Triple comorbid trajectories of tobacco, alcohol, and marijuana use as predictors of antisocial personality disorder and generalized anxiety disorder among urban adults

J.S. Brook, J.Y. Lee, E. Rubenstone, D.W. Brook and S.J. Finch

American Journal of Public Health, 2014, vol. 104, issue 8, 1413-1420

Abstract: Objectives. We modeled triple trajectories of tobacco, alcohol, and marijuana use from adolescence to adulthood as predictors of antisocial personality disorder (ASPD) and generalized anxiety disorder (GAD). Methods. We assessed urban African American and Puerto Rican participants (n = 816) in the Harlem Longitudinal Development Study, a psychosocial investigation, at 4 time waves (mean ages = 19, 24, 29, and 32 years). We used Mplus to obtain the 3 variable trajectories of tobacco, alcohol, and marijuana use from time 2 to time 5 and then conducted logistic regression analyses. Results. A 5-trajectory group model, ranging from the use of all 3 substances (23%) to a nonuse group (9%), best fit the data. Membership in the trajectory group that used all 3 substances was associated with an increased likelihood of both ASPD (adjusted odds ratio [AOR] = 6.83; 95% CI = 1.14, 40.74; P

Keywords: adolescent; adult; age; antisocial personality disorder; anxiety disorder; article; cannabis smoking; comorbidity; drinking behavior; female; human; longitudinal study; male; statistical model; statistics; tobacco use; United States; urban population; young adult, Adolescent; Adult; Age Factors; Alcohol Drinking; Antisocial Personality Disorder; Anxiety Disorders; Comorbidity; Female; Humans; Logistic Models; Longitudinal Studies; Male; Marijuana Smoking; New York City; Tobacco Use; Urban Population; Young Adult (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.301880_8

DOI: 10.2105/AJPH.2014.301880

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