Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression

Background: This study assesses the relevance of several factors that the literature on the substance use of adolescents considers relevant. The factors embed individual variables, such as gender or age; factors linked with parental style; and variables that are associated with the teenager’s social environment. Methods: The study applies complementarily ordered logistic regression (OLR) and fuzzy set qualitative comparative analysis (fsQCA) in a sample of 1935 teenagers of Tarragona (Spain). Results: The OLR showed that being female (OR = 0.383; p < 0.0001), parental monitoring (OR = 0.587; p = 0.0201), and religiousness (OR = 0.476; p = 0.006) are significant inhibitors of cannabis consumption. On the other hand, parental tolerance to substance use (OR = 42.01; p < 0.0001) and having close peers that consume substances (OR = 5.60; p < 0.0001) act as enablers. The FsQCA allowed for fitting the linkages between the factors from a complementary perspective. (1) The coverage (cov) and consistency (cons) attained by the explanatory solutions of use (cons = 0.808; cov = 0.357) are clearly lower than those obtained by the recipes for nonuse (cons = 0.952; cov = 0.869). (2) The interaction of being male, having a tolerant family to substance use, and peer attitudes toward substances are continuously present in the profiles that are linked to a risk of cannabis smoking. (3) The most important recipe that explains resistance to cannabis is simply parental disagreement with substance consumption. Conclusions: On the one hand, the results of the OLR allow for determining the strength of an evaluated risk or protective factors according to the value of the OR. On the other hand, the fsQCA allows for the identification not only of profiles where there is a high risk of cannabis use, but also profiles where there is a low risk.

Prevalence of addictive behaviours among adolescents from 73 low-and middle-income countries

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The prevalence of regular alcohol use was the highest among adolescents in Zambia but the lowest in Senegal.

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The prevalence of problematic alcohol use was higher in Argentina and Colombia than in any other low- and middle-income countries.

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The prevalence of regular and problematic alcohol use was the lowest in countries with Muslim and Buddhist religions.

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Samoa had the highest prevalence of smoking as well as in marijuana and amphetamine consumption.

Introduction

Adolescence is a critical developmental stage for the initiation of substance use worldwide. However, the prevalence of various types of substances consumed by adolescents living in low- and middle- income countries (LMICs) across different continents is not fully understood.

The aims of the present study were to estimate the prevalence of regular and problematic substance use among adolescents in 73 LMICs across different continents and to explore the role of country-specific factors on this prevalence.

Method

Data of 314,187 adolescents (52.79% girls; median age = 15 years old) who participated in the Global School-based Student Health Survey (GSHS) were analysed. After estimating the weighted prevalence for each country, multilevel models were used to examine the influence of country-specific factors on the prevalence of substance use across 73 LMICs.

Results

The results indicated that problematic alcohol use was more prevalent in LMICs with higher income levels. The prevalence of regular alcohol use was the highest in Zambia. Regular and problematic alcohol use was the least prevalent in Senegal and Myanmar. The findings also revealed that smoking and the consumption of marijuana and amphetamine were the most common among adolescents in Samoa, whereas the prevalences for these substances were the lowest in Laos.

Conclusion

Economic wealth, religion and geographical factors seem to have a role in determining the prevalence of substance use among adolescents in LMICs.

Religious Involvement, Moral Community and Social Ecology: New Considerations in the Study of Religion and Reentry

OBJECTIVES

To examine the link between an individual's religious involvement in prison and recidivism and assess how macro-level conditions in the counties to which individuals return shape this relationship.

METHODS

Using data from 1362 previously incarcerated people, a series of hierarchical generalized linear models are used to examine the extent to which an individual's religious involvement in prison relates to recidivism post-release. We also examine how county-level religious adherence, economic disadvantage, and potential social service assistance directly affect recidivism, and how each shape the relationship between religious involvement and recidivism.

RESULTS

Findings show that county-level religious adherence was directly associated with lower recidivism, but individual-level religious involvement was not when assessing recidivism over longer periods of time post-release. Cross-level interactions revealed that county-level resource deprivation conditions the effect of individual religious involvement.

CONCLUSIONS

Findings have theoretical implications for the study of religion and reentry. Methodologically, failing to account for the religious context of counties, in addition to micro-macro linkages, harms individual level research on religion and reentry.

Smoking in the temple of the holy spirit? Geographic location matters

Smoking at a young age poses significant risks to one's health and is linked with a wide range of deviant conducts. While prior research has looked into the ways in which individual religious characteristics may influence smoking, much less is known about how the overall religious context in which individuals are embedded may affect smoking during adolescence and early adulthood. In this study, multilevel regression analyses were used on nationally representative panel data to explore this understudied area. The results suggest that when a county has higher population share of conservative Protestants, youth living there are more likely to smoke. A similar robust relationship is also found for county-level mainline Protestant population share and smoking. By simultaneously examining both the individual and contextual religious effects on smoking, this study contributes to a renewed, more comprehensive understanding of an important public health and youth deviance issue.

How and why have attitudes about cannabis legalization changed so much?

Since the late 1990s public opinion about cannabis legalization has become drastically more liberal, and some states have begun to legalize cannabis for recreational use. Why have attitudes changed so much? Prior research has considered a few of the reasons for this change, but this is the first comprehensive and empirically-based study to consider the wide range of potential causes for how and why this happened. We use data from the General Social Survey, National Study of Drug Use and Health, and word searches from the New York Times. We find that attitudes largely liberalized via intracohort changes. Most Americans developed more liberal views, regardless of their race and ethnicity, gender, education, religious or political affiliation, or religious engagement. Changes in cannabis use have had minimal effects on attitudes, and legalization of cannabis has not prompted attitude change in neighboring states. As to root causes, evidence suggests that a decrease in religious affiliation, a decline in punitiveness, and a shift in media framing all contributed to changing attitudes.

Religious Involvement and Marijuana Use for Medical and Recreational Purposes

In this article, we use data from the 2016 National Survey on Drug Use and Health (NSDUH) to examine the association between religious involvement and marijuana use for medical and recreational purposes in U.S. adults (N = 41,517). We also consider whether the association between religious involvement and marijuana use varies according to personal health status. Our results show that adults who attend religious services more frequently and hold more salient religious beliefs tend to exhibit lower rates of medical and recreational marijuana use. We also find that these “protective effects” are less pronounced for adults in poor health. Although our findings confirm previous studies of recreational marijuana use, we are the first to examine the association between religious involvement and medical marijuana use. Our moderation analyses suggest that the morality and social control functions of religious involvement may be offset under the conditions of poor health.

In-home firearm access among US adolescents and the role of religious subculture: Results from a nationally representative study

Religious participation is linked to numerous positive safety outcomes for adolescents. Scant attention, however, has been paid to associations between religious participation and safety risks among adolescents. Using data from Add Health (N = 18,449), a nationally representative school-based sample of US adolescents, this study examines the relationship between adolescents' religious affiliation and easy access to firearms at home. Regression analyses adjust for complex sampling design and compare easy firearm access at home among conservative Protestant adolescents to adolescent firearm access in other religious traditions. Conservative Protestant adolescents have a substantially greater likelihood of easy access to a gun at home compared to adolescents of all other major religious traditions in the United States. Recognizing differences in adolescent firearm access between subcultural groups can help public health interventions more effectively identify and address the needs of vulnerable populations. The paper's conclusion considers suggestions for effective policy and programmatic initiatives.

More Than Friends and Family? Estimating the Direct and Indirect Effects of Religiosity on Substance Use in Emerging Adulthood

Religiosity tends to negatively influence substance use among emerging adults because religious communities can serve as pro-social reference groups and provide alternative resources for coping with stress and negative life events. The relationship may also be mediated, however, by differences in family attachments and drug- and alcohol-using peer associations. With data from a nationally representative panel study, I implemented longitudinal structural equation modeling to simultaneously assess both direct and indirect effects of religiosity on substance use. While a substantive portion of its effect is mediated by substance-using peers, it is mostly direct, and increasingly so as individuals transition from late adolescence to emerging adulthood. Furthermore, religion appears to be a particularly effective social institution, as religiosity decreases contemporary substance use but is not itself affected by prior substance use. Religiosity may thus be beneficial with regard to certain short- and long-term health outcomes related to substance use during emerging adulthood.

Sexual orientation, internal migration, and mental health during the transition to adulthood

Previous research has suggested that sexual minorities may have higher rates of migration than heterosexuals, indicating their effort to escape stigma in the currently residing areas. However, direct evidence for the migration pattern has been lacking, and mental health implications of such coping effort have been unclear. This study seeks to fill these gaps in the literature by analyzing the Add Health data, which include longitudinal measures of residential locations, sexual orientation, and mental health. The analysis focuses on the transition to adulthood, when the rate of internal migration peaks. Among women, sexual minorities have a higher rate of migration than heterosexuals, but men do not show such a difference. Sexual minorities show better mental health when they migrate to counties with higher proportions of people living in urban areas whereas heterosexuals do not show such an association. Among sexual minority men, migration to counties with higher population density and higher proportions of college-educated residents is also linked to better mental health.

Religiosity and adolescents' involvement with both drugs and sex

Previous research has shown that religion reduces adolescents' risk of substance use, while having little impact on sexual risk-taking. However, few studies have examined how religion might mitigate adolescents' involvement with both drugs and sex. Using the Child Development Supplement (CDS) in combination with the Panel Study of Income Dynamics (PSID), we fill this gap by determining how adolescents' involvement with both drugs and sex is related to religiosity. We find the statistically significant relationship between religiosity and adolescents' involvement in both risk behaviors is accounted for by school attachment, but the relationship between religiosity and drugs is robust.

Religiosity and adolescent substance use: evidence from the national survey on drug use and health

Prior research indicates that religiosity is associated with lower levels of substance use in adolescence. The extant research, however, is limited by issues related to data quality and analytic strategy. The current research uses the National Survey on Drug Use and Health to further our understanding of the nature of the relationship between religiosity and substance use during adolescence. Results show that religiosity reduces the odds of tobacco use, heavy drinking, prescription drug misuse, marijuana use, and other illicit drug use. These associations are partially explained by respondent and peer attitudes toward substance use and, to a lesser extent, respondent psychological well-being. The influence of respondent substance use attitude is especially pronounced, explaining between 41% (marijuana) and 53% (tobacco) of the association between religiosity and substance use. In fully adjusted models, all mediators account for between 46% (marijuana) and 59% (tobacco) of the association between religiosity and substance use.

Extracurricular activities and teens' alcohol use: The role of religious and secular sponsorship

Much research has found that more religious youth are less likely to engage in riskier health-related behaviors. However, very little research has examined the role that religion may play in shaping the health-related behaviors of secular youth. There is reason to think that more and less religious youth may gain some health-related benefits from involvement with religious organizations through activities such as basketball and volunteering. Using two waves of data from the National Study of Youth and Religion, this study finds that involvement in religion-supported secular activities is associated with less alcohol use for all involved teens. The number of friends who belong to a religious youth group, in part, explains the relationship. Conversely, network overlap between parents and teens, the number of friends who drink or use drugs, and having an adult confidant from a religious group are not mechanisms that mediate the relationship.

High-cost religion, religious switching, and health

Previous research has devoted significant attention to understanding the link between health and personal religious beliefs and practices, typically finding that more religious people tend to have better health. However, almost no attention has been given to how switching religious groups or leaving religion altogether is related to self-reported health. Due to selection and causation mechanisms, switching from high-cost groups that are theologically and culturally exclusive could be associated with poor health more than switching from other religious groups. Using data from the 1972 through 2006 General Social Surveys, we examine the relationship between health and religious switching as moderated by the religious tradition of origin. We find that people who are raised and stay in high-cost sectarian groups, such as the Latter-day Saints and Jehovah's Witnesses, have better self-reported health than those raised and staying in other religious traditions. However, people who leave such groups are more likely to report worse health than those who leave other groups.

Religiosity, Spirituality, and Substance Abuse

With data from the 2004 General Social Survey, the study examined effects of religiosity and spirituality on substance abuse. Also explored was whether and how social bonding mediates religiosity's effects on substance abuse. The results show that religiosity was negatively associated with substance abuse and, further, that social bonding variables did somewhat mediate this negative relationship between the two. Additionally, and as expected, with religiosity controlled, the likelihood of substance abuse increased along with increasing spirituality, in the models. Policy implications and further research needs are discussed.