Pick Your Poison: Examining Adolescent Substance Use through Opportunity Theory

The present study examines substance use behaviors of middle and high school students, focusing on how varying influences of opportunity measures impact use of specific types of substances. The data used in the present study come from almost 4,000 students within 89 school contexts from students attending public school in a Southern state. Hierarchical logistic modeling is used to explore the influence of various opportunities at both the student and school levels on the use of different types of substances. Results indicate measures of opportunity at both the student and school levels were significant; however, measures at the individual level were consistently more influential.     

Religion,Self Control,and Substance Use

Previous research has examined a number of mechanisms through which religion might have an indirect influence on substance use. One potential intervening mechanism that has received little empirical attention is self control. Using data from the National Longitudinal Study of Adolescent Health (Add Health) we (1) examine the association between religion and self control, (2) determine if self control mediates the effect of religiosity on substance use, and (3) determine if the effect of self control on substance use varies depending on adolescents’ religiosity. The results suggest that religious youth exhibit higher levels of self control. Also, self control partially mediates the effect of adolescents’ religiosity on marijuana use and drinking. The only evidence we find for an interaction between self control and religiosity suggests self control has a moderately greater effect on alcohol use among those of low, rather than medium or high, religiosity.     

Poor Health,Strain, and Substance Use

Agnew’s general strain theory is widely recognized as one of the most prominent explanations of crime and deviance. Recently, scholars have conceptualized poor health as a type of strain that is related to both offending and substance use. The current research builds on this by examining data from the 2011 National Survey on Drug Use and Health and focuses on adult respondents. An index of poor health that included eighteen different diseases or conditions that were diagnosed by a doctor in the past year and a more general measure of overall health were created to measure health strain. Results from logistic regression models showed that health strain increased risk of psychological distress and that psychological distress significantly increased the risk of various types of substance use. These findings add to the growing literature on the relationship between poor health and crime/deviance and suggest that more research is needed.     

Personality,Problem Solving,and Adolescent Substance Use

The major aim of this study was to examine the role of social problem solving in the relationship between personality and substance use in adolescents. Although a number of studies have identified a relationship between personality and substance use, the precise mechanism by which this occurs is not clear. We hypothesized that problem-solving skills could be one such mechanism. More specifically, we sought to determine whether problem solving mediates, moderates, or both mediates and moderates the relationship between different personality traits and substance use. Three hundred and seven adolescents were administered the Substance Use Profile Scale, the Social Problem-Solving Inventory–Revised, and the Personality Experiences Inventory to assess personality, social problem-solving ability, and substance use, respectively. Results showed that the dimension of rational problem solving (i.e., effective problem-solving skills) significantly mediated the relationship between hopelessness and lifetime alcohol and marijuana use. The theoretical and clinical implications of these results were discussed.     

Individual Differences in Substance Preference and Substance Use

Using H. J. Eysenck's (1957, 1967) theory of temperament, this study examined the relationship between drug preference, drug use, and personality among incarcerated inmates. Analysis indicated a general preference for marijuana and alcohol over 8 other commonly used drugs across different personality types. Theoretical and clinical implications are offered.     

Examining Adolescent Cocaine Use with Social Learning and Self-Control Theories

An estimated 1.6 million adolescents use cocaine on a regular basis. Social learning theory and self-control theory are regularly used to explain adolescent substance use, but few studies have examined Hirschi’s (2004) revised self-control theory. This study examines the efficacy of these three theories in explaining adolescent cocaine use using data from the 2011 Monitoring the Future survey. The study finds that Hirschi’s (2004) revised theory and peer hard drug use predicted the probability of adolescent cocaine use in the previous 30 days. When examining cocaine use in the prior year, all three theoretical perspectives were significant predictor of cocaine use. The implications of the findings are discussed.     

Attention, Self-Control, and Health Behaviors

ABSTRACT— Past research has shown that limitations on attention can lead to loss of control. Our model of self-control suggests that when attentional resources are restricted, individuals can focus on only the most salient behavioral cues, to the neglect of more distal stimuli. Subsequent action is then likely to be under the near-exclusive motivational influence of those "central" cues. This state of narrowed attentional focus, which we term "attentional myopia," is predicted to lead to loss of control when salient cues serve to promote a behavior that violates self-standards. By contrast, limitations on attention can lead to more successful self-control when salient cues instead suggest restraint. We have investigated this model in the health domains of eating, smoking, and aggression, and we discuss its implications for individuals' efforts to respond to health-relevant messages.     

Maturation, Peer Context, and Indigenous Girls' Early-Onset Substance Use

This paper examines a biosocial model of the impact of puberty on Indigenous girls' early-onset substance use by considering the potential mediating role of peer context (i.e. mixed-sex peer groups and substance use prototypes) on the puberty and substance use relationship. Data include responses from 360 girls of a common Indigenous cultural group residing on reservations/reserves in the upper Midwest and Canada. Results of structural equation modeling revealed that the statistically significant relationship between girls' pubertal development and early-onset substance use was mediated by both mixed-sex/romantic peer groups and favorable social definitions of substance use. Implications for substance use prevention work include addressing the multiple and overlapping effects of peer influence from culturally-relevant perspectives.     

School Substance Use Norms and Racial Composition Moderate Parental and Peer Influences on Adolescent Substance Use

Parental and peer influences on adolescent substance use have been well demonstrated. However, limited research has examined how parental and peer influences vary across school contexts. This study used a multilevel approach to examine the effects of school substance use norms and school racial composition in predicting adolescent substance use (a composite measure of alcohol, tobacco, and marijuana use) and in moderating parental and peer influences on adolescent substance use. A total of 14,346 adolescents from 34 schools in a mid‐western county completed surveys electronically at school. Analyses were conducted using hierarchical linear modeling. Results indicated that school‐level disapproval against substance use and percentage of minority students at school were negatively associated with adolescent substance use. School‐level disapproval moderated the association between peer substance use and adolescent substance use, with the association being stronger when school‐level disapproval was lower. School racial composition moderated the influence of parental disapproval and peer substance use on adolescent substance use. Specifically, both the association between parental disapproval and adolescent substance use and the association between peer substance use and adolescent substance use were weaker for adolescents who attended schools with higher percentages of minority students. Findings highlighted the importance of considering the role of school contexts, in conjunction with parental and peer influences, in understanding adolescent substance use.     

Gender,Low Self-Control,and Violent Victimization

Prior research demonstrates that men generally experience higher levels of violent victimization relative to women. Using a high-risk sample of jail inmates, the present study draws on the core ideas from the self-control and societal norms toward the treatment of women literatures to examine the main and interactive effects of gender and self-control on violent victimization. Results indicate that gender and self-control both exhibit main effects on violent victimization net of control variables and that gender and self-control interact such that the gender gap in violent victimization disappears among men and women with low levels of self-control. We discuss the implications of our findings for theory, policy, and future research.     

Resiliency,Risk, and Substance Use Among Hispanic Urban Juvenile Detainees

A study of resiliency was conducted among 236 urban juvenile detainees. Findings reveal that resiliency processes related differently to risk and protective factors, differed among ethnic groups, and varied by age and gender among juvenile detainees.     

Wellness,Emotion Regulation,and Relapse During Substance Use Disorder Treatment

Using a cross-sectional study design, the authors investigated the impact of wellness and emotion regulation on relapse in 179 individuals currently enrolled in substance use disorder treatment. An integration of the indivisible self model of wellness (Myers & Sweeney, 2004) and the covert antecedents model of relapse (Marlatt, 1985) informed the study hypothesis that emotion regulation mediates the wellness-relapse relationship. Binomial logistic regressions revealed that Creative Self wellness (odds ratio [OR] = 1.09, p = .002), reappraisal (OR = 1.08, p = .008), difficulties in emotion regulation (OR = 1.03, p = .007), and Physical Self wellness (OR = 0.95, p < .001) were associated with the odds of relapse on any given day during treatment. Sobel tests indicated 2 occurrences of full mediation, including that difficulties in emotion regulation mediated the relationship between Coping Self wellness and relapse (OR = 0.97, p = .015).     

Self-Expression and Self-Control

It is often said that people are ‘not themselves’ when they are in situations which rob them of their self‐control. Strangely, these are also circumstances in which people are often said to be most fully themselves. This paper investigates the pictures of the self behind these two truisms, and the relation between them. Harry Frankfurt’s work represents the first truism, and standard objections to his work the second. Each of these approaches is found to capture one independent and widely employed picture of the self. The connection each draws between being oneself and flourishing, however, suggests a point of contact between them. This point of contact is used to develop a third view of being oneself which integrates the insights of the other two.     

Community Violence and Youth: Affect, Behavior, Substance Use, and Academics

Community violence is recognized as a major public health problem (WHO, World Report on Violence and Health, 2002) that Americans increasingly understand has adverse implications beyond inner-cities. However, the majority of research on chronic community violence exposure focuses on ethnic minority, impoverished, and/or crime-ridden communities while treatment and prevention focuses on the perpetrators of the violence, not on the youth who are its direct or indirect victims. School-based treatment and preventive interventions are needed for children at elevated risk for exposure to community violence. In preparation, a longitudinal, community epidemiological study, The Multiple Opportunities to Reach Excellence (MORE) Project, is being fielded to address some of the methodological weaknesses presented in previous studies. This study was designed to better understand the impact of children’s chronic exposure to community violence on their emotional, behavioral, substance use, and academic functioning with an overarching goal to identify malleable risk and protective factors which can be targeted in preventive and intervention programs. This paper describes the MORE Project, its conceptual underpinnings, goals, and methodology, as well as implications for treatment and preventive interventions and future research.     

Prevention of Adolescent Substance Use

Research and evaluation in the domain of adolescent alcohol and drug use indicates the important role of parents in promoting as well as in preventing substance use by their offspring. The role of parents in a comprehensive substance use prevention program is described wherein parents were involved in education, treatment, and counseling.     

Verbal Sexual Coercion Experiences,Sexual Risk,and Substance Use in Women

Research has linked sexual assault, substance use, and sexually transmitted infection (STI) risk in women. Sexual assault by means of verbal sexual coercion (VSC) is more common than sexual assault by means of physical tactics, but VSC is rarely assessed independently. In addition, past work has established global connections among substance use, sexual assault history, and STI risk; however, assessing substance use during sexual behavior is less common. This study examined the relations among VSC, STI risk behavior, and substance use and attitudes. We hypothesized that women with larger numbers of VSC experiences would report more frequent sexual risk behaviors and substance use and attitudes. Participants with larger numbers of VSC experiences reported larger numbers of anal sex partners, more frequent penile–vaginal sex and sexual activity after substance use, and stronger sex-related alcohol expectancies. These findings suggest that VSC is associated with higher levels of STI risk in women.     

Posttraumatic Stress Symptoms,Aggression, and Substance Use Coping among Young Adults

This study examined how the symptom clusters of posttraumatic stress disorder (PTSD) were related to substance use and self-reported aggression in a college sample. There were 358 participants (ages 18–24) who completed surveys to assess PTSD symptoms, substance use as coping, and aggression. Hierarchical regressions tested for the effects of PTSD symptoms (total symptoms as well as cluster symptoms) on self-reported aggression, along with the main and interaction effects of substance use coping on these relationships. The hyperarousal cluster of PTSD was the only group of symptoms significantly related to aggression. There was an interaction between avoidance symptoms and substance use coping on aggression such that under conditions of high substance use coping, aggression increased regardless of avoidance symptoms; however, the relationship between avoidance and aggression was stronger under conditions of low substance use coping, with greater aggression as avoidance symptoms and low substance use coping increased.