title: Patterns and correlates of substance use among affluent, suburban high school students.
abstract: Despite ongoing concern about substance use during adolescence, very little is known about alcohol and drug use among teens living in affluent social settings. In this longitudinal study, cluster analysis was used to characterize patterns of substance use and change in other dimensions of psychosocial adjustment within a cohort of 292 high school students (54% girls) living in an affluent, suburban community. When compared with a cluster of students reporting minimal use, clusters reporting escalating, declining, and persistently high use consistently demonstrated relatively poorer psychosocial adjustment. Moreover, other dimensions of psychosocial adjustment remained relatively stable despite changes in substance use, and there were relations involving substance use and other aspects of psychosocial adjustment that may be specific to this social setting. The findings highlight the need for preventive intervention grounded in a clear understanding of developmental process occurring within populations of affluent, suburban teens.
authors.affiliation: Department of Psychiatry and Child Study Center, Yale University School of Medicine, Connecticut Mental Health Center, New Haven, CT 06519, USA. thomas.mcmahon@yale.edu
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: McMahon
authors.forename: Suniya S
authors.initials: SS
authors.lastname: Luthar
mesh_terms: D000124:Achievement; D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology*; D016000:Cluster Analysis; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010379:Peer Group; D012574:Schools; D012959:Socioeconomic Factors; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000191:economics* / Q000453:epidemiology*; D013383:Suburban Population / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires