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September 2004, Vol 94, No. 9 | American Journal of Public Health 1603-1609
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Associations Between Early-Adolescent Substance Use and Subsequent Young-Adult Substance Use Disorders and Psychiatric Disorders Among a Multiethnic Male Sample in South Florida

Andres G. Gil, PhD, Eric F. Wagner, PhD and Jonathan G. Tubman, PhD

Andres G. Gil and Eric F. Wagner are with the Community-Based Intervention Research Group (C-BIRG) and the College of Health and Urban Affairs, School of Social Work, Florida International University, Miami. Jonathan G. Tubman is with C-BIRG and the College of Arts and Sciences, Department of Psychology, Florida International University, Miami.

Correspondence: Requests for reprints should be sent to Andres G. Gil, PhD, MARC 310, 11200 SW 8th St, Miami, FL 33199 (e-mail: gila{at}fiu.edu).

Objectives. We examined the associations among early-adolescent substance use, subsequent young-adult substance use disorders, and psychiatric disorders among a community sample of males.

Methods. Early-adolescent data were collected in classroom surveys (1990–1993), and young-adult data were collected in face-to-face interviews (1998–2000).

Results. We found strong associations between early-adolescent substance use and young-adult substance use disorders and psychiatric disorders. The magnitudes of these associations varied by racial/ethnic group and were strongest among African Americans and foreign-born Hispanics, who reported the lowest early-adolescent substance use.

Conclusions. Early-adolescent substance use is most strongly associated with a later pattern of dysfunction among the racial/ethnic groups that reported the lowest levels of early use. The implications of our findings in the context of primary and secondary prevention are discussed.






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