Peer vs. parental influence in substance use among hispanic and Anglo children and adolescents

The relative influence of peer and parental influence on youths' use of alcohol and other drugs is explored among 446 Anglo and Hispanic youths, ages 9–17. Current users and abstainers are similar in age and gender. Among both groups, parental influence is more profound than that of peers. However, substance users, compared to abstainers, are more influenced by peers. Level of marijuana use by youths' friends is the most reliable predictor of drug use. Youths having viable relationships with parents are less involved with drugs and less influenced by drug-oriented peers.Funded by a grant (A-003-2) from the California Department of Alcohol and Drug Programs, R. H. Coombs, principal investigator.Research interests include comparative socialization patterns of adolescents and young adults in substance abuse vs. conventional careers.Research interests include domestic violence, child abuse, and substance abuse.Research interests include family interaction patterns, cross-cultural differences, and substance abuse prevention and treatment.     

Conceptual and Clinical Issues in the Treatment of Adolescent Alcohol and Substance Misusers

This paper describes a system of care and the clinical issues that are central to the delivery of alcoholism and for substance abuse services to adolescents. Adolescent services can be provided in a variety of settings. Criteria are identified which can distinguish which level of care is most appropriate for the presenting clinical condition of the adolescent.     

Multilevel Modeling of Direct Effects and Interactions of Peers,Parents, School,and Community Influences on Adolescent Substance Use

This study tested a social-ecological model of adolescent substance use. Multilevel modeling was used to investigate how systems, such as parents, peers, schools, and communities, directly influence and interact together to influence adolescent substance use. Participants included 14,548 (50.3% female) middle school students who were 78.6% White, 5.4% Biracial, 4.8% Asian, 4.8% Black, and 3.6% Hispanic. Participants completed a survey with scales assessing substance use, peer influences, parental influences, and characteristics of their school and community. Hierarchical linear modeling (HLM) was used to consider the variation of parental and peer influences on substance use and how schools and communities relate to both substance use and the relationship between substance use and peer and parental factors. Results indicated that a positive school climate and a positive sense of community were associated with less adolescent substance use and that a positive sense of community moderated the relation between peer and parental influence on adolescent substance use, thereby acting as a protective factor.

The Impact of Gender and Family Processes on Mental Health and Substance Use Issues in a Sample of Court-Involved Female and Male Adolescents

Greater empirical attention directed toward gender-sensitive assessment strategies that concentrate on family-specific factors is thought to be both timely and necessary, especially with regard to outcome variables associated with mental health and substance abuse in at-risk adolescent populations. A sample of 2,646 court-involved adolescents was used to test two competing models regarding relationships among disruptive family processes, mental health (as both internalizing and externalizing problems), and substance abuse issues according to gender. The results of multiple group structural equation modeling procedures indicated that disrupted family processes were significantly associated with higher levels of internalizing problems, externalizing problems, and substance abuse in both male and female youth. For females, however, disrupted family processes were more related to internalizing problems and substance abuse than externalizing problems. Further, the relationship between disrupted family processes and substance abuse was not mediated by mental health issues, indicating a lack of support for the alternative model tested in this study. Together, the findings underscore the primacy of the family’s impact on issues related to adolescent development and well-being in tandem with the need for a more gender sensitive approach to the needs of court-involved males and females.

Adolescent Neglect, Juvenile Delinquency and the Risk of Recidivism

Victims of child abuse and neglect are at an increased risk of involvement with the juvenile justice and adult correctional systems. Yet, little is known about the continuation and trajectories of offending beyond initial contact with law enforcement. Neglect likely plays a critical role in continued offending as parental monitoring, parental rejection and family relationships are instrumental in explaining juvenile conduct problems. This study sought to determine whether neglect is associated with recidivism for moderate and high risk juvenile offenders in Washington State. Statewide risk assessments and administrative records for child welfare, juvenile justice, and adult corrections were analyzed. The sample was diverse (24 % female, 13 % African American, 8 % Hispanic, 5 % Native American) and included all moderate and high risk juvenile offenders screened by juvenile probation between 2004 and 2007 (n = 19,833). Official records from child protection were used to identify juvenile offenders with a history of child neglect and to identify juvenile offenders with an ongoing case of neglect. Event history models were developed to estimate the risk of subsequent offending. Adolescents with an ongoing case neglect were significantly more likely to continue offending as compared with youth with no official history of neglect. These findings remain even after controlling for a wide range of family, peer, academic, mental health, and substance abuse covariates. Interrupting trajectories of offending is a primary focus of juvenile justice. The findings of the current study indicate that ongoing dependency issues play a critical role in explaining the outcomes achieved for adolescents in juvenile justice settings. The implications for improved collaboration between child welfare and juvenile justice are discussed.     

Women and substance use/abuse: Towards a feminist perspective or how to make dust fly

The purpose of this paper is to offer a feminist perspective in the area of women and substance abuse. A major strand of thinking highlighted throughout this paper is that a women- orientated response rooted in the identity and consciousness of women substance users/abusers is essential. Five key areas are explored and these include: (1) the need for a feminist perspective which moves beyond ‘masculinist’ truths; (2) substance abuse as a “gender illuminating notion”; (3) the “unacceptable” and “acceptable” faces of dependency; (4) the development of a women- orientated methodology in the field of substance abuse; and (5) substance abuse and “pleasure”: is this relevant for women? While pointers for future research are indicated, it is suggested that more work “by women and for women” is needed in the area.     

The influence of paternal substance abuse and difficult temperament in fathers and sons on sons' disengagement from family to deviant peers

This study was undertaken to examine the relative contribution of paternal history of substance abuse and difficult temperament in fathers and sons on a panel of individual, family, and interpersonal risk factors shown to be associated with deviant peer affiliations among boys. Deviant peer affiliations among boys have been associated with development of a conduct disorder and early age substance use. In a sample of sons of substance abusing fathers (n =56) and normal fathers (n=94), a structural equation path analysis revealed that the conjoint influence of paternal history of substance abuse and difficult temperament in fathers and sons influenced family and interpersonal processes that, in turn, influenced the developmental trajectory of the child toward deviant peer affiliations. The full model (F=74.49, p<.001, Stability Index=0.70) explained 50% of the variance on sons' Peer Delinquency Scale scores. Implications for primary prevention are discussed.Supported by the Center for Education and Drug Abuse Research (CEDAR), Pittsburgh, PA. Funded by the National Institute on Drug Abuse (No. DA 05605) and ROIs DA08540 and AA09985 to the first author. CEDAR is a consortium between St. Francis Medical Center and the University of Pittsburgh.Received Ph.D. from University of Pittsburgh. Research interests include temperament, parent-child relationships, peer affiliations, and drug and alcohol abuse.Received Ph.D. from University of Oklahoma. Research interests include etiology and vulnerability to substance abuse.Received Ph.D. from Queens University. Research interests include the etiology of conduct disorder.Received Ph.D. from University of Pittsburgh. Research interests include social environment risk factors for substance abuse.Received Ph.D. from Penn State University. Research interests include temperament and substance abuse.     

Substance use and abuse among adolescent runaways: A four-year follow-up study

Using data from the National Longitudinal Study Youth Survey (NLSY), runaway status in early adolescence (ages 14–15) was associated with subsequent (four years later) substance abuse, alcohol problems, and school dropout status. Three runaway categories were formed—never runaway, runaway once, and runaway two or more times. Overall, the repeat runaways reported engaging in higher levels of substance use and abuse than never and once runaways. However, some degree of gender specificity in the relationships for repeat runaways and substance abuse was found. Female repeat runaways were particularly susceptible to abusing illicit drugs (and not acoohol), whereas male repeat runaways manifested a more generalized susceptability to abusing alcohol, cigarettes, marijuana, and other illicit drugs. Whereas substance use and abuse were linearly associated with runaway status, both the one-time and repeat runaways manifested equivalent proportions of school dropouts, and at levels far exceeding never runaways. Results are discussed with regard to the heterogeneous developmental pathways leading toward and away from adolescent runaways.Dr. Windle's major research interests involve the identification of high risk factors and then influences on adolescent substance use and other problem behaviors.     

Ethnic and gender differences in risk for early adolescent substance use

This study examinedinterpersonal andintrapersonal risk for substance use in a sample of Caucasian and Hispanic early adolescents. A total of 1170 sixth and seventh graders, equally divided by gender, participated. Interpersonal risk was assessed by susceptibility to peer pressure, parental monitoring, peer substance use, parent-child involvement, and school adjustment. Intrapersonal risk was measured via self-efficacy, impulsivity, aggression, depression, and academic achievement. As expected, mean level of use did not differ between ethnic groups. Regression analyses indicated susceptibility to peer pressure and peer alcohol use were the best predictors of individual substance use. These findings were consistent across gender and ethnicity. In all groups, interpersonal variables accounted for more variance in predicting risk (49% for Hispanic males) than intrapersonal variables (0% for Hispanic females). Findings are discussed (1) in terms of examining mean levels vs. the underlying pattern predicting substance use, and (2) regarding implications for prevention efforts in early adolescence.This project was supported in part by BRSG S07RR07002 awarded by the Biomedical Research Support Grant Program, Division of Research Resources, National Institutes of Health, to the first author.Received Ph.D. from Ohio State University in clinical child psychology. Research interests include parent-adolescent relations, developmental psychopathology, and affective expression in interactions.     

Association of Contextual Factors with Drug Use and Binge Drinking among White, Native American, and Mixed-Race Adolescents in the General Population

Large-scale surveys have shown elevated risk for many indicators of substance abuse among Native American and Mixed-Race adolescents compared to other minority groups in the United States. This study examined underlying contextual factors associated with substance abuse among a nationally representative sample of White, Native American, and Mixed-Race adolescents 12–17?years of age, using combined datasets from the National Survey on Drug Use and Health (NSDUH 2006–2009, N?=?46,675, 48.77?% female). Native American adolescents displayed the highest rate of past-month binge drinking and past-year illicit drug use (14.06 and 30.91?%, respectively). Results of a logistic regression that included seven predictors of social bonding, individual views of substance use, and delinquent peer affiliations showed that friendships with delinquent peers and negative views of substance use were associated significantly with both substance abuse outcomes among White and Mixed-Race adolescents and, to a lesser extent, Native American adolescents. The association of parental disapproval with binge drinking was stronger for White than for Native American adolescents. Greater attention to specific measures reflecting racial groups’ contextual and historical differences may be needed to delineate mechanisms that discourage substance abuse among at-risk minority adolescent populations.     

Developmental Growth Trajectories of Self-Esteem in Adolescence: Associations with Child Neglect and Drug Use and Abuse in Young Adulthood

Neglectful rearing is linked with young adults’ substance use and abuse, though the developmental mechanisms that underlie this association are unclear. The present study examines links between self-esteem growth during adolescence, childhood supervisory versus physical neglect severity, and substance use and abuse in young adulthood. A sample of youth was obtained from the Add Health study (N = 8738; 55.4 %-Female; 20 %-African American, 14.7 %-Hispanic). Growth mixture modeling analyses supported declining, ascending, and stable high self-esteem trajectories. The declining and ascending trajectories reported greater neglect and alcohol abuse (but not use) as well as cannabis use and abuse. The findings suggest that compromised development of self-esteem underlies associations between neglect and substance use and abuse. Preventive interventions may benefit from targeting self-esteem among neglected youth.     

Student Drug Testing in the Context of Positive and Negative School Climates: Results from a National Survey

Positive school climates and student drug testing have been separately proposed as strategies to reduce student substance use in high schools. However, the effects of drug testing programs may depend on the favorability of school climates. This study examined the association between school drug testing programs and student substance use in schools with different climates. The analysis was based on a nationally representative sample of 943 high school students (48% female) ranging from 14 to 19 years of age (62% identifying as white, 18% Hispanic, 13% African American, and 7% in other categories). Results showed that both male and female students in schools with positive climates reported lower levels of personal substance use. Drug testing was associated with lower levels of personal substance use in positive school climates, but only for female students. There was no relationship between drug testing and male students’ substance use. The results are discussed in terms of the importance of considering school climates before implementing drug-testing programs in high schools.     

Adolescent Risk: The Co-Occurrence of Illness,Suicidality, and Substance Use

Illness is rarely considered a “risk factor” in adolescence. This study tests illness, suicidality and substance use as outcome measures in a path analysis of 1028 Swiss adolescents in secondary prevention programs. The model showed that negative mood (depression and anxiety) predicted two paths. One path led from negative mood to suicidality and from there to substance use. The other path led directly from negative mood to illness. Traditional protective factors (good relationships, secure identity) protected against the negative mood-suicide-substance path, but not against the negative mood-illness path. Gebhard Hüsler, psychologist and psychotherapist, Director of the Centre for Rehabilitation and Health Psychology Research, University of Fribourg, rte Englisberg 7, CH 1763 Granges-Paccot, Switzerland. Ronny Blakeney is a senior researcher at University of Fribourg, Departement Erziehungswissenschaften, University of Fribourg, rue de Faucigny 2, CH-1700 Fribourg, Switzerland. Her major research interests are developmental approaches to the sociomoral challenges of adolescents. Egon Werlen is a junior researcher at Center of Rehabilitation and Health Psychology Research, rte Englisberg 7, CH 1763 Granges-Paccot, Switzerland. His major interests are the course of psychological well being, psychological processes in chronic diseases, and methodological issues.     

Correlates of Cyber Dating Abuse Among Teens

Recent advancements in technology (e.g., social networking, texting) have created new ways for dating youth to relate to one another, including in abusive ways via “cyber dating abuse.” Cyber dating abuse is a form of teen dating violence that overlaps with other types of abuse (e.g., psychological) but also has several unique characteristics. Given the phenomenon’s limited presence in dating violence literature, we focus on identifying how experiencing cyber dating abuse relates to youths’ individual behaviors and experiences (e.g., substance use, sexual activity), psychosocial adjustment, school connection, family relationships, and partner relationships. A total of 3,745 youth (52 % female, 74 % White) in three northeastern states participated in the survey and reported currently being in a dating relationship or having been in one during the prior year. We found that experiences of cyber dating abuse were most significantly correlated with being female, committing a greater variety of delinquent behaviors, having had sexual activity in one’s lifetime, having higher levels of depressive symptoms, and having higher levels of anger/hostility. Further, cyber dating abuse appeared somewhat more strongly related to depressive symptoms and delinquency than did other forms of teen dating violence and abuse.     

Risky Interactions: Relational and Developmental Moderators of Substance Use and Dating Aggression

Physical dating aggression is a prevalent and costly public health concern. A theoretical moderator model of substance use and dating aggression posits that associations between them are moderated by relational risk factors. To test these theoretical expectations, the current study examined seven waves of longitudinal data on a community-based sample of 100 male and 100 female participants in a Western U.S. city (M age Wave 1?=?15.83; 69.5% White non-Hispanic, 12.5% Hispanic, 11.5% African Americans, & 12.5% Hispanics). Multilevel models examined how links between substance use and dating aggression varied by relational risk and how these patterns changed developmentally. Main effects of relational risk and substance use emerged, particularly in adolescence. In young adulthood significant three-way interactions emerged such that substance use was more strongly associated with physical aggression when conflict and jealousy were higher. Thus, relational risk factors are integral to models of dating aggression, but their role changes developmentally.

     

The nature of the association between parental rejection and delinquent behavior

A panel design with approximately 300 adolescents was employed to investigate the relationship between parental rejection and delinquency. Previous studies have failed to control for potentially confounding family factors and have ignored the possibility that the causal priority is from delinquency to parental rejection, rather than the reverse. Parental rejection continued to show a moderate association with delinquency after relevant controls were introduced. The results were the same across sexes. LISREL was employed to estimate the parameters of the reciprocal relationship between parental rejection and delinquency. Analysis indicated that the predominant causal flow is from parental rejection to delinquency.Research interests: the etiology of adolescent depression, substance abuse, and delinquency; identification of factors which influence parenting practices.Research interests: the causes, treatment, and prevention of adolescent depression and substance abuse.Research interests: causes of adolescent and adult substance abuse; antecedents, and consequences of domestic violence.     

Developmental Pathways from Parental Socioeconomic Status to Adolescent Substance Use: Alternative and Complementary Reinforcement

Although lower socioeconomic status has been linked to increased youth substance use, much less research has determined potential mechanisms explaining the association. The current longitudinal study tested whether alternative (i.e., pleasure gained from activities without any concurrent use of substances) and complementary (i.e., pleasure gained from activities in tandem with substance use) reinforcement mediate the link between lower socioeconomic status and youth substance use. Further, we tested whether alternative and complementary reinforcement and youth substance use gradually unfold over time and then intersect with one another in a cascading manner. Potential sex differences are also examined. Data were drawn from a longitudinal survey of substance use and mental health among high school students in Los Angeles. Data collection involved four semiannual assessment waves beginning in fall 2013 (N?=?3395; M baseline age?=?14.1; 47% Hispanic, 16.2% Asian, 16.1% multiethnic, 15.7% White, and 5% Black; 53.4% female). The results from a negative binomial path model suggested that lower parental socioeconomic status (i.e., lower parental education) was significantly related to an increased number of substances used by youth. The final path model revealed that the inverse association was statistically mediated by adolescents’ diminished engagement in pleasurable substance-free activities (i.e., alternative reinforcers) and elevated engagement in pleasurable activities paired with substance use (i.e., complementary reinforcers). The direct effect of lower parental education on adolescent substance use was not statistically significant after accounting for the hypothesized mediating mechanisms. No sex differences were detected. Increasing access to and engagement in pleasant activities of high quality that do not need a reinforcement enhancer, such as substances, may be useful in interrupting the link between lower parental socioeconomic status and youth substance use.     

Acculturation,Gender, Depression,and Cigarette Smoking Among U.S. Hispanic Youth: The Mediating Role of Perceived Discrimination

Hispanic youth are at risk for experiencing depressive symptoms and smoking cigarettes, and risk for depressive symptoms and cigarette use increase as Hispanic youth acculturate to U.S. culture. The mechanism by which acculturation leads to symptoms of depression and cigarette smoking is not well understood. The present study examined whether perceived discrimination explained the associations of acculturation with depressive symptoms and cigarette smoking among 1,124 Hispanic youth (54% female). Youth in Southern California completed surveys in 9th–11th grade. Separate analyses by gender showed that perceived discrimination explained the relationship between acculturation and depressive symptoms for girls only. There was also evidence that discrimination explained the relationship between acculturation and cigarette smoking among girls, but the effect was only marginally significant. Acculturation was associated with depressive symptoms and smoking among girls only. Perceived discrimination predicted depressive symptoms in both genders, and discrimination was positively associated with cigarette smoking for girls but not boys. These results support the notion that, although Hispanic boys and girls experience acculturation and discrimination, their mental health and smoking behaviors are differentially affected by these experiences. Moreover, the results indicate that acculturation, gender, and discrimination are important factors to consider when addressing Hispanic youth’s mental health and substance use behaviors.     

Unsubstantiated Reports:

The "unsubstantiated" child abuse report has become a matter of great concern and controversy. Despite their role as gatekeepers of the Child Protection System, there has been little study of CPS workers' views on this problem. This study of CPS workers from three states will assess their attitudes about issues of reporting, screening, and substantiation of cases as they relate to the "unsubstantiated" report.     

A Quarter Century of Participation in School-Based Extracurricular Activities: Inequalities by Race,Class, Gender and Age?

Extracurricular activity participation is linked to positive development, but it is also a setting for inequality. Using a quarter century of data from Monitoring the Future (N?=?593,979; 51% female; 65% non-Hispanic white; 13% non-Hispanic black; 12% Hispanic; 4% non-Hispanic Asian/Pacific Islander; 7% other race), this article documents patterns and trends in school-based extracurricular participation by race, social class, gender, and age, and their links to academic and substance use outcomes. Findings reveal differences by race and confirm a division by social class that has worsened over time. Further, girls are gaining on boys and surpass them in some types of school-based activities. Participation is linked to better academic outcomes and less substance use, affirming the importance of redressing the inequalities revealed.