Abstract

Measured as elapsed time from first use to dependence syndrome onset, the estimated "induction interval" for cocaine is thought to be short relative to the cannabis interval, but little is known about risk of becoming dependent during first months after onset of use. Virtually all published estimates for this facet of drug dependence epidemiology are from life histories elicited years after first use. To improve estimation, we turn to new month-wise data from nationally representative samples of newly incident drug users identified via probability sampling and confidential computer-assisted self-interviews for the United States National Surveys on Drug Use and Health, 2004-2013. Standardized modules assessed first and most recent use, and dependence syndromes, for each drug subtype. A four-parameter Hill function depicts the drug dependence transition for subgroups defined by units of elapsed time from first to most recent use, with an expectation of greater cocaine dependence transitions for cocaine versus cannabis. This study's novel estimates for cocaine users one month after first use show 2-4% with cocaine dependence; 12-17% are dependent when use has persisted. Corresponding cannabis estimates are 0-1% after one month, but 10-23% when use persists. Duration or persistence of cannabis smoking beyond an initial interval of a few months of use seems to be a signal of noteworthy risk for, or co-occurrence of, rapid-onset cannabis dependence, not too distant from cocaine estimates, when we sort newly incident users into subgroups defined by elapsed time from first to most recent use.

Document Type

Article

Publication Date

6-29-2016

Notes/Citation Information

To be published in International Journal of Methods in Psychiatric Research.

Copyright © 2016 John Wiley & Sons, Ltd.

This is the peer reviewed version of the following article: Vsevolozhskaya, O. A., and Anthony, J. C. (2016). Estimated probability of becoming a case of drug dependence in relation to duration of drug-taking experience: A functional analysis approach. International Journal of Methods in Psychiatric Research, which has been published in final form at https://doi.org/10.1002/mpr.1513. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

Digital Object Identifier (DOI)

https://doi.org/10.1002/mpr.1513

Funding Information

This work was supported by a National Institutes of Health National Institute on Drug Abuse T32 research training program grant award (T32DA021129) for OAV’s postdoctoral fellowship, by JCA’s NIDA Senior Scientist and Mentorship Award (K05DA015799), and by the Michigan State University.

Available for download on Thursday, June 29, 2017

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