Substance Use Among Rural African American Adolescents: Identifying Risk and Protective Factors

Substance use continues to be a significant problem among youth in our society, particularly in rural communities. The purpose of the current study was to identify the possible risk and protective factors that may be affecting the rates of alcohol and illegal drug use among a population of African American adolescents living in a rural, southern community. The following were identified as possible risk factors: (1) Being an older adolescent (15 years of age or older); (2) Spending afternoons after school with friends; (3) Having friends or family members who use alcohol or illegal drugs; (4) Being raised by non-family members; and (5) Having plans to enter military after high school. The following characteristics were associated with less alcohol and illegal drug use, and were identified as possible protective factors: (1) Being raised by parent(s) or other family members; (2) Spending afternoons after school with parents; (3) Having parents who talk to youth about dangers of drug and alcohol use; (4) Having parents who disapprove of their child using drugs or alcohol; (5) Being involved in extra-curricular church-related activities; and (6) Having plans to work, or attend college or technical school after high school. Characteristics that have been associated with drug and alcohol in previous research that were not associated with use in the current study include: (1) Being male; (2) Peer pressure to use alcohol or illegal drugs; (3) Grades in school; and (4) Involvement in extra-curricular activities. Implications for developing effective community programs aimed at reducing substance use among our youth are discussed.     

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.     

Alcohol and tobacco use among South Korean adolescents: An ecological review of the literature

This article represents a comprehensive review of the literature on the predictors, consequences and prevalence of alcohol and tobacco use among South Korean youth. A systematic review of the literature in Korean and English social science journals was undertaken. Findings suggest that processes at multiple levels may lead to problems with alcohol and tobacco among these youth. In particular, the literature suggests that risk factors at the socio-demographic (age, gender, and depression), micro- (family, peer, and teachers), meso- (relations between home and school), exo- (parent-related life events and media), macro- (parenting practices and academic stress), and chrono-systems levels (Asia-Pacific financial crisis in 1997) are associated with increased alcohol and tobacco use. Higher quality of relationships with parents, peers, and teacher can contribute to reductions in alcohol and tobacco use and may offer insights for developing prevention and treatment programs that are appropriate for this population.     

Breadth of Extracurricular Participation and Adolescent Adjustment Among African-American and European-American Youth

We examined the linear and nonlinear relations between breadth of extracurricular participation in 11th grade and developmental outcomes at 11th grade and 1 year after high school in an economically diverse sample of African-American and European-American youth. In general, controlling for demographic factors, children's motivation, and the dependent variable measured 3 years earlier, breadth was positively associated with indicators of academic adjustment at 11th grade and at 1 year after high school. In addition, for the three academic outcomes (i.e., grades, educational expectations, and educational status) the nonlinear function was significant; at high levels of involvement the well-being of youth leveled off or declined slightly. In addition, breadth of participation at 11th grade predicted lower internalizing behavior, externalizing behavior, alcohol use, and marijuana use at 11th grade. Finally, the total number of extracurricular activities at 11th grade was associated with civic engagement 2 years later.     

The moderating effects of culture on peer deviance and alcohol use among high-risk African-American Adolescents

African-American adolescents have lower rates of alcohol consumption than White youth. However, African-American youth suffer disproportionately more adverse social, mental, and physical health outcomes related to alcohol use. Affiliating with negative peers is a risk factor for alcohol initiation and consumption. Cultural variables have shown moderating effects against other risk factors for African-American youth and therefore were the focus of this study. Specifically, we tested whether three culturally-relevant variables, Africentric beliefs, religiosity, and ethnic identity were promotive or protective for alcohol initiation and use within the context of negative peer affiliations. The sample consisted of 114 at-risk African-American adolescents whose ages ranged from 13 to 20. Participants were administered a questionnaire with measures of alcohol initiation and use, peer risk behaviors, ethnic identity, Africentric beliefs, religiosity, and demographic items. Peer risk behaviors accounted for significant percentages of the variance in age of alcohol initiation, lifetime use, and current and heavy alcohol use after adjusting for age and gender. Cultural variables showed both promotive and protective effects. Africentric beliefs were promotive of delayed alcohol initiation, whereas both Africentrism and religiosity moderated peer risk behaviors effect on alcohol initiation. Africentric beliefs were also inversely related to lifetime alcohol use revealing a promotive effect. Moreover, there were significant protective effects of ethnic identity and religiosity on heavy alcohol consumption. One implication of these findings is that prevention programs that infuse cultural values and practices such as Africentrism, ethnic identity, and religiosity may delay alcohol initiation and reduce use especially for youth with high risk peers.     

Cumulative Risk for Early Sexual Initiation Among American Indian Youth: A Discrete‐Time Survival Analysis

Approximately 3 million teens are diagnosed with a sexually transmitted disease (STD) annually; STDs rates for American Indian young adults are among the highest of any racial/ethnic group. An important risk factor for STDs is early initiation of sex. In this study, we examined risk for early initiation with 474 American Indian youth ages 14–18, using 11 risk factors from three developmentally important microsystems (family, school, peers) along with several individual characteristics; a cumulative risk index was also calculated. Discrete‐time survival analyses showed that predictors of early initiation differed by gender. For young men, younger initiation of sex was predicted by lower grades, liking school less, having peers with less prosocial attitudes, a greater likelihood of having used alcohol or drugs at first sex, and having higher sensation‐seeking. For young women, earlier initiation was related to having mothers who had their first child at an early age and who had less formal education, to having parents who had divorced, dropping out of high school, using alcohol/drugs at first sex, and higher sensation‐seeking. Higher cumulative risk was associated with elevated risk of sexual initiation, although the degree of added risk varied with age for women. Cumulative risk deserves broader attention in understanding the early initiation of sexual intercourse.     

The assessment of parent-led prevention programs: a preliminary assessment of impact

This article reports on a preliminary study of the impact of parent-led prevention groups on youthful drug and alcohol use. In addition, the study assessed the extent to which families involved with parent-led prevention programs reported improved family relations and increased parental control of children's social activities--two major mechanisms by which parent-group advocates claim their activities alter youth substance use patterns. Consistent with the claims of parent-group advocates, the study results suggest that the parent groups did have some impact on family relations and on parental control of children's social activities. The evidence for an impact on drug and alcohol use was, however, weak. A somewhat unexpected finding was that parents who become involved in parent-led prevention activities may not be those parents whose children are at highest risk.     

Teacher Awareness and Attitudes Regarding Adolescent Risky Behaviours: Is Adolescent Gambling Perceived to be a Problem?

Despite legislative prohibitions, there is empirical evidence that youth gamble on both regulated and unregulated activities. The current survey was designed to assess teachers’ awareness and attitudes regarding adolescent gambling and other high-risk behaviours. Three-hundred and ninety teachers from Ontario and Quebec, with experience teaching students aged 12–18, completed an online survey. Results suggest that teachers are aware of the fact that youth gamble. Furthermore, they recognized the addictive nature of gambling and their subsequent consequences. Despite overestimating the proportion of youth experiencing gambling problems, gambling was viewed as being the least serious of issues affecting youth, with drug use and school violence topping the list. Almost half of respondents indicated that gambling in school can constitute a good learning activity. In regards to prevention, all other risky behaviours and academic problems were perceived as issues needing greater attention than gambling. These results, which are largely consistent with findings from a previous study examining parental perceptions of adolescent risky behaviours, suggest a need for greater awareness and teacher education.     

Health Risk Behaviors among Adolescents in the Rural South: A Comparison of Race,Gender, and Age

Risky behaviors contribute to many of the physical and mental health problems of today's adolescents. The present study surveyed more than 2,500 high school and middle school students in a rural county in southwest Georgia in an attempt to identify differences in health risk behaviors, including tobacco, alcohol, and other drug use, violence and gang-related behaviors, and student assessment of high-risk behaviors, based on three demographic characteristics: race, gender, and age. Results show that Caucasian students are more likely to use tobacco and alcohol, whereas African-American students are more likely to engage in violent activities. In addition, older students (aged 15+ years) were more likely to use tobacco, alcohol, and drugs and to participate in violent behaviors, and male students are more likely to use tobacco and drugs and to participate in violent behaviors than female students.     

Predictors of Adolescent Participation in Organized Activities: A Five‐Year Longitudinal Study

This study examined (a) growth curves of youth participation in sports, performance and fine arts, and youth clubs throughout the high school years and (b) the associations between a series of predictors and the initial participation rates and growth over time. The predictors included individual, friend, and family factors. The moderating effect of youths' gender was also examined. Study participants were 272 youths (55% girls, M_age=12.4 years) and their parents. The predictors were assessed in Grade 6 and were based on reports by youths, parents, teachers, and classmates. Participation in organized activities was assessed annually from Grades 7 to 10. Altogether, the findings revealed that participation in sports, performance and fine arts, and youth clubs remains stable across the high school years. However, interindividual differences were found in the participation growth curves. This variation was predicted by individual, friend, and family factors, mostly with respect to sports activities.     

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.     

Adolescent attitudes toward random drug testing in schools

The current research examined students' perceptions of random drug testing for students participating in after-school activities. Results found students were more likely to endorse drug testing at their school if they are already engaged in after-school activities and not currently using drugs and/or alcohol. While middle and high school students' scores fell within the median, most reported if drug testing were implemented in their school they believed it would not deter continued participation in after-school activities. However, if drug testing were a prerequisite for participating in after-school activities, high school students were more apprehensive about getting tested than middle school students. Student respondents were more likely to endorse drug testing, if all members of the school system (i.e., teachers, coaches and staff) participated in drug testing. High school students' believed they had enough knowledge about drug abuse and were less likely to endorse drug testing because they believed it would violate their personal privacy compared to grade school students. Results also differed as a function of gender and self-reported drug and alcohol use.     

Pathways of influence in out-of-school time: a community-university partnership to develop ethics

If we wish to incorporate parents and community members as full partners in building character among youth, then the activities and programs in which youth participate during their out-of-school time are potentially important venues. This chapter describes how numerous agencies in a single community partnered with a university, with the help of the cooperative extension agent, to collect local data on how adolescents used out-of-school time, what they thought about right and wrong, and how well their own behavior comported with their understandings of what was right. Results indicated that surveyed youth characterized themselves as thinking more than acting in ethical ways. For instance, nearly half acknowledged having cheated on a test at least once in the past six months, although the vast majority thought that cheating was wrong. The three pathways the community identified for reaching youth were (1) extracurricular activities at school such as sports, yearbook, and pep club; (2) organized nonschool pursuits such as music, dance, hiking, and biking; and (3) religious activities. They found that nearly 90 percent of high school-aged respondents participated in one or another of these venues.     

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.     

Challenges for the school in a migration society – a critical incidents analysis

The large number of newly arrived people from other countries, particularly children and youth, represents a major challenge for schools and school systems in the EU-28. The present study, conducted in Germany, investigated this situation using the critical incident technique. Critical incidents were collected in group discussions with teachers and principals about challenging events in the context of growing migration. The incidents, including their perceived causes and consequences, were categorised using qualitative content analysis. Events that were frequently present in teachers’ everyday work included various types of conflicts concerning pupils, difficult cooperation between teachers and parents and parents banning their children from taking part in particular school activities. The identified causes for such events were diverse, including misunderstandings, diverging cultural and religious concepts, language barriers, structural constraints and some pupils’ traumatic experiences influencing the school community. The described incidents had far-reaching consequences, especially for parent–school cooperation and for pupils’ integration in the classroom community and academic and personal development. The final part of this article discusses and illustrates how the results can contribute to developing ideas and measures to deal with the identified challenges.     

Correlates of Engaging in Survival Sex among Homeless Youth and Young Adults

Using a sample of 1,625 homeless youth and young adults aged 10 to 25 from 28 different states in the United States, this study examines the correlates of having engaged in survival sex. Findings suggest that differences exist based on demographic variables (gender, age, race, and sexual orientation), lifetime drug use (inhalants, Valium?, crack cocaine, alcohol, Coricidin?, and morphine), recent drug use (alcohol, ecstasy, heroin, and methamphetamine), mental health variables (suicide attempts, familial history of substance use, and having been in substance abuse treatment), and health variables (sharing needles and having been tested for HIV). In addition to replicating previous findings, this study's findings suggest that African American youth; gay, lesbian, or bisexual youth; and youth who had been tested for HIV were significantly more likely to have engaged in survival sex than White, heterosexual youth, and youth who had not been tested for HIV, respectively. Implications for interventions with youth and suggestions for future research are discussed.     

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.     

A cross-country comparison of alcohol,tobacco, and marijuana use among youth who are employed,in school or out of the labor force and school (OLFS)

Labor force and school attachment may influence alcohol, tobacco, and marijuana use in the US and Canada. Differences in social welfare provision, which provide protections for individuals with insecure attachments to the labor force or education, may in turn impact the behavior and health of youth in these countries. Yet, there is little research to understand the health consequences for youth of being out of the labor force and school (OLFS). Data of 25–29 year old participants of the National Longitudinal Survey of Youth (year 2010) and the Canadian Community Health Survey (2009–2010) were used to examine differences in substance use by labor force and school attachment. Logistic regression suggests that OLFS in the US and Canada were less likely to report alcohol uptake and more likely to use tobacco compared to employed youth. Unemployment was differentially associated with substance use behaviors by country. Country of residence and subsequent exposure to social welfare policy does not appear to impact substance use behaviors among OLFS. However, associations of unemployment and gender by country indicates differences in substance use behavior. More research should seek to understand factors that influence alcohol, tobacco, and marijuana use among OLFS and unemployed youth.     

Does Family Structure Matter in the Relationships Between Youth Assets and Youth Alcohol,Drug and Tobacco Use?

This study investigated significant relationships between youth assets and youth alcohol, tobacco, and drug use that differ according to family structure (one- or two-parent households). Data were collected from a randomly sampled inner-city population (n=1,256 teenagers and 1,256 parents of the teenagers) using in-home, in-person interviews. Logistic regression analyses, stratifying by one- and two-parent household status, were conducted with nine youth assets as the independent variables and youth alcohol, tobacco, and drug use as the dependent variables. Results indicated that the associations between assets and risk behaviors varied depending upon whether the youth lived in one- or two-parent households. Continued research is warranted to further investigate associations among family structure, youth assets, and youth risk behaviors.     

The effects of parental involvement on academic performance of Ghanaian youth: Testing measurement and relationships using structural equation modeling

Research in developed countries suggests that parental involvement is associated with youth academic success. However, little is known about the overall impact of parental involvement on youth academic performance in developing countries. Further, it is unclear what type of parental involvement impacts the academic performance of youth from developing countries. This study examines whether parental involvement at home and school are meaningfully different constructs in a population of Ghanaian youth and their parents, and whether parental involvement predicts academic performance. Results suggest a multidimensional construct consists of home and school involvement. The effect of parental involvement on youth academic performance appears to be a function of the type of parental involvement. Home-based parental involvement is positively associated with academic performance, while school-based parental involvement is negatively associated with academic performance. Parental involvement in youth's education has important implications for academic performance. Parental involvement in education has the potential to model positive attitudes toward school as well as adaptive academic practices, thus sending the message to youth that school is important.