TY - JOUR
T1 - Attention problems in childhood and adult substance use
AU - Galéra, Cédric
AU - Pingault, Jean Baptiste
AU - Fombonne, Eric
AU - Michel, Grégory
AU - Lagarde, Emmanuel
AU - Bouvard, Manuel Pierre
AU - Melchior, Maria
N1 - Funding Information:
Supported by Mission Interministérielle de Lutte contre la Drogue et la Toxicomanie , Institut National du Cancer , Institut de Recherche en Santé Publique , Agence Nationale de la Recherche , and Fondation pour la Recherche en Santé Mentale et en Psychiatrie . M.-P.B. received financial support for the organization of scientific meetings and also was the principal investigator in clinical trials for Shire and Lilly. The other authors declare no conflicts of interest.
PY - 2013/12
Y1 - 2013/12
N2 - Objective To assess the link between childhood attention problems (AP) and substance use 18 years later. Study design This cohort study was conducted in a community sample of 1103 French youths followed from 1991 to 2009. Exposures and covariates were childhood behavioral problems (based on parental report at baseline), early substance use, school difficulties, and family adversity. Outcome measures were regular tobacco smoking, alcohol problems, problematic cannabis use, and lifetime cocaine use (based on youth reports at follow-up). Results Individuals with high levels of childhood AP had higher rates of substance use (regular tobacco smoking, alcohol problems, problematic cannabis use, and lifetime cocaine use). However, when taking into account other childhood behavioral problems, early substance use, school difficulties, and family adversity, childhood AP were related only to regular tobacco smoking and lifetime cocaine use. Early cannabis exposure was the strongest risk factor for all substance use problems. Conclusion This longitudinal community-based study shows that, except for tobacco and cocaine, the association between childhood AP and substance use is confounded by a range of early risk factors. Early cannabis exposure plays a central role in later substance use.
AB - Objective To assess the link between childhood attention problems (AP) and substance use 18 years later. Study design This cohort study was conducted in a community sample of 1103 French youths followed from 1991 to 2009. Exposures and covariates were childhood behavioral problems (based on parental report at baseline), early substance use, school difficulties, and family adversity. Outcome measures were regular tobacco smoking, alcohol problems, problematic cannabis use, and lifetime cocaine use (based on youth reports at follow-up). Results Individuals with high levels of childhood AP had higher rates of substance use (regular tobacco smoking, alcohol problems, problematic cannabis use, and lifetime cocaine use). However, when taking into account other childhood behavioral problems, early substance use, school difficulties, and family adversity, childhood AP were related only to regular tobacco smoking and lifetime cocaine use. Early cannabis exposure was the strongest risk factor for all substance use problems. Conclusion This longitudinal community-based study shows that, except for tobacco and cocaine, the association between childhood AP and substance use is confounded by a range of early risk factors. Early cannabis exposure plays a central role in later substance use.
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U2 - 10.1016/j.jpeds.2013.07.008
DO - 10.1016/j.jpeds.2013.07.008
M3 - Article
C2 - 23972646
AN - SCOPUS:84888363334
SN - 0022-3476
VL - 163
SP - 1677-1683.e1
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 6
ER -