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The Role of Internalizing Mental Health Problems in Substance Use Trajectories for Minority Adolescents

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Abstract

Research on adolescence and substance use point to a link between internalizing problems and substance use. The current longitudinal study investigates how internalizing problems and substance use change over time among minority adolescents and the role of internalizing problems in predicting trajectories of substance use among African American and Latinx adolescents, with attention to variation by gender, ethnicity, and generation status. This study follows a large sample of minority immigrant adolescents over three waves of data collection (10th, 11th, and 12th grades). Individual growth curve modeling showed that substance use increased over time while internalizing problems decreased overtime. Results showed that changes in internalizing problems over time significantly predicted changes in substance use over time. Ethnicity moderated this relation; specifically, greater internalizing problems predicted greater substance use for Latinx, but not African Americans. No significant interactions were found among gender or generation status in predicting substance use at intercept. Implications for future research are discussed.

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Acknowledgments

We are grateful to Joshua Aronson, Michelle Fine, and Carola Suarez-Orozco for their invaluable help with the New York City Academic and Social Engagement Study (NYCASES) study. We also gratefully acknowledge the time and efforts of the adolescents who participated in this study.

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This work was funded by grants from the Spencer Foundation and New York University.

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Correspondence to Selcuk R. Sirin.

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Ryce, P., Sirin, S.R., Rogers-Sirin, L. et al. The Role of Internalizing Mental Health Problems in Substance Use Trajectories for Minority Adolescents. Int J Ment Health Addiction 19, 2031–2044 (2021). https://doi.org/10.1007/s11469-020-00298-w

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