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Substance initiation sequences among Taiwanese adolescents using methamphetamine.

Cheng-Fang Yen1, Yi-Hsin Yang, Chih-Hung Ko

  • 1Department of Psychiatry and Graduate Institute of Behavior Science, Kaohsiung Medical University, Kaohsiung, Taiwan.

Psychiatry and Clinical Neurosciences
|January 13, 2006
PubMed
Summary

Taiwanese adolescents typically initiate substance use with cigarettes, alcohol, and areca quid before methamphetamine (MAMP). Gender and age of MAMP initiation influence these substance sequences.

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Area of Science:

  • Addiction Science
  • Adolescent Health
  • Psychopharmacology

Background:

  • Understanding the sequence of substance initiation is crucial for preventing adolescent drug use.
  • Previous research primarily focused on Western adolescent populations, potentially missing unique patterns in other regions.

Purpose of the Study:

  • To investigate the typical order of substance initiation among Taiwanese adolescents who use methamphetamine (MAMP).
  • To compare these initiation sequences based on gender and age of MAMP onset.

Main Methods:

  • Surveyed 300 adolescent MAMP users in Taiwan regarding their history of using cigarettes, alcohol, areca quid, benzodiazepine, glue, marijuana, MAMP, and heroin.
  • Determined the age of initiation for each substance to establish individual use sequences.

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  • Analyzed and compared substance initiation patterns between genders and between early-onset versus late-onset MAMP users.

    • Main Results:

    • Most adolescents reported using cigarettes, alcohol, and areca quid prior to MAMP initiation; only 4% started with MAMP.
    • Female MAMP users were more likely to initiate with MAMP and less likely to use areca quid compared to males.
    • Male adolescents who started MAMP use earlier were more likely to have used alcohol and areca quid beforehand than later-onset users.

    Conclusions:

    • Substance initiation sequences in Taiwanese adolescents differ significantly by gender and age of MAMP onset.
    • Findings diverge from established patterns observed in Western adolescent populations, highlighting the need for culturally specific prevention strategies.
    • The study underscores the importance of considering gender and age-specific pathways in adolescent MAMP use.