Jeremy W Luk1, Matthew J Worley2, Evan Winiger3, Ryan S Trim2, Christian J Hopfer4, John K Hewitt5, Sandra A Brown3, Tamara L Wall6. 1. Department of Psychiatry, University of California, San Diego, United States. Electronic address: j2luk@ucsd.edu. 2. Department of Psychiatry, University of California, San Diego, United States; V.A. San Diego Health System, La Jolla, United States. 3. Department of Psychiatry, University of California, San Diego, United States. 4. Department of Psychiatry, University of Colorado, Denver, United States. 5. Institute for Behavioral Genetics, University of Colorado, Boulder, United States. 6. Department of Psychiatry, University of California, San Diego, United States; V.A. San Diego Health System, La Jolla, United States. Electronic address: twall@ucsd.edu.
Abstract
PURPOSE: To examine the associations between substance use and antisocial behavior trajectories and seven risky behaviors over time. METHOD: Data were collected from a high-risk sample of adolescents followed into young adulthood. Five trajectory classes, identified based on dual development of substance use and antisocial behavior symptoms, were used to predict three risky driving and four risky sexual behaviors. RESULTS: In this high-risk sample (n=530), participants reported notably high overall rates of reckless driving (55.5%) and unprotected sex under the influence (44.8%) in the past year. Risky behaviors that are typically of low base rates in population-based studies were also elevated, with 8.8% reporting past-year driving under the influence (DUI) charge, 17.6% reporting lifetime sexually transmitted infection (STI), and 10.4% reporting lifetime injection drug use. The Dual Chronic class had the highest levels of all seven risky behaviors, and were 3-4 times more likely to report risky driving, lifetime STI, and injection drug use than the Relatively Resolved class. Rates of past-year reckless driving and DUI were elevated among classes with persistent antisocial behavior, whereas rates of DUI, DUI charge, and unprotected sex under the influence were elevated among classes with persistent substance use. CONCLUSIONS: Young adults with persistent co-occurring substance use and antisocial behavior engage in multiple very costly risky behaviors. Differential associations between risky behaviors and trajectory classes highlight the need for targeted interventions. Published by Elsevier Ireland Ltd.
PURPOSE: To examine the associations between substance use and antisocial behavior trajectories and seven risky behaviors over time. METHOD: Data were collected from a high-risk sample of adolescents followed into young adulthood. Five trajectory classes, identified based on dual development of substance use and antisocial behavior symptoms, were used to predict three risky driving and four risky sexual behaviors. RESULTS: In this high-risk sample (n=530), participants reported notably high overall rates of reckless driving (55.5%) and unprotected sex under the influence (44.8%) in the past year. Risky behaviors that are typically of low base rates in population-based studies were also elevated, with 8.8% reporting past-year driving under the influence (DUI) charge, 17.6% reporting lifetime sexually transmitted infection (STI), and 10.4% reporting lifetime injection drug use. The Dual Chronic class had the highest levels of all seven risky behaviors, and were 3-4 times more likely to report risky driving, lifetime STI, and injection drug use than the Relatively Resolved class. Rates of past-year reckless driving and DUI were elevated among classes with persistent antisocial behavior, whereas rates of DUI, DUI charge, and unprotected sex under the influence were elevated among classes with persistent substance use. CONCLUSIONS: Young adults with persistent co-occurring substance use and antisocial behavior engage in multiple very costly risky behaviors. Differential associations between risky behaviors and trajectory classes highlight the need for targeted interventions. Published by Elsevier Ireland Ltd.
Entities:
Keywords:
Antisocial behavior; Injection drug use; Risky driving; Sexual transmitted infections; Substance use
Authors: Jaime Derringer; Robin P Corley; Brett C Haberstick; Susan E Young; Brittany A Demmitt; Daniel P Howrigan; Robert M Kirkpatrick; William G Iacono; Matt McGue; Matthew C Keller; Sandra Brown; Susan Tapert; Christian J Hopfer; Michael C Stallings; Thomas J Crowley; Soo Hyun Rhee; Ken Krauter; John K Hewitt; Matthew B McQueen Journal: Behav Genet Date: 2015-01-31 Impact factor: 2.805
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Authors: Jeremy W Luk; Ryan S Trim; Kenny A Karyadi; Inga Curry; Christian J Hopfer; John K Hewitt; Michael C Stallings; Sandra A Brown; Tamara L Wall Journal: Pers Individ Dif Date: 2017-01-30