“…As supported by our results, such pathways are best conceptualized as multifactorial, 87,88 which fall into 3 general theoretical streams of influences: individual-level factors, socialization influences, and broader environmental influences. Specifically, individual-level influences included negative emotions, stress, and cognitive factors; socialization influences included peer pressure, social network/social norms, and media influence; and broader environmental influences included access/availability and cues/triggers, which merit separate discussions for each.…”