Social integration in young adulthood and the subsequent onset of substance use and disorders among a community population of urban African Americans

Kerry M Green; Elaine E Doherty; Heather S Reisinger; Howard D Chilcoat; Margaret Ensminger

doi:10.1111/j.1360-0443.2009.02787.x

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Social integration in young adulthood and the subsequent onset of substance use and disorders among a community population of urban African Americans

Journal article

Peer reviewed

Social integration in young adulthood and the subsequent onset of substance use and disorders among a community population of urban African Americans

Kerry M Green, Elaine E Doherty, Heather S Reisinger, Howard D Chilcoat and Margaret Ensminger

Addiction (Abingdon, England), Vol.105(3), pp.484-493

Submitted 11 March 2009; initial review completed 5 June 2009; final version accepted 24 August 2009

03/2010

DOI: 10.1111/j.1360-0443.2009.02787.x

PMCID: PMC2858355

PMID: 20402992

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https://www.ncbi.nlm.nih.gov/pmc/articles/2858355View

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Abstract

Aims: This paper examines the association between social integration in young adulthood and the later onset of substance use and disorders through mid-adulthood. Design Data come from a community cohort of African Americans followed longitudinally from age 6-42 years with four assessment periods. Setting: The cohort all lived in the Woodlawn neighborhood of Chicago in 1966, an urban disadvantaged setting. Participants: All Woodlawn first graders in 1966 were asked to participate; 13 families declined (n = 1242). Measurement: Substance use was measured via interview at age 42 and includes the onset of alcohol and drug use disorders and the onset of cocaine/heroin use between ages 32 and 42 years. Social integration measures were assessed via interview at age 32 and include social roles (employee, spouse, parent), participation in religious and social organizations and a measure of overall social integration. Control variables were measured in childhood and later in the life course. Findings: Multivariate regression analyses suggest that unemployment, being unmarried, infrequent religious service attendance and lower overall social integration in young adulthood predict later adult-onset drug use disorders, but not alcohol use disorders once confounders are taken into consideration. Unemployment and lower overall social integration predict onset of cocaine/heroin use later in adulthood. Conclusions: Results show meaningful onset of drug use and substance use disorders during mid-adulthood and that social integration in young adulthood seems to play a role in later onset of drug use and drug disorders, but not alcohol disorders.

African Americans

social integration

adult-onset substance use disorders

social roles

adult-onset substance use

Details

Title: Subtitle: Social integration in young adulthood and the subsequent onset of substance use and disorders among a community population of urban African Americans
Creators: Kerry M Green - Department of Public and Community Health, University of Maryland School of Public Health, College Park, MD, USA
Elaine E Doherty - Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA and
Heather S Reisinger - Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Howard D Chilcoat - Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Margaret Ensminger - Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA and
Resource Type: Journal article
Publication Details: Addiction (Abingdon, England), Vol.105(3), pp.484-493
Edition: Submitted 11 March 2009; initial review completed 5 June 2009; final version accepted 24 August 2009
DOI: 10.1111/j.1360-0443.2009.02787.x
PMID: 20402992
PMCID: PMC2858355
NLM abbreviation: Addiction
ISSN: 0965-2140
eISSN: 1360-0443
Publisher: Blackwell Publishing Ltd
Number of pages: 10
Language: English
Date published: 03/2010
Academic Unit: Center for Social Science Innovation; Internal Medicine
Record Identifier: 9984094324802771

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