Evidence map›Paper›PMID 30079872›Full record

Observational studyJournal of studies on alcohol and drugs2018

Marital Status as a Partial Mediator of the Associations Between Young Adult Substance Use and Subsequent Substance Use Disorder: Application of Causal Inference Methods.

Bohyun Joy Jang, Megan S Schuler, Rebecca J Evans-Polce, Megan E Patrick

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of studies on alcohol and drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 30 citations in OpenAlex.

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  4. Substance abuse in first-episode psychosis at Chris Hani Baragwanath Hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
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  8. Military service and risk of subsequent drug use disorders among Swedish men.Social psychiatry and psychiatric epidemiology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Bohyun Joy JangInstitute for Social Research, University of Michigan, Ann Arbor, Michigan.
Megan S SchulerRAND Corporation, Boston, Massachusetts.
Rebecca J Evans-PolceInstitute for Social Research, University of Michigan, Ann Arbor, Michigan.
Megan E PatrickInstitute for Social Research, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USRAND Corporation · US

Funding

Monitoring the Future: Drug Use & Lifestyles of American Youth (Supp1: Nicotine Pouch and E-cigarette Use Among US Adolescents: National Estimates of Brand Use and Flavor Preferences)R01DA001411 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Richard A Miech · 1985 to 2026
$144.9M
Monitoring the Future: A Cohort-Sequential Panel Study of Drug Use, Ages 19-65 - Diversity Supplement (Solberg)R01DA016575 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Megan E. Patrick · 2003 to 2026
$44.6M
High-intensity drinking and related consequences: Daily data from a national sample aged 19 to 22R01AA023504 · NIAAA · UNIVERSITY OF MINNESOTA · PI PATRICK, MEGAN E. · 2015 to 2022
$3.5M
Dynamic Links Between Risk Factors, Substance Use, and Consequences: Ages 18-35R01DA037902 · NIDA · UNIVERSITY OF MINNESOTA · PI PATRICK, MEGAN E. · 2015 to 2018
$1.5M
NIAAA NIH HHS R01 AA023504NIDA NIH HHS R01 DA001411NIDA NIH HHS R01 DA016575NIDA NIH HHS R01 DA037902
6 · The paper itself

Abstract

objectiveYoung adult substance use is linked with the risk of substance use disorders (SUDs) later in adulthood. Marriage may be part of this pathway because of both selection effects (early substance use reducing marriage) and socialization effects (marriage reducing later substance use and disorder). We examine whether marital status mediates the association between young adult substance use and subsequent SUDs, using causal mediation methods to strengthen inferences.

methodUsing panel data from high school seniors in 1990-1998, we examined whether the effects of two exposures (level of alcohol/marijuana use at age 19/20) on the outcomes (alcohol use disorder [AUD]/ marijuana use disorder [MUD], nondisordered use, or abstinence at age 35) were mediated by marital status at age 29/30. Propensity score weights adjusted for potential confounding regarding both the exposures and the mediator.

resultsModerate and heavy alcohol/marijuana use at age 19/20 were associated with higher odds of AUD/MUD and lower odds of abstinence, each relative to nondisordered use, at age 35. The association between heavy alcohol use at age 19/20 and subsequent AUD was partially mediated by being unmarried at age 29/30; the associations between moderate and heavy marijuana use at age 19/20 and subsequent marijuana abstinence were partially mediated by being unmarried at age 29/30.

conclusionsBoth selection and socialization effects related to marriage explain the perpetuation of substance use behaviors across adulthood. Selection effects on marriage seem to occur at different thresholds for young adult alcohol and marijuana use.

Indexed as

Marital StatusAdultAlcoholismFemaleHumansMaleMarijuana AbuseMarriageSubstance-Related DisordersSurveys and QuestionnairesYoung Adult

Identifiers

PMID30079872
PMCPMC6090100
OpenAlexW2886965556

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.