1 - 106214
ER -