Sequential progression of substance use among homeless youth: An empirical investigation of the gateway theory

  • Joshua Aaron Ginzler
  • , Bryan N. Cochran
  • , Melanie Domenech-Rodríguez
  • , Ana Mari Cauce
  • , Leslie B. Whitbeck

Research output: Contribution to journalArticlepeer-review

50 Scopus citations

Abstract

We examined the sequence of substance-use initiation in 375 street youth (age 13-21) who were interviewed from 1994-99 in Seattle, Washington. Based on the "gateway theory," participants were categorized into six profiles to describe the order in which they initiated use of various substances (i.e., alcohol, marijuana, other drugs), or classified as nonprogressors if they had not tried all three classes of drugs. Youth progressing in the hypothesized gateway order (i.e., alcohol preceding marijuana, followed by other drugs) initiated their use at an earlier age than youth who had not progressed through all three substance classes. However, there was no relationship between a substance initiation profile and current substance-use. Implications include the recognition that street youth may follow different patterns of use than normative groups, and that interventions geared toward youth who use substances heavily must include contextual factors, in addition to substance-use history.

Original languageEnglish
Pages (from-to)725-758
Number of pages34
JournalSubstance Use and Misuse
Volume38
Issue number3-6
DOIs
StatePublished - 2003

Funding

This research was supported by an NIAAA award (AA10253-05; Cauce, PI), as well as partially supported by gran ts to Drs. Burton , Cauce, and Applebaum from the National Institutes of Mental Health for the establishment of the Family Research Consortium-III (R01 MH 49694-07) and FRC-III Postdoctoral Training (T32 MH 19734-06). We would also like to recognize the hard work and contributions of our research team.

Funder number
T32 MH 19734-06
T32MH019734, R01 MH 49694-07
AA10253-05

    Keywords

    • Adolescents
    • Development
    • Drug use
    • Gateway theory
    • Homelessness

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