title: A Qualitative Study of the Context of Child and Adolescent Substance Use Initiation and Patterns of Use in the First Year for Early and Later Initiators.
abstract: Individuals who initiate substance use before high school are at higher risk of negative outcomes. Eighty-six young adults between the ages of 18 and 28 participated in semi-structured qualitative interviews focused on the circumstances surrounding participants' first use of substances and their pattern of use in the year following initiation in order to investigate similarities and differences between early versus later initiators. Initiation and use among early initiators were more likely to be encouraged by poor parental monitoring or active facilitation of use by parents. Early initiators were more likely to report risky patterns of use such as daily use and using alone. The data suggest that interventions targeting this population should focus on improving parental monitoring and decreasing positive parental attitudes toward adolescent substance use and efforts to increase identification and intervention by middle school staff to reach youth from high-risk families.
authors.affiliation: Psychology Department, Dickinson College, Carlisle, Pennsylvania, United States of America.
authors.forename: Sharon
authors.identifier: http://orcid.org/0000-0002-0706-3915
authors.initials: S
authors.lastname: Kingston
authors.affiliation: Psychology Department, Dickinson College, Carlisle, Pennsylvania, United States of America.
authors.forename: Maya
authors.initials: M
authors.lastname: Rose
authors.affiliation: Psychology Department, Dickinson College, Carlisle, Pennsylvania, United States of America.
authors.forename: Julian
authors.initials: J
authors.lastname: Cohen-Serrins
authors.affiliation: Psychology Department, Dickinson College, Carlisle, Pennsylvania, United States of America.
authors.forename: Emily
authors.initials: E
authors.lastname: Knight
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D000367:Age Factors; D017668:Age of Onset; D002648:Child; D005260:Female; D033062:Friends / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010290:Parents / Q000523:psychology*; D010379:Peer Group; D036301:Qualitative Research; D012931:Social Environment; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology*; D055815:Young Adult