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AJPH First Look, published online ahead of print Aug 29, 2007
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AJPH.2006.091108v1
97/10/1790    most recent
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©
American Journal of Public Health, 10.2105/AJPH.2006.091108

Research and Practice

Cocaine Use and Educational Achievement: Understanding a Changing Association Over The Past 2 Decades

Valerie S. Harder 1* Howard D. Chilcoat 2

1 Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health
2 Worldwide Epidemiology, GlaxoSmithKline & Johns Hopkins University Bloomberg School of Public Health

* To whom correspondence should be addressed. E-mail: vharder{at}jhsph.edu.


  Abstract

Trends in cocaine use over the past 2 decades were compared across levels of education in a population-based US sample of adults. Significant inverse associations between educational achievement and cocaine use after 1990 were driven by dramatic decreases in persistent cocaine use among more highly educated adults, whereas persistent cocaine use remained relatively unchanged among those who did not finish high school. This emerging health disparity highlights the need for improved interventions that target persistent cocaine users with low educational achievement.

Key Words: Epidemiology, Socioeconomic Factors, Drugs






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