Self-Medication -and Substance Use: A Test of the Hypothesis

被引:11
|
作者
Broman, Clifford L. [1 ]
Wright, Mellissa K. [1 ]
Broman, Michael J. [2 ]
Bista, Shikha [3 ]
机构
[1] Michigan State Univ, E Lansing, MI 48824 USA
[2] Wayne State Univ, Detroit, MI USA
[3] Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA
关键词
self medication; substance abuse; young adulthood; ALCOHOL-CONSUMPTION; FAMILY-STRUCTURE; DRINKING; RACE/ETHNICITY; SCHIZOPHRENIA; DISORDERS; CIGARETTE; MARIJUANA; COGNITION; SYMPTOMS;
D O I
10.1080/1067828X.2020.1789526
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
This study examines substance use as self-medication for emotional and physical problems. While there is evidence for and against the self-medication hypothesis, on balance, there is more support for the self-medication hypothesis. However, given several methodological concerns, the evidence is not strong as it might be. Many of the studies examining the SMH use a cross-sectional design, making it difficult to ascertain temporal relationships. In addition, many studies use very small samples, therefore limiting statistical power and generalizability. To investigate this issue, we use a large, nationally representative longitudinal sample. Data are drawn from the National Longitudinal Study of Adolescent to Adult Health (ADD Health). Multivariate analyses indicate that controlling for prior substance use, the factors of health problems, learning and physical disabilities, self-rated health and suicide ideation in adolescence have impact on the use of substances in later life young adulthood. Most, but not all, of these effects show a contribution of these adolescent health conditions on later substance abuse. Implications of these findings are discussed.
引用
收藏
页码:494 / 504
页数:11
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