Pub Date : 2024-08-26DOI: 10.1080/1067828x.2024.2391127
Heather K. Barr, Kristen Clements-Nolle, Taylor Lensch, Wei Yang
Using results from the 2017 Nevada Youth Risk Behavior Survey, this research aims to understand factors associated with driving under the influence of alcohol (DUIA), marijuana (DUIM), and both alc...
{"title":"Risk and Protective Factors for Driving Under the Influence of Alcohol, Marijuana, and Both Substances in a Population-Based Sample of High School Students","authors":"Heather K. Barr, Kristen Clements-Nolle, Taylor Lensch, Wei Yang","doi":"10.1080/1067828x.2024.2391127","DOIUrl":"https://doi.org/10.1080/1067828x.2024.2391127","url":null,"abstract":"Using results from the 2017 Nevada Youth Risk Behavior Survey, this research aims to understand factors associated with driving under the influence of alcohol (DUIA), marijuana (DUIM), and both alc...","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142192443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-20DOI: 10.1080/1067828x.2024.2364132
Cara M. Borelli, Jan Widerman
Published in Journal of Child & Adolescent Substance Abuse (Ahead of Print, 2024)
发表于《儿童与青少年药物滥用期刊》（2024 年提前出版）
{"title":"“Welcome Back from the New Editors-in-Chief”","authors":"Cara M. Borelli, Jan Widerman","doi":"10.1080/1067828x.2024.2364132","DOIUrl":"https://doi.org/10.1080/1067828x.2024.2364132","url":null,"abstract":"Published in Journal of Child & Adolescent Substance Abuse (Ahead of Print, 2024)","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141503530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1080/1067828X.2021.1988021
E. Leal-López, I. Sánchez-Queija, Francisco Rivera, C. Moreno
Abstract The aim of this study was to examine trends in cannabis use among Spanish students from 2006 to 2018 by sex, age, and sex and age combined. Data showed a global decrease both in a lifetime and frequent cannabis use between 2006 and 2018 but four-year comparisons revealed more variability within the specific sex-age groups. No change was found in lifetime use between 2014 and 2018 for all groups. The results emphasize the need for ongoing monitoring of trends in cannabis use and the importance of implementing preventive measures to avoid a change in tendency and to work with high-risk groups, especially 17–18-old boys.
{"title":"Trends in Cannabis Use among Adolescents in Spain 2006–2018","authors":"E. Leal-López, I. Sánchez-Queija, Francisco Rivera, C. Moreno","doi":"10.1080/1067828X.2021.1988021","DOIUrl":"https://doi.org/10.1080/1067828X.2021.1988021","url":null,"abstract":"Abstract The aim of this study was to examine trends in cannabis use among Spanish students from 2006 to 2018 by sex, age, and sex and age combined. Data showed a global decrease both in a lifetime and frequent cannabis use between 2006 and 2018 but four-year comparisons revealed more variability within the specific sex-age groups. No change was found in lifetime use between 2014 and 2018 for all groups. The results emphasize the need for ongoing monitoring of trends in cannabis use and the importance of implementing preventive measures to avoid a change in tendency and to work with high-risk groups, especially 17–18-old boys.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46226656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1080/1067828X.2021.2015733
Victoria Lynch, Lisa Clemans-Cope, Emma Winiski
Abstract Among adolescents (ages 12–17) and young adults (ages 18–25) enrolled in Medicaid or the Children’s Health Insurance Program (CHIP), 0.5% of adolescents had opioid use disorder (OUD), 3.0% had other risky opioid use, 3.4% had another substance use disorder, and 21.6% used other substances without disorder. Compared to adolescents, the prevalence of OUD and other risky opioid use was about 3 and 2 times higher among young adult enrollees, among whom 1.6% had OUD and 5.8% had other risky opioid use. Among young adults, 8.6% had another SUD and 61.8% used other substances without disorder. Prevalence of OUD or other risky opioid use was substantially higher among Medicaid-enrolled youth with other substance use or health risk factors including more than double among those with fair or poor health, more than 3 times higher among those with heavy alcohol use, and more than 1.5 times higher among those with a major depressive episode. Results underscore the need to take a whole person approach to addressing risks for OUD.
{"title":"Prevalence of Opioid Use Disorder and Other Substance Use among Adolescents and Young Adults in Medicaid/CHIP, 2015–2019","authors":"Victoria Lynch, Lisa Clemans-Cope, Emma Winiski","doi":"10.1080/1067828X.2021.2015733","DOIUrl":"https://doi.org/10.1080/1067828X.2021.2015733","url":null,"abstract":"Abstract Among adolescents (ages 12–17) and young adults (ages 18–25) enrolled in Medicaid or the Children’s Health Insurance Program (CHIP), 0.5% of adolescents had opioid use disorder (OUD), 3.0% had other risky opioid use, 3.4% had another substance use disorder, and 21.6% used other substances without disorder. Compared to adolescents, the prevalence of OUD and other risky opioid use was about 3 and 2 times higher among young adult enrollees, among whom 1.6% had OUD and 5.8% had other risky opioid use. Among young adults, 8.6% had another SUD and 61.8% used other substances without disorder. Prevalence of OUD or other risky opioid use was substantially higher among Medicaid-enrolled youth with other substance use or health risk factors including more than double among those with fair or poor health, more than 3 times higher among those with heavy alcohol use, and more than 1.5 times higher among those with a major depressive episode. Results underscore the need to take a whole person approach to addressing risks for OUD.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41376952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1080/1067828X.2021.1971130
Elizabeth Day, Laura Tach, L. Fuzzell, Erin Mathios, A. Kallaher
Abstract Existing research on opioid misuse and child outcomes is scattered across subfields and nascent compared to scholarship regarding consequences for adults. This scoping review synthesizes studies examining postnatal consequences of parent opioid misuse for children. Findings from 52 studies showed a descriptive connection between parental opioid misuse and a range of adverse child outcomes including accidental poisonings, psychopathology, and child welfare system contact. It was unclear if connections between opioid misuse and child outcomes were due to opioids specifically or to related risk factors. Studies comparing opioids to other substances were inconclusive and few studies measured potential parenting mechanisms that may explain the association between opioid misuse and child outcomes.
{"title":"The Consequences of Postnatal Parental Opioid Misuse on Child Well-Being: a Scoping Review","authors":"Elizabeth Day, Laura Tach, L. Fuzzell, Erin Mathios, A. Kallaher","doi":"10.1080/1067828X.2021.1971130","DOIUrl":"https://doi.org/10.1080/1067828X.2021.1971130","url":null,"abstract":"Abstract Existing research on opioid misuse and child outcomes is scattered across subfields and nascent compared to scholarship regarding consequences for adults. This scoping review synthesizes studies examining postnatal consequences of parent opioid misuse for children. Findings from 52 studies showed a descriptive connection between parental opioid misuse and a range of adverse child outcomes including accidental poisonings, psychopathology, and child welfare system contact. It was unclear if connections between opioid misuse and child outcomes were due to opioids specifically or to related risk factors. Studies comparing opioids to other substances were inconclusive and few studies measured potential parenting mechanisms that may explain the association between opioid misuse and child outcomes.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59757792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1080/1067828X.2022.2060398
R. Wiener, L. Swager, Susan K. Morgan
Abstract The purpose of this research is to compare serum cotinine cutoffs for nicotine/tobacco exposure and self-reported tobacco use in adolescents. National Health and Nutrition Survey, 2015–18, cotinine levels and tobacco questions were analyzed for frequencies; bivariate and logistic regression analyses. With serum cotinine as the gold standard, self-report of current smoking detected 40.5% who had tobacco/nicotine exposure cotinine levels (sensitivity = 40.5%). Self-report of current smoking and/or e-cigarette use detected 60.0% who had tobacco/nicotine exposure cotinine levels (sensitivity = 60.0%). In this nationally representative study, caution should be considered in relying upon adolescent self-reported cigarette use, and self-reported cigarette and/or e-cigarette use.
{"title":"Adolescent Self-Reported Smoking and Electronic Cigarette Use vs. Serum Cotinine Level, NHANES, 2015–16 and 2017–18","authors":"R. Wiener, L. Swager, Susan K. Morgan","doi":"10.1080/1067828X.2022.2060398","DOIUrl":"https://doi.org/10.1080/1067828X.2022.2060398","url":null,"abstract":"Abstract The purpose of this research is to compare serum cotinine cutoffs for nicotine/tobacco exposure and self-reported tobacco use in adolescents. National Health and Nutrition Survey, 2015–18, cotinine levels and tobacco questions were analyzed for frequencies; bivariate and logistic regression analyses. With serum cotinine as the gold standard, self-report of current smoking detected 40.5% who had tobacco/nicotine exposure cotinine levels (sensitivity = 40.5%). Self-report of current smoking and/or e-cigarette use detected 60.0% who had tobacco/nicotine exposure cotinine levels (sensitivity = 60.0%). In this nationally representative study, caution should be considered in relying upon adolescent self-reported cigarette use, and self-reported cigarette and/or e-cigarette use.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41277438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-03DOI: 10.1080/1067828X.2021.1967247
J. Randall, J. York
Abstract Adolescents’ substance use disorders (SUD) and adolescents’ internet use disorders (IUD) have adverse health impacts on adolescents. For example, adolescents’ SUD adverse outcomes have included psychiatric disorders, criminal involvement, school truancy, unintended pregnancy, sexually transmitted infections, and physical health problems. Researchers have indicated that some of adolescents’ IUD adverse outcomes are depression, social withdrawal, anxiety, loneliness, decreased sleep, decreased physical activity, poor preparation for college, impaired self-esteem, increased risk for suicide, insecurity, and substance use disorders. Surprisingly, little research attention has been given to the impact of adolescents’ IUD on adolescents’ SUD. The purpose of this article is to describe the impact of adolescents’ IUD on adolescents’ SUD, to discuss the impact of adolescents’ IUD and adolescents’ SUD on gender, and to present research that suggests there is a need for home-based ecological treatments for adolescent females with SUD and IUD. Lessons learned will be presented after each of the aforementioned areas.
{"title":"Lessons Learned from the Impact of Adolescents’ Internet Use Disorders on Adolescents’ Substance Use Disorders","authors":"J. Randall, J. York","doi":"10.1080/1067828X.2021.1967247","DOIUrl":"https://doi.org/10.1080/1067828X.2021.1967247","url":null,"abstract":"Abstract Adolescents’ substance use disorders (SUD) and adolescents’ internet use disorders (IUD) have adverse health impacts on adolescents. For example, adolescents’ SUD adverse outcomes have included psychiatric disorders, criminal involvement, school truancy, unintended pregnancy, sexually transmitted infections, and physical health problems. Researchers have indicated that some of adolescents’ IUD adverse outcomes are depression, social withdrawal, anxiety, loneliness, decreased sleep, decreased physical activity, poor preparation for college, impaired self-esteem, increased risk for suicide, insecurity, and substance use disorders. Surprisingly, little research attention has been given to the impact of adolescents’ IUD on adolescents’ SUD. The purpose of this article is to describe the impact of adolescents’ IUD on adolescents’ SUD, to discuss the impact of adolescents’ IUD and adolescents’ SUD on gender, and to present research that suggests there is a need for home-based ecological treatments for adolescent females with SUD and IUD. Lessons learned will be presented after each of the aforementioned areas.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46019016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-03DOI: 10.1080/1067828X.2021.1943587
Danielle Delaney, S. Balestrieri, Shayna S. Bassett, L. Stein
Abstract Chronic cannabis use among adolescents is associated with many adverse health effects. One group of adolescents at the highest risk for chronic use are those involved in the juvenile justice system. While cannabis use disorder (CUD) screening tools have recently become briefer, ideally a single-item measure could be used to efficiently identify those who likely meet the criteria for CUD. These analyses aimed to determine whether a cut score, based on the frequency of cannabis use in the past year, could predict whether participants met the criteria for CUD among a sample of juvenile detainees (n = 189). DSM-IV diagnostic criteria for CUD were mapped onto current DSM-V criteria to determine a diagnosis. Two CUD severity cut scores were explored: (1) a cut score that distinguished those with no CUD or mild CUD from those who have a moderate or severe CUD, and (2) a cut score that distinguishes those with no, mild, or moderate CUD from those who have severe CUD. t-Tests revealed significant differences in the number of cannabis use days in the past year by both sets of CUD comparison categories. When predicting none/mild vs. moderate/severe CUD, the optimal cut score was found to be ≥24 cannabis use days; for no/mild/moderate vs. severe CUD, the optimal cut score was ≥57 days. Hierarchical regression demonstrated the addition of cannabis use days provided significant incremental validity beyond the proportion of friends who use substances when predicting diagnostic symptom count. This 1-item cannabis screener is an effective tool to quickly determine the need for further assessment of CUD.
{"title":"A Brief Screen to Detect Cannabis Use Disorder Among Incarcerated Youth","authors":"Danielle Delaney, S. Balestrieri, Shayna S. Bassett, L. Stein","doi":"10.1080/1067828X.2021.1943587","DOIUrl":"https://doi.org/10.1080/1067828X.2021.1943587","url":null,"abstract":"Abstract Chronic cannabis use among adolescents is associated with many adverse health effects. One group of adolescents at the highest risk for chronic use are those involved in the juvenile justice system. While cannabis use disorder (CUD) screening tools have recently become briefer, ideally a single-item measure could be used to efficiently identify those who likely meet the criteria for CUD. These analyses aimed to determine whether a cut score, based on the frequency of cannabis use in the past year, could predict whether participants met the criteria for CUD among a sample of juvenile detainees (n = 189). DSM-IV diagnostic criteria for CUD were mapped onto current DSM-V criteria to determine a diagnosis. Two CUD severity cut scores were explored: (1) a cut score that distinguished those with no CUD or mild CUD from those who have a moderate or severe CUD, and (2) a cut score that distinguishes those with no, mild, or moderate CUD from those who have severe CUD. t-Tests revealed significant differences in the number of cannabis use days in the past year by both sets of CUD comparison categories. When predicting none/mild vs. moderate/severe CUD, the optimal cut score was found to be ≥24 cannabis use days; for no/mild/moderate vs. severe CUD, the optimal cut score was ≥57 days. Hierarchical regression demonstrated the addition of cannabis use days provided significant incremental validity beyond the proportion of friends who use substances when predicting diagnostic symptom count. This 1-item cannabis screener is an effective tool to quickly determine the need for further assessment of CUD.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828X.2021.1943587","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47445627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-03DOI: 10.1080/1067828X.2021.1910091
Jennifer L. Frank, K. A. Fiegel
Abstract This study assessed the moderating effects of school facilitating conditions (school opportunities for prosocial involvement, school commitment, academic grades, and truancy) on adolescent marijuana use within the context of the Theory of Planned Behavior (TPB). Utilizing a large statewide surveillance study of adolescent risk and protective factors (N = 217,276), Structural Equation Modeling was used to examine the extent to which TPB constructs (behavioral beliefs, normative beliefs, control beliefs, and behavioral intention) predicted adolescent marijuana use. Results revealed the TPB model provided adequate fit to the data (χ 2(127) = 58,042, p < 0.01, CFI = 0.95, TLI = 0.94, RMSEA = 0.04), with strong and significant pathways in the directions expected. TPB constructs explained approximately 60% of the variance in intention and 34% of reported marijuana use over the past 30-days; revealing an unexplained intention-behavior gap. To explore this gap, we examined the role of school facilitating conditions on the relationship between intention and marijuana use. After controlling for related TPB constructs, moderation tests of this pathway revealed higher levels of school opportunities for prosocial involvement and school commitment significantly reduced the relationship between intention and marijuana use. Poor academic grades and higher levels of truancy strengthened the relationship between intention and marijuana use. These findings indicate school facilitating conditions may play an important role in adolescent decision-making regarding marijuana use. Greater attention to these conditions may address the intention-behavior gap and enhance the effectiveness of school-based drug prevention programming.
{"title":"Features of the School Environment That Moderate Adolescent Marijuana Use: An Application and Extension of the Theory of Planned Behavior","authors":"Jennifer L. Frank, K. A. Fiegel","doi":"10.1080/1067828X.2021.1910091","DOIUrl":"https://doi.org/10.1080/1067828X.2021.1910091","url":null,"abstract":"Abstract This study assessed the moderating effects of school facilitating conditions (school opportunities for prosocial involvement, school commitment, academic grades, and truancy) on adolescent marijuana use within the context of the Theory of Planned Behavior (TPB). Utilizing a large statewide surveillance study of adolescent risk and protective factors (N = 217,276), Structural Equation Modeling was used to examine the extent to which TPB constructs (behavioral beliefs, normative beliefs, control beliefs, and behavioral intention) predicted adolescent marijuana use. Results revealed the TPB model provided adequate fit to the data (χ 2(127) = 58,042, p < 0.01, CFI = 0.95, TLI = 0.94, RMSEA = 0.04), with strong and significant pathways in the directions expected. TPB constructs explained approximately 60% of the variance in intention and 34% of reported marijuana use over the past 30-days; revealing an unexplained intention-behavior gap. To explore this gap, we examined the role of school facilitating conditions on the relationship between intention and marijuana use. After controlling for related TPB constructs, moderation tests of this pathway revealed higher levels of school opportunities for prosocial involvement and school commitment significantly reduced the relationship between intention and marijuana use. Poor academic grades and higher levels of truancy strengthened the relationship between intention and marijuana use. These findings indicate school facilitating conditions may play an important role in adolescent decision-making regarding marijuana use. Greater attention to these conditions may address the intention-behavior gap and enhance the effectiveness of school-based drug prevention programming.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828X.2021.1910091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43428983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-03DOI: 10.1080/1067828X.2021.1888169
Allison Carney, S. Kaaya, Lusajo J. Kajula, Mobolaji Ibitoye, Graca Marwerwe, M. Sommer
Abstract Societal factors influencing adolescent alcohol initiation and use are not well documented in Tanzania. The goal of this qualitative study was to explore the structural and environmental factors influencing adolescent alcohol uptake and use in urban Tanzania. 177 adolescents aged 15–19 from varying socioeconomic backgrounds participated in 16 participatory groups (separated by sex and in-school/out-of-school status) at sites in four different locations in Dar es Salaam, Tanzania. Participatory methods were used, including listing and ranking activities, and photovoice, exploring adolescent’s perceptions around youth alcohol use, and recommendations for structural interventions to prevent or reduce adolescent alcohol uptake and use. Themes included: (1) “idle time” shapes adolescent alcohol use in urban Tanzania; (2) societal influences shape the locations where adolescents consume or purchase alcohol; and, (3) adolescents’ recommendations about structural approaches for reducing their idle time and vulnerability to alcohol use. Our findings highlight the need for programs and policies aimed at reducing youth idle time as an approach to reducing alcohol use, such as increasing opportunities for employment, extracurricular activities, and entertainment, particularly for adolescent boys in urban Tanzania, given their increased vulnerability to the uptake and use of alcohol.
{"title":"‘Most of the Youth Are Drinking Because They Have Nothing to Do’: How Idle Time Facilitates Adolescent Alcohol Use in Urban Tanzania","authors":"Allison Carney, S. Kaaya, Lusajo J. Kajula, Mobolaji Ibitoye, Graca Marwerwe, M. Sommer","doi":"10.1080/1067828X.2021.1888169","DOIUrl":"https://doi.org/10.1080/1067828X.2021.1888169","url":null,"abstract":"Abstract Societal factors influencing adolescent alcohol initiation and use are not well documented in Tanzania. The goal of this qualitative study was to explore the structural and environmental factors influencing adolescent alcohol uptake and use in urban Tanzania. 177 adolescents aged 15–19 from varying socioeconomic backgrounds participated in 16 participatory groups (separated by sex and in-school/out-of-school status) at sites in four different locations in Dar es Salaam, Tanzania. Participatory methods were used, including listing and ranking activities, and photovoice, exploring adolescent’s perceptions around youth alcohol use, and recommendations for structural interventions to prevent or reduce adolescent alcohol uptake and use. Themes included: (1) “idle time” shapes adolescent alcohol use in urban Tanzania; (2) societal influences shape the locations where adolescents consume or purchase alcohol; and, (3) adolescents’ recommendations about structural approaches for reducing their idle time and vulnerability to alcohol use. Our findings highlight the need for programs and policies aimed at reducing youth idle time as an approach to reducing alcohol use, such as increasing opportunities for employment, extracurricular activities, and entertainment, particularly for adolescent boys in urban Tanzania, given their increased vulnerability to the uptake and use of alcohol.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828X.2021.1888169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48700296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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