Bullying and suicide in high school students: Findings from the 2015 California youth risk behavior survey

ABSTRACT

School bullying and cyberbullying have been linked to suicidal behaviors through depression and alcohol, tobacco, marijuana, and other drug use. However, how these associations may differ across racial/ethnic groups remains relatively unknown. Using data from the 2015 California Youth Risk Behavior Survey, this study aims to examine two questions in different racial/ethnic subgroups: (1) Does bullying affect suicide? and (2) Does bullying have an indirect effect on suicide through depression and use of alcohol, tobacco, marijuana and other drugs? The sample consisted of 1,765 Californian youth attending grades 9–12. Logistic regression analyses indicate that being bullied is associated with increased odds of suicide across all racial/ethnic groups; depression mediates the effect of bullying on suicide for all racial/ethnic groups; alcohol use mediates the effect only for Hispanic youth; other drug use mediates the effect only for White youth; marijuana and tobacco use have no mediating role. These findings suggest that bullying may lead to suicide through different risk behaviors for youths of different racial/ethnic groups. Professionals who work with bullied youths need to treat depression more effectively to prevent suicide in service planning and provision. They also need to be aware of the racial/ethnic differences in the risk behaviors intercorrelated with bullying and suicide and provide appropriate treatment to the youth of specific race/ethnicity.     

Measurement of risk and protective factors for drug use and anti-social behavior among high school students in South Africa

The study sought to examine, for South African adolescents: 1) the reliability of sub-scales of the Communities that Care Youth Survey (CTC Youth Survey) of risk and protective factors for drug use and anti-social behavior; and 2) the extent to which tobacco, alcohol and marijuana use can be predicted from community, family, school, and peer-individual factors based on sub-scales of the CTC Youth Survey. On two occasions, 92 male and 31 female, Grade 8 and 11 students completed measures concerning: 1) their past month tobacco, alcohol and marijuana use; and 2) various community, family, school, and peer-individual factors. Cronbach alpha coefficients of sub-scales of the questionnaire ranged between .60 and .94. Kappa values were at least moderate (above .40) on 19 sub-scales, and on the remaining sub-scales observed agreement levels ranged between .49 and .94. Each domain predicted tobacco, alcohol, and marijuana use. Multiple logistic regression analyses revealed that alcohol use was most strongly accounted for by the peer domain, tobacco use by the school domain, and marijuana use by the peer and community domains. The findings support use of the CTC Youth Survey, with slight revisions, among South African high school students.     

A Longitudinal Analysis of Adolescent Substance Use and School Motivation Among African American Youth

Cross‐sectional research has shown a link between adolescent substance use and educational motivation. The purpose of the current study was to examine this link in a longitudinal sample of African American youth. The study examined the interrelationships between alcohol and both marijuana use and school motivation over the high school years and their effect on graduation in 681 African American adolescents (50.8% female). School motivation was shown to relate to subsequent alcohol use throughout high school and marijuana use early in high school. School motivation did not affect graduation status, but alcohol and marijuana use were related to a lower likelihood of graduating from high school. Some gender differences and differences among those who had tried alcohol or marijuana at the first wave as opposed to those who had not tried each substance were found. The findings support a systems model where school experiences can affect substance use, which, in turn, can affect the completion of high school.     

Long-term impact of a district-wide school/community-based substance abuse prevention initiative on gateway drug use

This study examined long-term effects of a school/family/community substance abuse prevention partnership intervention lead by a Midwestern school district. Previous findings suggested that the program contributed to decreased tobacco and marijuana, but not alcohol, use prior to and after implementation between 1987 and 1991. The current study examined 8th-12th grade student drug use prevalence data from 1991 and 2003 to determine whether previous program effects were sustained. With one exception, reported lifetime and monthly cigarette use decreased below 1991 levels for all grades. Lifetime and monthly alcohol use decreased below 1991 levels for most grades, a result not previously detected. While still below national rates, reported lifetime use of marijuana increased for all grades over time. The intervention was effective in reducing cigarette and alcohol use over time and in suppressing marijuana use levels below national rates; however, these gains tended to erode in later high school grades.     

RELIGIOSITY,PEERS, AND DELINQUENCY: DOES RELIGIOSITY REDUCE THE EFFECT OF PEERS ON DELINQUENCY?

Do peer influences have the same effect on religious and nonreligious youth, or does religiosity reduce the effect of peers on delinquency? Using data from the National Youth Survey, we examined the interaction of religiosity and peer influences on marijuana use, alcohol use, hitting, and property offenses. The results suggest that, for marijuana use and alcohol use, three measures of peer influence—peer attitudes, behaviors, and pressure—have weaker effects on religious adolescents. Thus, even when religious youth are exposed to peers who encourage substance use, religiosity may serve as a protective factor that reduces the effect of peers. In contrast, religiosity does not seem to condition the effect of peers on hitting and property offenses.     

Risk,protection, and substance use in adolescents: a multi-site model

This article reports findings from a national longitudinal cross-site evaluation of high-risk youth to clarify the relationships between risk and protective factors and substance use. Using structural equation modeling, baseline data on 10,473 youth between the ages of 9 and 18 in 48 high-risk communities around the nation are analyzed. Youth were assessed on substance use (cigarette, alcohol, and marijuana use), external risk factors including family, school, peer and neighborhood influences, and individual risk and protective factors including self-control, family connectedness, and school connectedness. Findings indicate strong direct relationships between peer and parental substance use norms and substance use. Individual protective factors, particularly family and school connectedness were strong mediators of individual substance use. These findings suggest that multi-dimensional prevention programming stressing the fostering of conventional anti-substance use attitudes among parents and peers, the importance of parental supervision, and development of strong connections between youth and their family, peers, and school may be most effective in preventing and reducing substance use patterns among high-risk youth.     

INTERGENERATIONAL EFFECTS OF WELFARE REFORM: ADOLESCENT DELINQUENT AND RISKY BEHAVIORS

This study investigates effects of welfare reform in the United States on the next generation. Most previous studies of effects of welfare reform on adolescents focused on high‐school dropout of girls or fertility; little is known about how welfare reform has affected other teenage behaviors or boys. We use a difference‐in‐difference‐in‐differences framework to identify gender‐specific effects of welfare reform on skipping school, fighting, damaging property, stealing, hurting others, smoking, alcohol, marijuana, and other illicit drugs. Welfare reform led to increases in delinquent behaviors of boys as well as increases in substance use of boys and girls, with substantially larger effects for boys. (JEL K42, I12, I31, I38)     

Ethnicity versus Ethnic Identity: What Predicts Substance Use Norms and Behaviors?

ABSTRACT

Although researchers often incorporate various measures of ethnicity and ethnic identity (EI) into research about substance use, the relationships among ethnicity, EI, and substance use remain unclear (Marsiglia, Kulis, & Hecht, 2001; Phinney, 1996). This paper explores whether ethnicity and three EI instruments are useful in predicting substance use outcomes among three samples of ethnically diverse middle school youth. Findings include that age, gender, and/or racial or ethnic group membership influenced the strength of EI and that age, sex, and strength of EI influence substance use norms and behaviors. In each case where significant effects were obtained, a stronger sense of EI as measured by two of the instruments predicted more negative attitudes toward, and less use of, alcohol, cigarettes, and marijuana. Implications for preventing substance use among middle school youth by building on and strengthening ethnic identity are provided.     

Impact of Parenting Behaviors on Recent Alcohol Use Among African American Students

Parenting is a critical factor in substance abuse prevention. Positive parenting behaviors are identified as a protective factor for substance abuse among youth. Limited research exists that investigates the role of parenting practices on minority youth substance use. The present study seeks to examine correlates between parenting and recent alcohol use among African American youth. Specifically, to what extent do African American students report experiencing specific parenting behaviors that are measured by the National Household Survey on Drug Use and Health?, do specific parenting behaviors increase the risk of recent alcohol use among African American youth?, does the impact of parenting behaviors on recent alcohol use among African American youth differ based on sex (males and females) and age category (12–13, 14–15, and 16–17 years old) were examined in this study? Logistic regression analysis of the National Household Survey on Drug Use and Health was conducted to examine the research questions. Findings indicated that parenting behaviors was associated with recent alcohol among youth. Significant differences were found for males, females, 12–13, 14–15, and 16–17 years olds. Study findings demonstrate the importance of positive parenting behaviors in youth alcohol prevention. Program specialists may target parenting as a means of preventing and reducing youth alcohol use among African American youth.     

Patterns of Alcohol and Marijuana Use at School

The problem of adolescent substance use has been examined extensively. Beyond simple prevalence estimates, however, little research has been conducted on substance use in the school context. The present investigation was an in‐depth study of students' attitudes and behaviors regarding alcohol and marijuana use during the school day. Based on a representative sample of 1123 high school students, this study assessed the frequency of alcohol and marijuana use at school among demographic subgroups, the accessibility of drugs in school, and students' perceived consequences of being caught using drugs in school. The results showed that male and Hispanic students had higher levels of drug use at school than female and white students, respectively; that school drug use increased with age, and that alcohol and marijuana were easily obtained and used on school grounds. A large percentage of students were not aware of the specific actions taken in their schools to punish drug use. The need for additional research on school‐related drug use is emphasized.     

Race and risk behaviors: The mediating role of school bonding

This study tests the hypotheses that school bonding mediates the relationship between adolescents' racial background and key risk behaviors (substance use, failing grades, and fighting). Data sources include an epidemiological survey administered at 50 urban schools to 16,169 students, linked to information about school context (socioeconomic composition, attendance rate, and grade-level). Results indicate that school bonding partially mediates the relationship between race and risk behavior. Findings suggest that culturally responsive efforts to strengthen educational attachment, connection, commitment, and involvement among youth of color may reduce gaps in outcomes that are perceived to be distal from schooling. Further development and testing of multi-level interventions that increase school bonding among youth from non-dominant racial groups are needed.     

How Academic Achievement,Attitudes, and Behaviors Relate to the Course of Substance Use During Adolescence: A 6‐Year,Multiwave National Longitudinal Study

Self‐report data regarding alcohol, cigarette, and marijuana use were collected biennially from ages 14 to 20 in a nationally representative panel sample of adolescents (N=1,897) from the Monitoring the Future study. Growth curve analyses were performed using hierarchical linear modeling to consider psychosocial background, motivation and school attitudes, and parental and peer influences at age 14 as predictors of concurrent substance use and change in substance use. Results indicated that school misbehavior and peer encouragement of misbehavior were positively associated with substance use at age 14 and with increased use over time; school bonding, school interest, school effort, academic achievement, and parental help with school were negatively associated. The protective effects of positive school attitudes and perceptions of high status connected to academics were stronger for low‐achieving compared with high‐achieving youth. Implications for a developmental perspective on substance use etiology and prevention are discussed.     

Examining residence status as a risk factor for health risk behaviors among college students

Objective: The current study is aimed to evaluate college student residence as a unique risk factor for a range of negative health behaviors. Participants: We examined data from 63,555 students (66% females) from 157 campuses who completed the National College Health Assessment Survey in Spring 2011. Methods: Participants answered questions about the frequency of recent use of alcohol, tobacco, marijuana, and illicit drugs, as well as sexual risk behavior in the last 30 days. Sexual risk behaviors were operationalized as having unprotected vaginal sex (yes/no) and the number of sexual partners. Results: Logistic regression analyses revealed that living off-campus is a unique predictor of alcohol, tobacco, marijuana, and illicit drug use, as well as engaging in unprotected sex and a greater number of sexual partners (all ps <. 01). Conclusions: Students living off-campus exhibit more substance use and sexual risk behaviors than students living on-campus, independent of gender, age, or race.     

Parental Influence on Adolescent Cigarette,Alcohol and Marijuana Use: A Focus on Race/Ethnicity and Age

This study examined the racial/ethnic differences in the influence of perceived parental attitudes on adolescent cigarette, alcohol, and marijuana use. The 2014 National Survey on Drug Use and Health (NSDUH) was used and included African American, Hispanic, non-Hispanic White, and other race youth (N?=?13,600), aged 12–17. We tested the direct and moderating effects of perceived parental attitudes by race/ethnicity and age on adolescent substance use. Results show that perceived parental disapproval decreased cigarette and alcohol use among older adolescents. Perceived parental disapproval also varied by race/ethnicity and the type of substance used in that non-Hispanic White adolescents were more influenced by perceived parental disapproval for cigarette use, and perceived parental disapproval influenced Hispanic adolescents’ use for all three substances. African American adolescents were less influenced by perceived parental disapproval for all three substances. We also examined perceived harm in substance use and found that only 22.5% of the sample perceived the use of marijuana as harmful compared to cigarette and alcohol use (66 and 62.1%, respectively). Implications for preventive and intervention measures are discussed.     

Family connectedness,school attachment,peer influence and health-compromising behaviours among young Vietnamese males

Vietnamese males have one of the highest rates of smoking and alcohol consumption in the world. Research on the role of social and family resources in promoting healthy behaviours among Vietnamese youth is very limited. We examine the proposition that family support, attachment to school and peer influence are strongly associated with cigarette use, alcohol consumption and violence among Vietnamese youth. We used data from a nationally representative survey of males aged 14–25 years in 2009 (N?=?4705). Three measures of social and family resources and three indicators of health-compromising behaviours were used. Multinomial and logistic regression models were employed to examine the relationships. The regression results showed that a positive and cohesive family environment and attachment to school reduced the odds of smoking, alcohol consumption and violence. However, peer pressure had the opposite effect of increasing the odds. Higher socio-economic status was associated with lower odds of smoking, but higher odds of alcohol consumption among those at school. Excessive alcohol consumption increased the odds of violence by over three times. We conclude that positive and supportive environments within family, at school and among peers can discourage smoking, alcohol consumption and violence among Vietnamese youth.     

Substance use, self-esteem, and depression among Asian American adolescents

The relationship of self-esteem and depression with alcohol, tobacco, and other drug (ATOD) use was tested in a California statewide sample of more than 4,300 Asian American high school students comprising five subgroups: Chinese, Japanese, Korean, Filipino, and Vietnamese. Estimated prevalence rates of alcohol, tobacco, and marijuana use among males and females from these Asian American subgroups are presented. Correlations revealed that cigarette, alcohol, and marijuana use were generally more related to high depression and low self-esteem in females than in males. Logistic regression analysis with only the female subjects investigated whether the relationship between the psychological variables and ATOD use was maintained even after controlling for traditionally important constructs in ATOD use (grade level in school, born in the United States, ethnicity, and ATOD use by friends). These results indicated that for females, depression was significantly related to alcohol and tobacco use, but self-esteem was not. Neither self-esteem nor depression was a significant contributor to marijuana use. Issues related to the application of these results are discussed.     

A short-term, quasi-experimental evaluation of D.A.R.E.'s revised elementary school curriculum

We present the short-term results of a quasi-experimental evaluation of the revised D.A.R.E. (Drug Abuse Resistance Education) curriculum. Study outcomes examined were D.A.R.E.'s effects on three substances, namely students' lifetime and 30-day use of tobacco, alcohol, and marijuana, as well as their school attendance and academic performance. The study comprised students in 17 urban schools, each of which served as its own control; 5th graders in the 2006-2007 school year constituted the comparison group (n = 1490), and those enrolled as 5th graders in the 2007-2008 school year constituted the intervention group (n= 1450). We found no intervention effect on students' substance use for any of the substance use outcomes assessed. We did find that students were more likely to attend school on days they received D.A.R.E. lessons and that students in the intervention group were more likely to have been suspended. Study findings provide little support for the implementation and dissemination of the revised D.A.R.E. curriculum.     

ATOD prevention programming in the non-school hours and adolescent substance use

To reduce problems associated with youth substance use, Indiana developed funding streams and infrastructure to facilitate coordination of statewide prevention efforts. These prevention efforts aimed at youth include programming in the non-school hours. To examine the relationship between these efforts and youth substance abuse, students indicating participation in one or more prevention activities were compared to non-participant students. Results revealed that participating middle school students were less likely to have reported use of tobacco than their non-participating peers. Also, participation in prevention activities in the non-school hours was related to a lower likelihood of alcohol use among high school students.     

Binge drinking in female college students: the association of physical activity, weight concern, and depressive symptoms

As an initial step in building gender-specific binge drinking intervention programs, the authors investigated the relation of potentially modifiable factors (physical activity level, weight concern, and depressive symptoms) to binge drinking while controlling for the effects of previously established correlates of binge drinking (tobacco and marijuana use, GPA, and perception of peer alcohol use). Four-hundred-twelve college women completed an in-class survey. Multivariate analyses revealed that tobacco and marijuana use, GPA, and physical activity were significantly associated with binge drinking, whereas tobacco use and perception of peers' alcohol use were associated with more frequent binge drinking. The findings suggested that the variables associated with any binge drinking and frequency of binge drinking may differ and that binge drinking can be associated with positive health behaviors (ie, greater physical activity) as well as risky health behaviors (eg, tobacco use).     

Evaluation of a family-based substance abuse prevention program targeted for the middle school years

A family-based substance abuse prevention program was evaluated which emphasizes family cohesion, school and peer attachment, self-esteem, and attitudes about adolescent use of alcohol and tobacco. The program was implemented in rural communities and targeted families with students entering middle or junior high school. Baseline surveys were conducted with students and parents in four schools and were readministered one year later. Because the program was voluntary, a quasi-experimental design was used to compare participants (29 students and 28 parents) and nonparticipants (268 students and 134 parents). Analyses of covariance indicated that student participants, as compared to nonparticipants, had higher family cohesion, less family fighting, greater school attachment, higher self-esteem, and believed that alcohol should be consumed at an older age at the one year follow-up. There were fewer significant results for parent participants. Strategies for involving parents in prevention programs are discussed.