PMID: identifier of
Pubmed reference: |
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 (22645240)  |
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| title: |
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Lifecourse SEP and tobacco and cannabis use. |
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| author(s): |
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Lucy Bowes1, Aude Chollet1, Eric Fombonne2, Cédric Galéra3, Maria Melchior ( ) 1 |
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| laboratory: |
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| short title : |
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Lifecourse socioeconomic position and substance use |
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| abstract: |
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BACKGROUND: Social inequalities in substance use have been well-documented; however, the impact of changes in socio-economic position from childhood to adulthood is unclear. We examined the relationship between intergenerational trajectories of social position and tobacco and cannabis use among young adults. METHODS: Data come from 1103 participants (mean age: 28.9 years) of the Trajectoires Epidémiologiques en Population (TEMPO) study and their parents, participants of the GAZEL study, France. Multinomial regression analyses were used to examine associations between lifecourse socio-economic position (SEP) assessed using the parent's reports of family income (1989 and 2002) and the participant's educational attainment, occupational grade and job stability in 2009, with self-reported tobacco and cannabis use in 2009. RESULTS: Compared with participants with stable intermediate/high SEP, those with stable low SEP and those with declining SEP were more likely to use tobacco (age- and sex-adjusted ORs = 2.03 and 2.26). Participants who experienced declining SEP were also disproportionately likely to use and abuse cannabis (adjusted ORs = 2.22 and 2.73). Associations remained significant after adjusting for family (parental smoking, alcohol use, ill health, unemployment, depression and divorce) and individual (early tobacco and cannabis use, academic difficulties, juvenile internalizing and externalizing problems) risk factors. CONCLUSIONS: Cross-sectional studies indicate social inequalities in substance use. Our longitudinal findings suggest that individuals who experienced declining SEP from childhood to adulthood may be twice as likely to use tobacco and cannabis compared with individuals with a stable/high trajectory. Interventions targeting substance abuse should take into account lifecourse determinants including the interplay between individuals' socio-economic origins and later attainment. |
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| subject: |
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Life Sciences/Health Care Sciences and Epidemiology
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| fulltext language: |
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English |
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| ISSN: |
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1101-1262 |
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| publication format: |
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Article in peer-reviewed journal |
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| DOI: |
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10.1093/eurpub/cks065 |
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| journal: |
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| European Journal of Public Health (Eur J Public Health) |
| Publisher |
Oxford University Press (OUP): Policy B - Oxford Open Option D |
| ISSN |
1101-1262 (eISSN : 1464-360X) |
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| Audience: |
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international |
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| publication date: |
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2012-05-29 |
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| submission date: |
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2012-05-29 |
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| page, identifiant, ...: |
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epub ahead of print |
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| keyword(s) of author: |
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Substance use – social class – social factors – epidemiology – longitudinal studies |
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| contract, financing: |
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This research was supported by the French Ministry of Health-IReSP (TGIR Cohortes), the French Inter-departmental Mission for the Fight against Drugs and Drug addiction (MILDT), The French Institute of Cancer (INCa), the French Foundation for Research on Psychiatry and Mental Health (FRPSM). Maria Melchior is the recipient of a Young Researcher Award from the French National Research Agency (ANR). |
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