Factors in the Transition from Legal to Illicit Drug Use in Young Adults from Northern Mexico.
Mayra Selene Ozuna Esprinosa, Josefina Saraí Candia Arredondo, María Magdalena Alonso Castillo and 2 others
PMID 31830409WHAT IT FOUND
78% of young adults who transitioned from legal to illicit drugs reported marihuana use.
Personality traits, neighborhood quality, exposure to drugs, social support, and perceived stigma were linked with transition, not proven causes.
Key findings
01Marihuana was the most commonly reported illicit drug among participants who had transitioned, at 78% (95% CI 69%-88%).
02Higher neuroticism, extraversion, and openness to experience were linked with greater transition probability, while higher agreeableness and conscientiousness were linked with lower transition probability.
03Lower perceived neighborhood quality and higher exposure to consumption opportunities were linked with greater transition probability; higher perceived social support and stigma were linked with lower transition probability.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The case-control design cannot show that these factors caused the transition. Data were collected retrospectively by self-report, so memory accuracy and reporting may be incomplete. The study did not use biochemical or physiological indicators to confirm drug use. Cases were recruited by snowball sampling, so they may not represent all young adults who transitioned. Controls were selected from homes near each case, which may make the comparison groups non-representative. It did not test a nursing assessment, education, or prevention intervention.
Declared interests
The authors declared no conflicts of interest. The supplied text does not state funding.
The easy way to misread this
Do not treat perceived stigma or other factors as causes or as things to target. This was a retrospective case-control study using self-report, and it did not test an intervention.