Objective-This study examined the association between time to enrollment into postsecondary education and trajectories of heavy episodic drinking (HED) and marijuana use using a prospective longitudinal study.Method-Participants included 391 postsecondary students (55% female) drawn from the Victoria Healthy Youth Survey, a five-wave, multi-cohort sample interviewed biennially between 2003 and 2011. Using piecewise latent growth modeling, we compared changes in the trajectories of HED and marijuana use before and after postsecondary enrollment across three groups of young adults: (a) direct entrants (enrolled directly out of high school), (b) gap entrants (took a year off), and (c) delayed entrants (took longer than a year off).Results-Heavy drinking increased after enrollment for direct entrants and gap entrants and decreased for delayed entrants. Marijuana use increased after enrollment for direct entrants, and decreased for gap entrants and delayed entrants. Yet, overall levels of marijuana use were significantly higher among the gap and delay entrants over time compared with direct entrants. Group differences in heavy drinking appeared to reflect age-related changes in drinking patterns. However, differences in marijuana use may reflect pre-existing inequities in access to higher education across groups.Conclusions-The association between postsecondary education and increased substance use may be limited to students who enroll at a postsecondary institution directly out of high school. However, students who delay enrollment have higher levels of substance use before enrollment, as well as lower high school grades and socioeconomic status compared with direct entrants, and may be particularly vulnerable to long-term substance use problems and degree noncompletion.Considerable research has shown that going to college is associated with significant increases in alcohol and marijuana use during the emerging adult years (Bachman et al., 2002;Carter et al., 2010;Fleming et al., 2012;. However, increased substance use is not uniform across all postsecondary students; rather,
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CIHR Author Manuscriptheterogeneity in contexts such as living situation, type of postsecondary institution, and parttime versus full-time status moderate this association (Carter et al., 2010). We argue that student differences in the time of entry into postsecondary education (PSE) may also affect the association between postsecondary enrollment and increased substance use. The purpose of the current study was to examine whether the expected increases in heavy drinking and marijuana use after enrollment in postsecondary institutions are consistent across students who vary in the time taken to enroll in PSE after high school graduation.
Timing of postsecondary educationAt the population level, the timing of the transition to PSE is well defined because it is contingent on the completion of high school and is often a prerequisite for entrance into professional careers. Time to enrollment in...