Academic Performance and Substance Use: Findings From a State Survey of Public High School Students

Cox, Reagan G.; Zhang, Lei; Johnson, William D.; Bender, Daniel

doi:10.1111/j.1746-1561.2007.00179.x

Cited by 182 publications

(183 citation statements)

References 21 publications

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“…Given the association between substance use and depression, suicide, violence, fatal car accidents, academic problems, and the development of SUDs 2, 6,8,12,39 and the potential effectiveness of brief interventions and treatment of substanceinvolved adolescents, 40,41 it is of considerable importance that pediatricians, family physicians, and other health care providers screen adolescents for substance use. The use of the BSTAD or similar instruments can be an important step in identifying substance use and successfully intervening in the lives of adolescent patients.…”

Section: Discussionmentioning

confidence: 99%

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

et al. 2014

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BACKGROUND AND OBJECTIVE: The National Institute on Alcohol Abuse and Alcoholism developed an alcohol screening instrument for youth based on epidemiologic data. This study examines the concurrent validity of this instrument, expanded to include tobacco and drugs, among pediatric patients, as well as the acceptability of its self-administration on an iPad. METHODS: Five hundred and twenty-five patients (54.5% female; 92.8% African American) aged 12 to 17 completed the Brief Screener for Tobacco, Alcohol, and other Drugs (BSTAD) via interviewer-administration or self-administration using an iPad. Diagnostic and Statistical Manual, Fifth Edition substance use disorders (SUDs) were identified using a modified Composite International Diagnostic Interview-2 Substance Abuse Module. Receiver operating characteristic curves, sensitivities, and specificities were obtained to determine optimal cut points on the BSTAD in relation to SUDs. RESULTS: One hundred fifty-nine (30.3%) adolescents reported past-year use of ≥1 substances on the BSTAD: 113 (21.5%) used alcohol, 84 (16.0%) used marijuana, and 50 (9.5%) used tobacco. Optimal cut points for past-year frequency of use items on the BSTAD to identify SUDs were ≥6 days of tobacco use (sensitivity = 0.95; specificity = 0.97); ≥2 days of alcohol use (sensitivity = 0.96; specificity = 0.85); and ≥2 days of marijuana use (sensitivity = 0.80; specificity = 0.93). iPad self-administration was preferred over interviewer administration (z = 5.8; P < .001). CONCLUSIONS: The BSTAD is a promising screening tool for identifying problematic tobacco, alcohol, and marijuana use in pediatric settings. Even low frequency of substance use among adolescents may indicate need for intervention.

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Section: Discussionmentioning

confidence: 99%

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

et al. 2014

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“…Adolescents who smoke very often are more likely to have low grades compared to their peers who do not smoke (Cox, Zhang, Johnson, & Bender, 2007;Diego, Field, & Sanders, 2003). Furthermore, MacLellan, Taylor, and Wood (2008) found that adolescents who reported better academic performance were also more likely to have a healthier diet.…”

Section: Health and Academic Successmentioning

confidence: 99%

“…Various aspects of health impact on the academic success of adolescents, including negative mood, feelings of low self-esteem and depression (DeSocio & Hootman, 2004) Adolescents who smoke very often are more likely to have low grades compared to their peers who do not smoke (Cox, Zhang, Johnson, & Bender, 2007;Diego, Field, & Sanders, 2003). Furthermore, MacLellan, Taylor, and Wood (2008) found that adolescents who reported better academic performance were also more likely to have a healthier diet.…”

Section: Health and Academic Successmentioning

confidence: 99%

Social support, stress, health, and academic success in Ghanaian adolescents: A path analysis

Glozah

Pevalin

2014

Journal of Adolescence

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The aim of this study is to gain a better understanding of the role psychosocial factors play in promoting the health and academic success of adolescents. A total of 770 adolescent boys and girls in Senior High Schools were randomly selected to complete a self-report questionnaire. School reported latest terminal examination grades were used as the measure of academic success.Structural equation modelling indicated a relatively good fit to the posteriori model with four of the hypothesised paths fully supported and two partially supported. Perceived social support was negatively related to stress and predictive of health and wellbeing but not academic success. Stress was predictive of health but not academic success. Finally, health and wellbeing was able to predict academic success. These findings have policy implications regarding efforts aimed at promoting the health and wellbeing as well as the academic success of adolescents in Ghana.Keywords: adolescents; perceived social support; stress; health; wellbeing; academic success 3 INTRODUCTIONThe academic success of children does not occur within a vacuum, but rather is situated within nested environments characterised by dynamic and subtle influences. Data from the Global School-based Health Survey in Ghana indicates that over 80% of adolescents report experiences such as feeling worried, feeling sad and hopeless, and feeling lonely which in turn had a negative effect on their daily life activities (Owusu, 2008). The psychosocial needs of adolescents play a critical role in their academic success. Several studies have demonstrated that social support has a positive effect on adolescents' health and wellbeing (Gini, Carli, & Pozzoli, 2009;Lindsey, Joe, & Nebbitt, 2010) and on their academic success (Azmitia, Cooper, & Brown, 2009;Danielsen, Wiium, Wilhelmsen, & Wold, 2010).Conversely, stress has negative effects on health and wellbeing (Flouri & Kallis, 2011;Hjern, Alfven, & Ostberg, 2008) and on academic success (Alva & de los Reyes, 1999;Chung & Cheung, 2008;Flook & Fuligni, 2008). These findings also suggest that social support mitigates the deleterious effects of stress on heath (Gayman, Turner, Cislo, & Eliassen, 2011) and academic success (Danielsen et al., 2010). Stress is known to be deleterious to health by promoting maladaptive behavioural coping responses (e.g. smoking, alcohol intake, binge eating). Cohen, Gottlieb, and Underwood (2000) assert that beliefs of perceived social support may reduce or even annihilate an emotional reaction to stressful situations and prevent or alter maladaptive behavioural response, and may also alleviate the deleterious effects of stress appraisal by providing a solution to a problem, either in terms of health or academic success.In response to concerns that academic standards are falling in Ghana, policy makers have placed considerable emphasis on factors such as school feeding programmes, curriculum modification, and education reforms among others (Ghana Ministry of Education, 2003). Although these school-b...

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“…Regarding academics, juveniles who are involved with substance use/abuse are more susceptible to declining grades, absenteeism from school and extracurricular activities, and have a higher rate of dropping out of school (Williams, Davis, Johnson, Williams, Saunders and Nebbitt, 2007). Cox, Zhang, Johnson, and Bender (2007) reported that there is a complex relationship between substance use/abuse and academic performance.…”

Section: Life Areas Affectedmentioning

confidence: 99%

“…This will contribute to poor academic performances for the juveniles and a disruption in learning for their classmates. One way in which educators and administrators can begin to address this problem is to encourage juveniles' involvement in afterschool activities and/or programs, provide additional learning resources such as tutoring or peer mentoring, and advocate for additional community resources for juveniles and their families (Cox, Zhang, Johnson, & Bender, 2007).…”

Section: At the Mezzo Levelmentioning

confidence: 99%

How collaborative the collaboration? : assessing the collaboration of services for juvenile offenders.

Dickerson¹

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Academic Performance and Substance Use: Findings From a State Survey of Public High School Students

Cited by 182 publications

References 21 publications

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

Social support, stress, health, and academic success in Ghanaian adolescents: A path analysis

How collaborative the collaboration? : assessing the collaboration of services for juvenile offenders.

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