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Evaluation Review
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The Life Course Perspective on Drug Use

A Conceptual Framework for Understanding Drug Use Trajectories

Yih-Ing Hser

University of California, Los Angeles

Douglas Longshore

University of California, Los Angeles

M. Douglas Anglin

University of California, Los Angeles

This article discusses the life course perspective on drug use, including conceptual and analytic issues involved in developing the life course framework to explain how drug use trajectories develop during an individual's lifetime and how this knowledge can guide new research and approaches to management of drug dependence. Central concepts include trajectories marked by transitions and social capital and turning points influencing changes. The life course perspective offers an organizing framework for classifying varying drug use trajectories, identifying critical events and factors contributing to the persistence or change in drug use, analytically ordering events that occur during the life span, and determining contributory relationships.

Key Words: life course • drug use trajectory • chronic disorder • turning points • long-term care • disease management

Evaluation Review, Vol. 31, No. 6, 515-547 (2007)
DOI: 10.1177/0193841X07307316
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