Development of Risk Perception and Substance Use of Tobacco, Alcohol and Cannabis Among Adolescents and Emerging Adults: Evidence of Directional Influences

Grevenstein, Dennis; Nagy, Erzsébet; Jungaberle, Henrik

doi:10.3109/10826084.2014.984847

Cited by 105 publications

(108 citation statements)

References 74 publications

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“…Some evidence indi cates enhancing recognition of the haz ards of alcohol use may assist in reducing adolescent binge drinking, and in turn, improve educational attainment. 47 For example, young teenagers with high risk perceptions of substance use were less likely to binge drink as high school seniors, which was associated with greater chances of graduating from high school and attending college. 48 …”

Section: Discussionmentioning

confidence: 99%

Binge drinking and academic performance, engagement, aspirations, and expectations: a longitudinal analysis among secondary school students in the COMPASS study

Patte

Qian

Leatherdale

2017

Health Promot Chronic Dis Prev Can

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Introduction The longitudinal relationship between binge drinking and academic engagement, performance, and future aspirations and expectations was examined among a cohort of secondary school students.. Methods In separate multinomial generalized estimating equations models, linked data from Year 1 (Y1: 2012-2013), Year 2 (Y2: 2013-2014), and Year 3 (Y3: 2014-2015) of the COMPASS study (N = 27 112) were used to test the relative likelihood of responses to seven academic indices when binge drinking was initiated in varying frequencies, adjusting for gender, grade, race/ethnicity, tobacco use, and the individual mean of the predictor and all time-varying covariates. Results Among students who had never engaged in binge drinking at baseline, those who reported regular binge drinking at follow-up were relatively less likely to complete their homework, attend class, and value and achieve high grades, with more frequent binge drinking at follow-up generally resulting in larger relative risk ratios. Interestingly, shifting from “never” to “rare/sporadic” binge drinking one to two years later resulted in an increased relative risk of wanting to pursue all levels of postsecondary education. Beginning binge drinking on a “monthly” basis also increased the likelihood of college/ trade or bachelor degree ambitions, relative to high school, but not graduate/professional pathways; while degree aspirations were not associated with initiating weekly binge drinking. Conclusion Results suggest students who initiate binge drinking have poor school performance and engagement, which may interfere with achieving their future academic goals. This study reinforces the reasons substance use prevention should be considered an academic priority, as such efforts may also prove beneficial for educational achievement.

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Section: Discussionmentioning

confidence: 99%

Binge drinking and academic performance, engagement, aspirations, and expectations: a longitudinal analysis among secondary school students in the COMPASS study

Patte

Qian

Leatherdale

2017

Health Promot Chronic Dis Prev Can

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“…In this regard, Okaneku et al [18] studied changes in the perception of risks associated with cannabis consumption and found that people who had consumed cannabis in the previous month reported lower risk perception for both regular and occasional consumption. Similarly, the structural equation model developed in Europe by Grevenstein, et al [19] showed that risk perception significantly influences consumption patterns for substances like tobacco, alcohol and cannabis, and proved that changes in risk perception predict future changes in drug use. Moreover, cannabis consumption was also found to influence perception of the risk associated with that substance.…”

Section: Introductionmentioning

confidence: 93%

Perceptual Styles and Cannabis Consumption Prediction in Young People

Herruzo

Pino

Lucena

et al. 2019

IJERPH

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Given that risk perception has been found to be both a vulnerability and a protective factor with respect to consumption, the objectives of this study were to find out whether there exist specific patterns of risk perception associated with cannabis use and, if so, how they relate to cannabis consumption and to the sources of information on drugs accessed by young people. An ex post facto study was carried out with 1851 young Andalusians aged 18 to 29, using an adaptation of the Andalusian Government “Andalusian Population versus Drugs” survey. For the first objective, a cluster analysis was carried out in which three perceptual style groups were formed: “Strict”, “Permissive-Awareness” and “Lax”. Cannabis use in the “lax” group was found to be 14.31 times more frequent than in the “strict” group and 2.75 times more frequent than in the “permissive-awareness” group. A logistic regression analysis was also performed, which correctly predicted 80.4% of users and non-consumers. Correlation was found between perceptual styles and the sources of information used about drugs. This study identified three different risk perception styles that heavily correlated to cannabis consumption and to the type of sources young Andalusians use to obtain information about drugs, suggesting the need for a change in preventive policy.

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“…Taken together, our findings and these qualitative studies suggest that perception of heroin risk is a promising candidate risk factor for the initiation of heroin use and related behaviors among NMPO users. We cannot, however, rule out the possibility that perceived risk of heroin decreases following heroin initiation, an effect that has been observed for marijuana use, but not alcohol or tobacco use (Grevenstein, Nagy, & Kroeninger-Jungaberle, 2015). …”

Section: Discussionmentioning

confidence: 95%

Perceived risk of heroin use among nonmedical prescription opioid users

Votaw

Wittenauer

Connery

et al. 2017

Addictive Behaviors

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Aims The prevalence of heroin use among nonmedical prescription opioid (NMPO) users has increased in recent years. Identifying characteristics associated with heroin use in this population can help inform efforts to prevent heroin initiation and maintenance. The aim of this study was to evaluate differences in perceived risk of heroin among NMPO users with and without histories of heroin use, and to examine temporal trends in perceived risk of heroin among this population. Methods Data are from the 2002–2013 National Survey on Drug Use and Health, and included all past-year NMPO users (N=49,045). Participants reported perceived risk of trying heroin once or twice and regular heroin use. Responses were coded dichotomously (great risk vs. other risk) and logistic regression analyses were used to evaluate the association between lifetime heroin use and perceived risk of heroin, and to determine temporal changes in perceived risk. Results Results indicated a significant association between lifetime heroin use and lower likelihood of reporting great risk of trying heroin (OR = 0.38, 95% CI: 0.33, 0.44, p < .001), and of regular use of heroin (OR = 0.39, 95% CI: 0.32, 0.48, p < .001). There was a significant, yet modest, trend toward decreasing perception of great risk from 2002–2013. Conclusions Findings from this analysis of nationally representative data indicate that NMPO users with a history of heroin use perceive heroin to be less risky. Perception of risk has decreased from 2002–2013 in this population, consistent with increasing rates of heroin initiation.

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Development of Risk Perception and Substance Use of Tobacco, Alcohol and Cannabis Among Adolescents and Emerging Adults: Evidence of Directional Influences

Abstract: While there is support for the rationale behind adequate risk perception as a goal of preventive interventions, the possibility of risk reappraisal should not be neglected, especially regarding illicit substances.

Cited by 105 publications

References 74 publications

Binge drinking and academic performance, engagement, aspirations, and expectations: a longitudinal analysis among secondary school students in the COMPASS study

Binge drinking and academic performance, engagement, aspirations, and expectations: a longitudinal analysis among secondary school students in the COMPASS study

Perceptual Styles and Cannabis Consumption Prediction in Young People

Perceived risk of heroin use among nonmedical prescription opioid users

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