Pathways to Drug Use among Rural and Urban African American Adolescents: The Mediating and Moderating Effects of Parent and Peer Influences

African American adolescents have traditionally engaged in drug use at disproportionately lower rates than youth of other ethnic groups. Nonetheless, African American youth and adults suffer disproportionately higher rates of drug-related consequences. This paradox is a health and social disparity that has been given fair attention but needs additional culturally intelligent theoretical and empirical explanations. Research that targets African American adolescent drug use has emerged but has failed to fully or moderately explain this paradox. The purpose of this study was to fill a gap in the literature by helping to explain the first part of the paradox, African American adolescent drug use. More specifically, this study examined the role of parents and peers in drug use among African American adolescents that live in rural and urban settings. To achieve the goals of the present study, a cross sectional design was used. A purposive sample of 567 African American adolescents completed a paper-and-pen survey. Findings of this study indicate that parental monitoring and peer risky behavior completely mediated the relationship between parental attitudes toward drug use and drug refusal efficacy and partially mediated the relationship between parental attitudes toward drug use and current alcohol use. Only peer risky behavior mediated the relationships between parental attitudes toward drug use and current tobacco and marijuana use. This study also sought to determine the manner by which parenting variables interact with peer risky behavior to influence adolescent drug use. Although parental monitoring was not found to moderate the relationship between peer risky behavior and drug refusal efficacy, it moderated the relationship upon the drug use variables. This study also examined the interaction of demographic characteristics and peer risky behavior upon adolescent drug use. Gender moderated the relationship between peer risky behavior and current marijuana use. Age moderated the relationship between peer risky behavior and current tobacco use. This research helps to explain the process by which parental attitudes toward drug use influence drug refusal efficacy and use. The results suggest that parental attitudes toward drug use has a direct effect on adolescent drug use independent of peer influence. In addition, the results suggest that parents are influential and may be a protective mechanism against the strong influence of risky peers

Perceived discrimination, depressive symptoms, and substance use in young adulthood

Perceived discrimination is an important health-related stressor. As suggested by the stress-coping model, substance use often serves as a means to reduce the negative effects of perceived discrimination. This study uses data from the National Survey of American Life-Adults to examine the structural relationship of perceived discrimination and depressive symptoms with lifetime and recent substance use among African American and African Caribbean young adults. Respondents (N = 1,910) were18–35 years old. Compared with African Caribbeans, African Americans report significantly higher levels of depressive symptoms and both lifetime and recent substance use. Multiple-group structural equation modeling is used to evaluate model fit and test hypothesized models. Results show good fit of the hypothesized models in both African Americans and African Caribbeans. Full measurement and structural invariance is found across ethnicity. Mediation models explain 18.5% and 47.4% of the variance in lifetime substance use for African Americans and African Caribbeans, respectively, and 23.5% and 35.0% of the variance in recent substance use for African Americans and African Caribbeans, respectively. Mediation tests indicate depressive symptoms partially mediate the relationship between perceived discrimination and lifetime substance use and fully mediated this relationship for recent substance use. This study is the first to demonstrate a positive association between perceived racial discrimination and substance use among African Caribbean young adults. Study findings illuminate the influence of perceived discrimination on substance use and the mechanisms of this relationship among African American and African Caribbean young adults

Public or private religiosity: which Is protective for adolescent substance use and by what pathways?

While it is well understood that adolescent religiosity is associated with the use and abuse of licit and illicit substances, few studies have revealed the pathways through which religiosity buffers youth against involvement in such behavior. The aim of this study is to examine the complexity of the relationships between religiosity, sensation seeking, injunctive norms, and adolescent substance use. Using a national sample of adolescents (N = 18,614), negative binomial regression and path analysis were used to examine the various components of the relationship between religiosity and the use of cigarettes, alcohol, and marijuana. Results indicate that private religiosity moderates the relationship between key risk factors and substance use. Public and private religiosity were associated with tolerant injunctive substance use norms which, in turn, were associated with substance use. Implications for research and theory related to religiosity and adolescent substance use are discussed

Attacks intended to seriously harm and co-occurring drug use among youth in the United States

BACKGROUND: While it is known that substance use and violence co-occur, less is understood in terms of how this relationship might vary based on the degree of youth involvement in violence. OBJECTIVES: This study sought to examine the prevalence and degree that substance use disorders (SUD) and related intrapersonal and contextual factors were associated with violent attacks. METHOD: Repeated cross-sectional data from a population-based study (National Survey on Drug Use and Health) of youth ages 12–17 (n = 216,852) in the United States between 2002 and 2013 were pooled to increase the analytic sample size. Survey multinomial regression was used to examine psychosocial and substance use differences between youth reporting episodic (1–2 times, n = 13,091; 5.84%) and repeated violent attacks (3+ times, n = 1,819; 0.83%) in contrast with youth reporting no attacks. Additional analyses examined the association of sociodemographic, intrapersonal, and contextual factors with SUD among youth reporting violent attacks. RESULTS: The prevalence of SUD among youth with no attacks was 6% compared to 22% among episodic and 36% among repeatedly violent youth. Violence-involved youth were substantially more likely to experience elevated sensation-seeking, easy drug access, and recent drug offers and less likely to benefit from religiosity and protective substance use beliefs. CONCLUSIONS/IMPORTANCE: Findings highlight the importance of distinguishing between the various gradations of violence among youth in understanding the relationship between substance use and violence, and shed light on the intrapersonal and contextual factors that can help identify violent youth at greatest risk for substance use problems

Changing perspectives on marijuana use during early adolescence and young adulthood: Evidence from a panel of cross-sectional surveys

Introduction. Prior research has often overlooked potential cohort differences in marijuana views and use across adolescence and young adulthood. To begin to address this gap, we conduct an exploratory examination of marijuana views and use among American youth using a panel of cross-sectional surveys. Method. Findings are based on repeated, cross-sectional data collected annually from adolescents (ages 12-17; n = 230,452) and young adults (ages 18-21; n = 120,588) surveyed as part of the National Survey on Drug Use and Health between 2002 and 2014. For each of the birth years between 1986 and 1996, we combined a series of nationally representative cross-sections to provide multi-year data strings designed to approximate nationally representative cohorts. Results. Compared to youth born in the mid-to-late 1980s, youth born in the mid-1990s reported significantly higher levels of marijuana disapproval during the early adolescent years (Age 14: 1988 = 64.7%, 1994 = 70.4%) but lower levels of disapproval during the young adult years (Age 19: 1988 = 32.0%, 1994 = 25.0%; Age 20: 1988 = 27.9%, 1994 = 19.7%). Moreover, the prevalence of marijuana use among youth born in 1994 was significantly lower—compared to youth born in 1988—at age 14 (1988: 11.39%, 1994: 8.19%) and significantly higher at age 18 (1988: 29.67%, 1994: 34.83%). This pattern held even when adjusting for potential confounding by demographic changes in the population across the study period. Conclusions. We see evidence of changes in the perceptions of marijuana use among youth born during the late twentieth century.2018-01-0

The Role of Acculturation and Collectivism in Cancer Screening for Vietnamese American Women

The aim of this study was to examine the influence of demographic variables and the interplay between collectivism and acculturation on breast and cervical cancer screening outcomes among Vietnamese American women. Convenience sampling was used to recruit 111 Vietnamese women from the Richmond, VA, metropolitan area, who participated in a larger cancer screening intervention. All participants completed measures on demographic variables, collectivism, acculturation, and cancer-screening-related variables (i.e., attitudes, self-efficacy, and screening behavior). Findings indicated that collectivism predicted both positive attitudes and higher levels of self-efficacy with regard to breast and cervical cancer screening. Collectivism also moderated the relationship between acculturation and attitudes toward breast cancer screening such that for women with low levels of collectivistic orientation, increasing acculturation predicted less positive attitudes towards breast cancer screening. This relationship was not found for women with high levels of collectivistic orientation. The current findings highlight the important roles that sociodemographic and cultural variables play in affecting health attitudes, self-efficacy, and behavior among Vietnamese women. The findings potentially inform screening programs that rely on culturally relevant values in helping increase Vietnamese women’s motivation to screen

Prevalence and correlates of substance use in Black, White, and biracial Black–White adolescents: Evidence for a biracial intermediate phenomena.

Most substance-use prevention interventions are based on the implicit assumption that risk and protective factors for substance use are the same for biracial and monoracial youth. However, preliminary research suggests this assumption may be untrue. This study compared the prevalence and correlates of substance use among Black, White, and biracial Black-White youth. Data were derived from the National Longitudinal Study of Adolescent and Adult Health (Add Health), which is a longitudinal investigation using stratified random sampling to study health behaviors. After controlling for sociodemographic factors and using weighted Poisson and logistic regression, we found the substance-use prevalence rates of Black-White youth to be intermediate to the higher rates of Whites and lower rates of Blacks. In addition, Black-White youth’s scores on most covariates were intermediate to those of the monoracial groups. Family factors were more important in explaining higher substance use than other contextual factors. School factors seem to be important in explaining lower substance use for Black-White youth. Correlates of substance use for Black-White youth were not identical to those of either Black or White youth. More research on the observed intermediate phenomena among biracial youth vis-à-vis prevalence, correlates, and causes of substance use is needed

Exploring User Acceptance of a Text-message Base Health Intervention among Young African Americans

Information technology has been used in diverse ways. It has been used in both the public and private sectors to reduce costs and increase satisfaction. Technology may also be instrumental in improving individuals’ healthy behaviors. For instance, statistics suggest that technology-based interventions may promote healthy sexual behaviors; however, few studies have explored willingness to participate in technology-mediated interventions. In this study, we use the diffusion of innovation theory to identify factors that influence one’s intention to use a text-message service to receive sexual health information. The results indicate that technology diffusion factors rather than risk beliefs and privacy concerns impacted participant\u27s intention to use a text-message intervention. The findings of this study have significant implications for innovative uses of technology to promote health. Mobile-health interventions that are easy to use and that provide more benefits than other interventions are most likely to be adopted. However, these interventions should seek to maximize privacy protections and communicate clearly about these protections

Developmental Trajectories of Alcohol Use Among Monoracial and Biracial Black Adolescents and Adults

The present study investigates developmental trajectories of alcohol use from early adolescence to adulthood by age and race/ethnicity among White, Black, Black-American Indian, Black-Hispanic, and Black-White individuals and associated sociodemograhphic correlates

Age of first cigarette, alcohol, and marijuana use among U.S. biracial/ethnic youth: A population-based study

This study examines age of first cigarette, alcohol, and marijuana use among self-identified biracial youth, using data from the National Longitudinal Study of Adolescent Health (Add Health). We found an intermediate biracial phenomenon in which some biracial youth initiate substance use at ages that fall between the initiation ages of their 2 corresponding monoracial groups. When controlling for the covariates, our findings show White-Asian biracial youth begin smoking marijuana and drinking alcohol at earlier ages than Whites and engaging in all forms of substance use at earlier ages than Asian youth. Results indicate White-American Indian youth start smoking cigarettes at earlier ages than all biracial and monoracial groups. Our findings underscore the need for future research to examine substance-use initiation and progression among biracial/ethnic youth