The influence of ethnic identity on drug use among ethnic minority adolescents

Ethnic identity is a significant factor related to self-concept and psychological development and similar to other aspects of identity, is of particular importance during the adolescent years when there is increased vulnerability to drug involvement. However, much of the research relative to adolescent drug use has focused on the annual and current prevalence rates among particular ethnic groups with little attention to ethnic or group identity issues. However, it is important to study and compare ethnic and group identity and its correlates to drug use. This article presents face-to-face interview questionnaire measures of ethnic identity as measured by affirmation and belongingness, ethnic identity achievement, ethnic behavior, and other group orientation [1], and drug use as measured by misuse, abuse, and chemical dependency diagnoses [2]. The questionnaires were administered to 127 (60 Ethnic, 67 White) adolescents from ethnically diverse schools in a large urban school district in the Pacific Northwest. The relationship of ethnic identity to drug use was examined. This study indicates that the questionnaire measures can be used to examine similarities and differences in ethnic identity and drug use among adolescents from different ethnic groups. A key finding of this study was that white adolescents scored lower in ethnic identity than did members of the four ethnic minority groups and the mixed racial group. However, the most significant key finding was that in the ethnic minority sample high levels of cultural identity were associated with heavy drug use. The results of this study suggest that social influences may play a larger role in the development of heavy drug use irrespective of the nature and origins of these social influences.     

Risk factors for drug use in rural adolescents.

This study tested the relevance of a risk factor model for predicting drug use among rural adolescents. A questionnaire battery assessing drug use and the presence/absence of twenty risk factors derived from a previous study of urban adolescents was administered to a sample of seventh graders (N = 235) in the public school system of a rural community. All but one of these risk factors were found to be significantly related to at least one category of drug use. In addition, a risk factor index based on a subset of ten risk factors was significantly associated with the prevalence and frequency of use for cigarettes, beer and wine, hard liquor, marijuana, and other drugs. These findings support the generalizability of a risk factor approach to predicting drug use, and underscore the need for increased prevention and research efforts directed at rural adolescents.     

Empathy and drug use behaviors among African-American adolescents

The current study proposed that empathy may indirectly play a protective role for adolescents in drug use behaviors and that this relationship will be mediated by self-regulatory strategies found in drug refusal efficacy. We predict that empathy will be linked to prosocial behavior and aggression, though we do not believe that they will mediate the relationship between empathy and drug use. The sample included 498 African-American adolescents in the 6th, 7th, and 8th grade. The results of structural equation modeling provided support for our hypotheses. Empathy was significantly and positively associated with drug refusal efficacy and prosocial behavior. Empathy was negatively associated with aggression. Drug refusal efficacy was negatively related to past 30-day drug use, providing evidence for the fully mediating role of drug refusal self-efficacy on empathy and past 30-day drug use. Consistent with our predictions, aggression and prosocial behavior were not significantly associated with past 30-day drug use. These findings may be useful in the context of programming efforts for drug prevention.     

School performance, academic aspirations, and drug use among children and adolescents

The relationship between drug use, school performance, and academic aspirations among 446 Anglo and Hispanic youths, age nine to seventeen, is explored. Two groups of subjects--current substance users and non-users--were interviewed. Subjects in each comparison group were similar in age, ethnicity, and gender. Overall results, consistent with prior research, indicate a significant relationship between current school performance, future educational aspirations, and drug use. No difference was noted between substance use groups on indicators of general interest in school work or probability of dropping out of school. Important differences in response patterns occurring with age, ethnicity, and gender were found.     

An exploratory study of recreational drug use and nutrition-related behaviors and attitudes among adolescents.

This study examined drug use and eating behaviors among adolescents. The data were collected by phone interviews from 401 northern Nevadan students in grades seven to twelve. Students were divided for comparison into three groups according to their involvement with drugs: Abstainers, conventional users, and high-risk users. Analyses indicated that high-risk users less frequently ate lunch, meals at home, and with their families, and ate more often at convenience stores, fast food restaurants, and with friends. In addition, female high-risk users had significantly more negative perceptions regarding their food choices than the other female groups, and were more concerned with dieting than their high-risk using male peers. Male and female high-risk users believed that their drug use affected their eating habits. Implications for prevention programming and future research are discussed.     

Shift-and-persist coping and health among rural African American adolescents

This study examines whether shift-and-persist coping, a coping strategy defined by accepting challenges and remaining hopeful for the future, is associated with psychosocial and physical health and/or moderates the effects of contextual stress (i.e., racial discrimination, financial strain) on health among African American adolescents living in the rural Southeastern United States. Participants (N = 299, 56% boys, M_age = 12.91) completed measures of shift-and-persist coping, contextual stress, and psychosocial and physical health. Shift-and-persist coping was generally associated with better health but did not buffer the effects of contextual stress. Results suggest that shift-and-persist coping may serve as a source of resilience among African American adolescents living in a context where many experience heightened contextual stress.     

Peer cluster theory and adolescent drug use: a reanalysis

Peer cluster theory hypothesizes that peer drug association has a direct effect on adolescent drug use. In turn, peer drug associations are influenced by familial factors (sanctions and strength) and individual variables (religious identification, school adjustment). Oetting and Beauvais evaluated peer cluster theory in a cross-sectional survey of 415 high school students [1]. We hypothesized, evaluated, and found support for an alternative model in which poorer school adjustment was specified as a consequence of drug use, peer drug associations, lack of family sanctions against drug use, low religious identification, and absence of family strength. This reanalysis illustrates that interpretations of structural equation modeling results from cross-sectional data are especially problematic.     

Concurrent alcohol and cigarette use among school-going adolescents in Korea

BackgroundConrurrent alcohol and tobacco use may increase the risk for substance abuse in adolescents. The aim of this study was to investigate concurrent alcohol and cigarette use and the co-occurrence risks of each substance in school-going adolescents in Korea.MethodsIn a cross-sectional nationally representative survey in 2016, 65,528 students (Mean age = 15.1 years, SE = 0.02) responded to a questionnaire that included measures of substance use and substance use exposure.ResultsIn all, 13.3% of the students were concurrent lifetime smokers and drinkers (19.3% among boys and 6.7% among girls), 25.5% lifetime alcohol users only (24.2% among boys and 26.9% among girls), 3.0% lifetime smokers only (4.7% among boys and 1.1% among girls) and 58.3% never smoked and never used alcohol (52.2% among boys and 47.8% among girls). All measures of more intensive smoking pattern and smoking exposure and more intensive drinking pattern and drinking exposures, respectively, were associated with consistently increased risk of lifetime alcohol use and lifetime smoking, respectively, compared to lifetime never smokers and abstainers. In multinomial logistic regression, compared to students who neither had used alcohol nor tobacco, concurrent lifetime smokers and drinkers were more likely to be male, mixed or boys school, higher school grade, lower paternal and maternal educational level, perceived lower socio-economic status, ever drug user, perceived stress above average, depressive mood, experience of violence victimization, and living in a rural area or medium sized city.ConclusionPrevention and treatment strategies should better incorporate the comorbidity of cigarette smoking and alcohol use in their intervention programmes.     

Suicide ideation among a stratified sample of rural and urban adolescents

This study examined factors associated with sucidal ideation among a stratified sample of rural and urban adolescents. Data was collected on 1,728 eighth and tenth grade southern Nevada students from 23 schools. No overall differences were found between rural and urban adolescents, although results did indicate that grade, gender, and school achievement variations exist between rural and urban student populations. Implications for social workers and other youth service providers are discussed.     

Onset of substance use among early adolescents in Sweden

ABSTRACT

Problem: Early onset, prevalence, and predictors of substance use – tobacco, alcohol-drinking, alcohol-drunkenness, and drugs – were studied in 13 and 14-year-old boys and girls in Sweden. Methods: Self-reported data in four communities were used (n = 1,716). A large set of psychological and social factors were tried as predictors of early onset use (n = 1,459). Results: There were few gender differences and low prevalence. Primary predictor for early onset in tobacco use was availability; perceived parental approval for alcohol use, and delinquent behaviors for alcohol-drunkenness and drug use. Conclusions: Individual behavioral factors and parental norms seem to be most important in this age.     

Peers influence the tobacco and alcohol use of Chinese adolescents

This two-wave longitudinal study examined peer selection and influence pertaining to tobacco and alcohol use by adolescents and their friends in a sample of 854 Chinese adolescents (384 girls: mean age = 13.33 years). Participants nominated friends and self-reported their tobacco and alcohol use at seventh and again at eighth grade. Longitudinal social network analyses revealed evidence of friend influence but not selection over smoking and drinking. Boys increased their levels of smoking at rates greater than that of girls, but no sex moderation of either selection or influence was found. In interpreting these results, it is important to understand the gender norms for Chinese boys and girls and the cultural context of tobacco and alcohol use.     

Predicting continued use of marijuana among adolescents: the relative influence of drug-specific and social context factors.

Most research on the determinants of adolescent drug use has focused on predictors of either initiation or current use. Little attention has been given to the determinants of continued use of drugs after initiation, even though some researchers have found that the consequences of continued use are more serious than those associated with experimental or occasional use. In this study, a longitudinal sample of 456 secondary and high school students who had already tried marijuana was used to examine the determinants of continued use of marijuana. Nearly 38 percent of those who had tried marijuana continued using, according to the definition operationalized in this study. Potential predictor measures were grouped in a drug-specific domain and a social context domain, and their effects on continued use, controlling for background characteristics, were examined in logistic regression models. Results showed that only the drug-specific domain had a statistically significant effect on the likelihood of continued use. Students who felt that the adverse physical and psychological effects of marijuana were not very important reasons for discontinuing use and those who had gotten stoned during their experimental stage of use were the most likely to continue use after initiation. The results suggest that the perceived physical and psychological effects of the drug are more important determinants of continued use than are social factors or benefits related to use. Any relationships between social factors and continued use are mediated by the perceived effects and risks of the drug.     

Determinants of tobacco use among Korean female adolescents: Longitudinal test of the theory of triadic influence

This study aimed to examine the influences of social, attitudinal, and intrapersonal factors at three levels on tobacco use among female adolescents in South Korea using longitudinal national data. The study analyzed data from the Korean Youth Panel Study, with a study population consisting of middle-school second-graders (N = 1594). Using time dependent Cox regression, our analyses yielded the following main findings: the theory of triadic influence was verified to provide a theoretical framework for smoking among Korean female adolescents. All of the social factors at the three levels, including parental supervision, attachment to friends, and peer smoking prevalence, were found to influence tobacco use among Korean female adolescents. Stigma on the distal level and attitude towards smoking on the proximal level were significant attitudinal factors. Among intrapersonal factors, self-control on the distal level and stress on the proximal level were found to be significant. The study findings suggest that including parental education and promoting attachment to non-smoking friends, as well as enhancing sound relationships with them, would provide an effective strategy for the prevention and cessation of smoking. Prevention and cession should include strategies that alleviate stigma and stress, and improve negative attitude toward smoking and the level of self-control.     

The perceived effects of drug messages on use patterns in adolescents

Following a survey of over 5,000 students in north central Idaho and southeast Washington, an interviewing strategy was implemented with 223 adolescents randomly selected by their principals. The strategy was designed to learn: 1) which sources have utility and credibility with youth in providing drug information; 2) whether different message content and delivery style have differential effects upon that group; and 3) whether widely held perceptions voiced by parents and teachers about their ineffectiveness as information sources were accurate. Double-blind interviews, arranged to protect respondent anonymity, were conducted by trained interviewers from a research methods class. No interview was held when either an interviewer or respondent knew the other. Among the important findings of the study were that: 1) parents and teachers are trusted, credible sources of drug information; 2) doctors, nurses, law officers, and clergy are also credible but not visible to youth; 3) the evil media and celebrity fears of parents and teachers are largely ungrounded in adolescent perception; and 4) factual information from credible sources emphasizing the range of types of negative consequences associated with drug use can exert powerful effects upon adolescents' reported personal use of drugs.