Explaining adolescent drug use: an elaboration strategy for structural equations modeling

School, Peer Group, and Inhalant Use Among Mexican American Adolescents

Use of toxic inhalants has been identified as a special problem among Mexican American adolescents. This study focused on school and peer influences on inhalant use in a sample of 599 Mexican American youths admitted to drug abuse programs in Texas. Logit analyses showed that problems in school performance, school conduct, peer associations, and attitudes of the school-based peer group were significantly related to inhalant use. These findings are discussed in terms of educational policies and drug abuse prevention opportunities.

Examining the Perspectives of Texas Minors Cited for Possession of Tobacco

This study examined the personal experiences of twenty 14-to-19-year-old Texas youth cited for tobacco possession and attending a court-mandated tobacco awareness class. Guided by labeling theory, focus group questions addressed the process of citation, how youth viewed themselves following citation, how parents and peers viewed youth following citation, and youths’ views on the purpose and effects of the policy. Many youth felt stupid for being caught or determined that they were unlucky. Parents were upset that youth were caught smoking; however, most knew their children smoked. Peers felt sympathy for cited youth or made fun of them for being caught. Participants felt that the law was in existence to deter younger children from initiating smoking or to encourage older minors to quit smoking. However, youth also indicated that there was no purpose to the law and that instead of decreasing smoking it could lead to its continuation. Implications for practice are discussed.

Delinquency as a mediator of the relation between negative affectivity and adolescent alcohol use disorder

This investigation examined mediators of the longitudinal relation between negative affectivity and the development of problematic drinking behavior in adolescent boys and girls. In the present study, 499 early adolescents completed inventories of negative affectivity, attitudes toward delinquency, personal delinquency, and affiliation with delinquent peers. Positive attitudes toward delinquency emerged as the most consistent mediator and strongly predicted drinking frequency in various situations. Compared with personal delinquency, both attitudes toward delinquency and peer delinquency were superior predictors of affect-related drinking. Our results also demonstrated that positive attitudes toward delinquency mediated the relation between negative affectivity and later development of an alcohol use disorder. These findings suggest that a proneness to unpleasant affect impacts adolescent drinking by heightening risk for general rejection of normative behavior, rather than by increasing drinking as a means of managing affect. The importance and implications of testing delinquency variables together in the same model are discussed.

Predictors of drug use among South African adolescents

PURPOSE

To determine the association of frequency of illegal drug use with five groups of factors: environmental stressors, parental drug use, parental child rearing, peer drug use, and adolescent personal attributes.

METHODS

1468 male (45%) and female (55%) adolescents, aged 12 to 17 years (mean 14.76, SD 1.51), were interviewed at home in Durban and Capetown, South Africa. Independent measures assessed environmental stressors, parental child rearing, parental drug use, peer drug use, and adolescent personal attributes. The dependent variable was the adolescents' frequency of illegal drug use.

RESULTS

Regression analyses showed that personal attributes and peer substance use explained the largest percentage of the variance in the adolescents' frequency of illegal drug use. In addition, both of the parental factors and the environmental stressors contributed to the explained variance in adolescent drug use above and beyond the two more proximal domains at a statistically significant level.

CONCLUSIONS

Knowing the contribution of more proximal vs. more distal risk factors for illegal drug use is useful for prioritizing targets for interventions. Targeting changes in the more proximal predictors (e.g., adolescent personal attributes) may be more effective as well as more feasible than trying to produce changes in the more distal factors, such as environmental stressors.

The relation between social problems and substance use in adolescent boys: an investigation of potential moderators

This study investigated the relation between social problems and adolescent male substance use in the context of other potential moderating variables. Two hundred eighty adolescent boys completed measures of social problems, cognitive distortions, constructive thinking, affiliation with delinquent peers, and multiple aspects of substance use. Results revealed that social problems were not directly related to most substance use variables. Cognitive distortions moderated the relation between social problems and substance use in social situations, such that the relation was significant only at high levels of cognitive distortions. Constructive thinking and affiliation with delinquent peers were both related to substance use, but neither served a moderating function. It is concluded that the widely accepted relation between social difficulties and adolescent male substance use may be better understood in the context of cognitive variables.

Beyond treatment effects: predicting emerging adult alcohol and marijuana use among substance-abusing delinquents

Secondary analyses of a randomized clinical trial examined the effects of 4 putative risk factors and 2 protective factors in predicting drug use among 80 emerging adults treated 5 years earlier for delinquency and alcohol and/or marijuana use disorders. Frequency of marijuana use and the number of comorbid psychiatric disorders in adolescence predicted cannabis use in emerging adulthood. Increasing academic competence at high levels of social competence predicted less marijuana use. At emerging adulthood, greater use of alcohol and marijuana were associated with both criminality and psychopathology.

Multidimensional self-esteem and alcohol use among Mexican American and White non-Latino adolescents: concurrent and prospective effects

Self-esteem was evaluated among Mexican American and White non-Latino adolescents. Three dimensions of self-esteem-(a) self-confidence, (b) competence, and (c) social acceptance-were assessed for concurrent and longitudinal relationships to alcohol use. Various concurrent relationships were found between dimensions of self-esteem and alcohol use. Only 1 prospective effect was found, among Mexican American female adolescents, indicating that prior poor self-confidence predicts higher levels of alcohol use.

Beer and bongs: differential problems experienced by older adolescents using alcohol only compared to combined alcohol and marijuana use

Alcohol and other drug problems experienced by adolescents who use only alcohol compared to those who use both alcohol and marijuana (A + M) is studied. Using the national longitudinal survey of youth 1994 data, forward multiple regression analyses revealed that impulsivity, A + M use (compared to alcohol-only use), age, sex, religiosity, frequency of substance use were associated with a higher number of behavioral problems. Youth with more alcohol problems were found to be binge drinkers, impulsive, more frequent alcohol users, and nonHispanic. Implications and future research needs are discussed.

The risks for late adolescence of early adolescent marijuana use

OBJECTIVES

The purpose of this study was to assess the relation of early adolescent marijuana use to late adolescent problem behaviors, drug-related attitudes, drug problems, and sibling and peer problem behavior.

METHODS

African American (n = 627) and Puerto Rican (n = 555) youths completed questionnaires in their classrooms initially and were individually interviewed 5 years later. Logistic regression analysis estimated increases in the risk of behaviors or attitudes in late adolescence associated with more frequent marijuana use in early adolescence.

RESULTS

Early adolescent marijuana use increased the risk in late adolescence of not graduating from high school; delinquency; having multiple sexual partners; not always using condoms; perceiving drugs as not harmful; having problems with cigarettes, alcohol, and marijuana; and having more friends who exhibit deviant behavior. These relations were maintained with controls for age, sex, ethnicity, and, when available, earlier psychosocial measures.

CONCLUSIONS

Early adolescent marijuana use is related to later adolescent problems that limit the acquisition of skills necessary for employment and heighten the risks of contracting HIV and abusing legal and illegal substances. Hence, assessments of and treatments for adolescent marijuana use need to be incorporated in clinical practice.

The Sonda Project: prevention, prediction, and psychological disorder

The Sonda Project began in Italy in 1985 and was created by Semeion Research Center of Sciences of Communication. It has been operating in approximately 30 Italian cities, ranging from large to small, since 1986. The aim of the Sonda Project is to undertake primary prevention measures at the level of personality organization disorder. Cognitive and communication disorders are, in the context of the Sonda Project, the common ground for many expressions of cultural disorders labeled drug addiction, alcoholism, violence, etc. From the point of view of the Sonda Project, measures aimed at combating drug-addiction and alcoholism are no more than superficial strategies incapable of dealing with the causes of self and hetero-destruction (of others). Such abuses are the most evident political symptoms. The methodological aim of the Sonda Project, therefore, consists in understanding, predicting, and acting upon the incubation disorder of human beings; a disorder which subsequently transforms itself into more or less recognizable symptoms. In order to attain its aim, the Sonda Project has made use of two instruments: 1) a series of Intelligent Computerized Observatories, able to predict, in each community, the typology of people who are more likely to exhibit forms of destructive suffering; 2) a local team able to use such advanced technology and able to utilize territorial activation techniques. These are designed to reinsert into the arena of the social game those people who are more "at risk" in terms of self and heterodestruction, and who are most exposed to psychological and sociological levels of relational "fatigue."

Young adults' drug use: a 17-year longitudinal inquiry of antecedents

This longitudinal study examined the interrelation of personality and peer factors on young adults' drug use and also the influence of the interaction of personality and peer factors on drug use. The sample of 756 males and females were interviewed four times between the M ages of 6 and 22. Personality attributes in childhood were related to peer factors in early adolescence which, in turn, were related to personality traits in later adolescence. These traits were linked with selection of peers and, ultimately, drug use in young adulthood. Additionally, the adolescent and young adult domains had direct effects on young adults' drug use. Significant interactions indicated that a few protective childhood personality traits buffer the risk of deviant peers in adolescence on young adults' drug use. More earlier protective characteristics from one domain enhanced the effect of later protective traits from the other domain.

Empirical Validation of the Applicability of an Integrative Theory of Deviant Behavior to the Study of Drug Use

The outline of an integrative theory of deviant behavior is described and evaluated with reference to (1) the compatibility of the theory with findings from a systematic program of a research using longitudinal data designed to test the theory, and (2) the congruence of empirical findings from studies guided by other theoretical frameworks or using no theoretical frameworks with the integrative theory. The systematic estimation of theoretically informed models using panel data suggests that the basic theoretical framework is sound. At the same time certain findings, while compatible with the theory, suggest the need to elaborate the model further through the specification of other mediating and moderating variables. Findings from the general literature on deviance and drug use are congruent with the general theory, and indicate that the integrative model is a useful framework for organizing the empirical literature as well as for providing a valid foundation for constructing an explanation of drug use and other deviant adaptations.

A replication and elaboration of the esteem-enhancement model

Adolescents treated in clinical settings for drug use problems are often observed to have low self-esteem. This has led some researchers to the belief that mood or personality characteristics of adolescents predispose them to drug use. However, longitudinal field studies have failed to confirm a direct relationship between low self-esteem and substance abuse (Petraitis et al. 1995). Evidently, if an important causal relationship exists between self-esteem and drug use in the nonclinical adolescent population, it is complex and mediated by other factors. To address this issue, explanatory theories are needed that can organize the relationships between drug abuse and its antecendent causes including low self-esteem. One of the few theoretical approaches that has been put forward for empirical verification is the esteem-enhancement theory of Kaplan, Johnson, and Bailey (1986a, 1987, 1988).

Impact of contextual variables on adolescent situational expectation of substance use

The relationship between contextual variables and situational expectation of drug and alcohol use at the school level suggested by Interactive theory was investigated [1, 2]. A canonical correlation analysis supported a significant relationship between situational expectation of drug and alcohol use and several contextual variables including Students' Perceptions of What Teachers Expect of Them Academically, Percentage of White Students, and the Prosperity of the School. The results indicated that the more prosperous the school and the greater the students' perceptions of what teachers expect of them academically, the lower the situational expectation of smoking cigarettes or taking depressants and the higher the percentage of white students the higher the situational expectation of drinking beer and liquor. Implications for prevention programs and school environment are discussed.

Parental attachment, drug use, and facultative sexual strategies

It is often asserted that sexual promiscuity and drug abuse appears to share a common etiology in poor parental attachment. This study explores this claim empirically among 480 college students. Other variables--religiosity, masculinity/femininity, sex, age, and physical appearance--that may enhance or reduce the incidence of promiscuity and drug use were included in multivariate analyses. Parental attachment was significantly related to both variables, and the combination of poor parental attachment and drug use was a strong predictor of promiscuity for both males and females. In multivariate analyses, religiosity was the most important predictor of promiscuity for males, and attachment was the most important for females. The findings are examined guided by the three desiderata commonly accepted as relevant to biosocial attachment theory.

Sociodemographic and attitudinal correlates of alcohol and other drug use among children and adolescents: analysis of a large-scale attitude tracking study

Data from the Partnership Attitude Tracking Study are analyzed to provide a greater understanding of the contributing factors to alcohol and other drug use among children and adolescents. The data were collected from children (ages 9 to 12) and teenagers (ages 13 to 17) in central locations (usually shopping malls) located in 100 primary sampling units across the United States. The analysis, which primarily employed stepwise multiple regression for model estimation, reinforced the importance of friends use, perceived risk, and tobacco and alcohol use in predicting marijuana use. An exposure model, which included antidrug advertisements, was a particularly powerful model. Implications of the findings are discussed.

Co-occurrence of substance use and loneliness as a risk factor for adolescent hopelessness

This research among a sample of 1,915 Mississippi adolescents investigated whether lonely adolescents who use illicit substances were at increased risk of hopelessness. Relative risk of scoring within the severe hopelessness range was 6.9 for non-substance users who were lonely and 4.2 for substance users who were not lonely. Yet, relative risk for severe hopelessness in substance-using lonely adolescents was 25.2. Lonely, substance-using adolescents were 25 times more likely to be severely hopeless than the reference group composed of non-substance using, not-lonely adolescents. Lonely adolescents who get drunk also were 15.9 times more likely to be severely hopeless than the reference group. Because hopelessness often is an indicator of suicidal behavior, these results may have important implications for school health adolescent suicide prevention efforts.