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. 1998 Jan;88(1):27–33. doi: 10.2105/ajph.88.1.27

Initiation of use of alcohol, cigarettes, marijuana, cocaine, and other substances in US birth cohorts since 1919.

R A Johnson 1, D R Gerstein 1
PMCID: PMC1508375  PMID: 9584029

Abstract

OBJECTIVES: This study examined recent trends in initiation of psychoactive drug use. METHODS: Data from the 1991 through 1993 National Household Surveys on Drug Abuse were used to compare the percentages of US cohorts born from 1919 through 1975 who began using drugs before the ages of 15, 21, and 35. RESULTS: Initiation of cigarette smoking by males peaked in the 1941-1945 cohort, then declined steadily. For females, early smoking initiation rose through the 1951-1955 cohort and then stabilized. Initiation of alcohol use was less common than smoking for pre1950 cohorts but increased steadily, approaching cigarette use for cohorts born in the early 1970s. Only 2% of teenagers born in 1930-1940 tried marijuana; half the teenagers born in 1956-1965 did so. The percentage initiating marijuana use declined in the 1980s, more so among young adults than among teenagers. The use of cocaine and other illicit drugs echoed the rise of marijuana use but peaked later and showed less evidence of subsequent decline. Sex differences declined over time for every drug. CONCLUSIONS: Cohorts born since World War II have had much higher rates of illicit drug use initiation, but trends have varied by drug type, possibly reflecting changes in relative prices.

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Selected References

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  1. Breslau N., Peterson E. L. Smoking cessation in young adults: age at initiation of cigarette smoking and other suspected influences. Am J Public Health. 1996 Feb;86(2):214–220. doi: 10.2105/ajph.86.2.214. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chen K., Kandel D. B. The natural history of drug use from adolescence to the mid-thirties in a general population sample. Am J Public Health. 1995 Jan;85(1):41–47. doi: 10.2105/ajph.85.1.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. DeJong W. A short-term evaluation of project DARE (Drug Abuse Resistance Education): preliminary indications of effectiveness. J Drug Educ. 1987;17(4):279–294. doi: 10.2190/N2JC-9DXB-BLFD-41EA. [DOI] [PubMed] [Google Scholar]
  4. Ennett S. T., Tobler N. S., Ringwalt C. L., Flewelling R. L. How effective is drug abuse resistance education? A meta-analysis of Project DARE outcome evaluations. Am J Public Health. 1994 Sep;84(9):1394–1401. doi: 10.2105/ajph.84.9.1394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Escobedo L. G., Peddicord J. P. Smoking prevalence in US birth cohorts: the influence of gender and education. Am J Public Health. 1996 Feb;86(2):231–236. doi: 10.2105/ajph.86.2.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gfroerer J., Brodsky M. The incidence of illicit drug use in the United States, 1962-1989. Br J Addict. 1992 Sep;87(9):1345–1351. doi: 10.1111/j.1360-0443.1992.tb02743.x. [DOI] [PubMed] [Google Scholar]
  7. Gilpin E. A., Lee L., Evans N., Pierce J. P. Smoking initiation rates in adults and minors: United States, 1944-1988. Am J Epidemiol. 1994 Sep 15;140(6):535–543. doi: 10.1093/oxfordjournals.aje.a117280. [DOI] [PubMed] [Google Scholar]
  8. Huselid R. F., Cooper M. L. Gender roles as mediators of sex differences in adolescent alcohol use and abuse. J Health Soc Behav. 1992 Dec;33(4):348–362. [PubMed] [Google Scholar]
  9. Kandel D., Yamaguchi K. From beer to crack: developmental patterns of drug involvement. Am J Public Health. 1993 Jun;83(6):851–855. doi: 10.2105/ajph.83.6.851. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Nelson D. E., Giovino G. A., Shopland D. R., Mowery P. D., Mills S. L., Eriksen M. P. Trends in cigarette smoking among US adolescents, 1974 through 1991. Am J Public Health. 1995 Jan;85(1):34–40. doi: 10.2105/ajph.85.1.34. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Roxburgh S. Gender differences in work and well-being: effects of exposure and vulnerability. J Health Soc Behav. 1996 Sep;37(3):265–277. [PubMed] [Google Scholar]
  12. Turner W. M., Cutter H. S., Worobec T. G., O'Farrell T. J., Bayog R. D., Tsuang M. T. Family history models of alcoholism: age of onset, consequences and dependence. J Stud Alcohol. 1993 Mar;54(2):164–171. doi: 10.15288/jsa.1993.54.164. [DOI] [PubMed] [Google Scholar]

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