title: The relationship of higher education to substance use trajectories: variations as a function of timing of enrollment.
abstract: OBJECTIVE
  This study examined the association between time to enrollment into postsecondary education and trajectories of heavy episodic drinking (HED) and marijuana use using a prospective longitudinal study.
  
  
  METHODS
  Participants included 391 postsecondary students (55% female) drawn from the Victoria Healthy Youth Survey, a five-wave, multi-cohort sample interviewed biennially between 2003 and 2011. Using piecewise latent growth modeling, we compared changes in the trajectories of HED and marijuana use before and after postsecondary enrollment across three groups of young adults: (a) direct entrants (enrolled directly out of high school), (b) gap entrants (took a year off), and (c) delayed entrants (took longer than a year off).
  
  
  RESULTS
  Heavy drinking increased after enrollment for direct entrants and gap entrants and decreased for delayed entrants. Marijuana use increased after enrollment for direct entrants, and decreased for gap entrants and delayed entrants. Yet, overall levels of marijuana use were significantly higher among the gap and delay entrants over time compared with direct entrants. Group differences in heavy drinking appeared to reflect age-related changes in drinking patterns. However, differences in marijuana use may reflect pre-existing inequities in access to higher education across groups.
  
  
  CONCLUSIONS
  The association between postsecondary education and increased substance use may be limited to students who enroll at a postsecondary institution directly out of high school. However, students who delay enrollment have higher levels of substance use before enrollment, as well as lower high school grades and socioeconomic status compared with direct entrants, and may be particularly vulnerable to long-term substance use problems and degree noncompletion.
authors.affiliation: Centre for Addictions Research of British Columbia, Department of Psychology, University of Victoria, Victoria, BC, Canada.
authors.forename: Kara
authors.initials: K
authors.lastname: Thompson
authors.affiliation: Department of Psychology, University of Victoria, Victoria, BC, Canada.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Homel
authors.affiliation: Department of Psychology, University of Victoria, Victoria, BC, Canada.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Leadbeater
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006306:Health Surveys; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008385:Marijuana Smoking / Q000453:epidemiology*; D011446:Prospective Studies; D012574:Schools; D012923:Social Class; D013334:Students / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014739:Victoria / Q000453:epidemiology; D055815:Young Adult