Patterns of Young Adult Social Roles Transitions Across 24 Months and Subsequent Substance Use and Mental Health

Megan E. Patrick, Isaac C. Rhew, Jennifer C. Duckworth, Melissa A. Lewis, Devon Alisa Abdallah, Christine M. Lee

    Research output: Contribution to journalArticlepeer-review

    7 Scopus citations

    Abstract

    Young adults experience social role transitions across multiple life domains, and a deeper understanding of the ways in which these simultaneous transition experiences are associated with substance use and mental health will inform targeted interventions for this population. Data from the current study include24 repeated monthly assessments of young adults (N = 778; 56% female; age range 18 to 24 at baseline; 60% White, 18% Asian, 12% Multiracial, 5% Black or African American, 1% American Indian, 1% Pacific Islander, 3% Other, 9% Latinx) and outcomes 6 months later. Monthly assessments across 2 years were used to identify latent classes of frequency of social role transitions in four key domains (education, residential, employment, and romantic relationships) and associations between these classes and later outcomes. Three classes of social role transitions were identified: Infrequent Transitions (30.4%), Transitions except in Relationships (38.5%), and Frequent Transitions (31.1%). Compared to the Infrequent Transitions class, the other classes had greater typical drinking and hazardous alcohol use six months later; the Frequent Transitions class also had more hazardous cannabis use, depressive symptoms, and anxiety symptoms. Young adults experiencing frequent transitions across multiple domains appear to be at risk for substance use and mental health problems and may benefit from targeted intervention to address substance use and mental health issues.

    Original languageEnglish (US)
    Pages (from-to)869-880
    Number of pages12
    JournalJournal of Youth and Adolescence
    Volume49
    Issue number4
    DOIs
    StatePublished - Apr 1 2020

    Bibliographical note

    Funding Information:
    Data collection and manuscript preparation were supported by a grant from the National Institute on Alcohol Abuse and Alcoholism (R01 AA022087, PI: C. Lee). The content of this manuscript is solely the responsibility of the author(s) and does not necessarily represent the official views of the National Institute on Alcohol Abuse and Alcoholism or the National Institutes of Health. M. E. P. conceived of the study, participated in its design, interpreted results, and drafted the manuscript; I. C. R. performed the statistical analysis and helped draft the manuscript; J. C. D. helped draft the manuscript; M. A. L. participated in the design of the study and helped draft the manuscript; D. A. A. participated in the design and coordination of the study, coordinated data collection, and helped draft the manuscript; C. M. L. conceived of the study, participated in its design and coordination, participated in interpretation of the data, and helped draft the manuscript. All authors approved the final manuscript. This study was funded by the National Institute on Alcohol Abuse and Alcoholism (R01 AA022087, PI: C. Lee). The datasets generated and/or analyzed during the current study are not publicly available but are available from the last author on reasonable request.

    Publisher Copyright:
    © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

    Keywords

    • Alcohol
    • Anxiety symptoms
    • Cannabis
    • Depressive symptoms
    • Latent class analysis
    • Young adult

    PubMed: MeSH publication types

    • Journal Article

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