Peer and Community Influences on Adolescent Substance Use in the Context of Adverse Childhood Experiences

Stritzel, Haley

doi:10.1177/07311214211018718

Cited by 5 publications

(2 citation statements)

References 83 publications

(87 reference statements)

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“…In the current study, friends played a major role in the introduction of substances. The role of peers in adolescent behaviors, including substance use, is well established (Kobus, 2003 ; Ningombam et al, 2011 ; Stritzel, 2022 ). The current study reports a higher prevalence of cannabis use (9.5%) than a national survey done by National Drug Dependence Treatment Centre (NDDTC) of AIIMS Delhi (2.8%) (Government of India (GoI), 2019b ).…”

Section: Discussionmentioning

confidence: 99%

Determinants of substance use among young people attending primary health centers in India

Venkatesh,

Aparnavi,

Mogan

et al. 2024

Camb. prisms Glob. ment. health

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Background: Substance use is a complex condition with multidimensional determinants. The present study aims to find the prevalence and determinants of substance use among young people attending primary healthcare centers in India. Methods: A multicentric cross-sectional study was conducted across 15 states in India on 1,630 young people (10-24 years) attending primary health centers. The Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) was used to capture data on substance use. The degree of substance involvement was assessed and multivariate regression analysis was conducted to determine the risk factors of substance use. Results: The prevalence of substance use was 32.8%, with a median substance initiation age of 18 years. Among the substance users, 75.5% began before completing adolescence. Tobacco (26.4%), alcohol (26.1%) and cannabis (9.5%) were commonly consumed. Sociodemographic determinants included higher age, male gender, urban residence, positive family history, northeastern state residence and lower socioeconomic class. Over 80% of users had moderate or high involvement.Conclusions: High substance use prevalence among young people in Indian healthcare centers underscores the urgency of targeted intervention. Insights on determinants guide effective prevention strategies for this complex public health issue. Impact statementOur study findings align with the global scenario where tobacco use remains a significant public health concern. India, being the second largest consumer of tobacco globally, faces substantial health risks associated with its use. The study also highlights the high prevalence of alcohol and cannabis use among young individuals. The early initiation of substance use underscores the urgency of targeted interventions during early adolescence. The sociodemographic determinants identified, such as age, male gender, urban residence, family history, and lower socioeconomic class, provide valuable insights for developing targeted prevention and intervention strategies. These determinants mirror findings from previous research, emphasizing the need for multifaceted approaches that consider social, economic and cultural factors influencing substance use. The study's geographical variation in substance use prevalence, with Mizoram having the highest and Kerala having the lowest, suggests the importance of regional context in understanding and Cambridge Prisms: Global Mental Health www.cambridge.org/gmh

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Section: Discussionmentioning

confidence: 99%

Determinants of substance use among young people attending primary health centers in India

Venkatesh,

Aparnavi,

Mogan

et al. 2024

Camb. prisms Glob. ment. health

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“…As Stritzel [ 52 ] notes, youth exposed to ACEs may seek out friends with similar negative life experiences, experience greater neighborhood mobility which increases exposure to delinquent peer networks, and may be less likely to be monitored by parents when they are socializing with friends. Each of these heightens the risk that children exposed to ACEs will engage in unstructured socializing with their friends, which may have an enduring influence as the child continues towards adolescence.…”

Section: The Potential Role Of Multiple Mediators In Middle Childhoodmentioning

confidence: 99%

Adverse Childhood Experiences and Adolescent Delinquency: A Theoretically Informed Investigation of Mediators during Middle Childhood

Jackson

Jones

Semenza

et al. 2023

IJERPH

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Objective: The purposes of this study are twofold. First, we explore the associations between cumulative ACEs at ages 5 and 7 and delinquency at age 14 in a national sample of youth in the United Kingdom (UK). Second, we explore the role of five theoretically relevant mediators in explaining this relationship. Methods: Analyses were based on data from the UK Millennium Cohort Study—a prospective, longitudinal birth-cohort study of more than 18,000 individuals in the United Kingdom. Results: The results indicate that early ACEs are significantly associated with adolescent delinquency, with effects becoming significantly larger as ACEs accumulate. Findings also reveal that child property delinquency, substance use, low self-control, unstructured socializing, and parent–child attachment at age 11 all significantly mediate the relationship between early ACEs and delinquency in adolescence, with early delinquency and low self-control emerging as the most robust mediators. Conclusions: Findings point to a need for early ACEs screening and a Trauma-Informed Health Care (TIC) approach in early delinquency prevention efforts. Early intervention efforts that bolster child self-control and curtail early-onset problem behaviors may also disrupt pathways from ACEs to adolescent delinquency.

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Examining Parental Monitoring, Neighborhood Peer Anti-social Behavior, and Neighborhood Social Cohesion and Control as a Pathway to Adolescent Substance Use

Booth

Shaw

2022

J Child Fam Stud

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Peer and Community Influences on Adolescent Substance Use in the Context of Adverse Childhood Experiences

Cited by 5 publications

References 83 publications

Determinants of substance use among young people attending primary health centers in India

Determinants of substance use among young people attending primary health centers in India

Adverse Childhood Experiences and Adolescent Delinquency: A Theoretically Informed Investigation of Mediators during Middle Childhood

Examining Parental Monitoring, Neighborhood Peer Anti-social Behavior, and Neighborhood Social Cohesion and Control as a Pathway to Adolescent Substance Use

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