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- Creators: Arizona State University
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Description
Although research has documented robust prospective relationships between externalizing symptomatology and subsequent binge drinking among adolescents, the extent to which internalizing symptoms increase risk for drinking remains controversial. In particular, the role of anxiety as a predictor of binge drinking remains unclear. Recent evidence suggests that one possible reason for these mixed findings is that separate dimensions of anxiety may differentially confer risk for alcohol use. The present study tested two dimensions of anxiety - worry and physiological anxiety -- as predictors of binge drinking in a longitudinal study of juvenile delinquents. Overall, results indicate that worry and physiological anxiety showed differential relations with drinking behavior. In general, worry was protective against alcohol use, whereas physiological anxiety conferred risk for binge drinking, but both effects were conditional on levels of offending. Implications for future research examining the role of anxiety in predicting drinking behavior among youth are discussed.
ContributorsNichter, Brandon (Author) / Chassin, Laurie (Thesis advisor) / Barrera, Manuel (Committee member) / Presson, Clark (Committee member) / Arizona State University (Publisher)
Created2014
Description
Although prior research has identified negative consequences from marijuana use, some states are legalizing marijuana for medical use due to its medical utility. In 2010, the State of Arizona passed medical marijuana legislation, yet, to date, little research has been published about the specific population characteristics of medical marijuana users or their criminal activity. The purpose of this study is to present the characteristics of medical marijuana users and examine the relationship between medical marijuana use and crime, including substance use, by comparing four groups which are medical marijuana users with authorized medical marijuana ID card (authorized medical marijuana users, AuMM users), medical marijuana users without authorized medical marijuana ID card (non-authorized medical marijuana users, NonAuMM users), illegal marijuana users without authorized medical marijuana ID card (non-authorized marijuana users, NonAuM users), and non-marijuana users (Non-users). Data were collected from a sample of recently booked arrestees in Maricopa County, Arizona through the Arizona Arrestee Reporting Information Network (AARIN) project. A total of 2,656 adult arrestees participated in the study. Findings show that authorized medical marijuana users were more likely to be male, younger, and high school graduates. Medical marijuana users, on average, were likely to acquire more marijuana and spend more money on obtaining marijuana compared to non-authorized marijuana users. Whereas the authorized medical marijuana users had a higher probability for DUI and drug selling/making than non-marijuana users, non-authorized medical marijuana users had a higher probability for involvement property crime, violent crime, DUI, and drug selling/making than non-marijuana users. Authorized medical marijuana users were less likely to use meth compared to non-authorized medical marijuana users and non-authorized marijuana users. This study suggests that it is important to recognize the non-authorized medical marijuana users under medical marijuana policy as well as the DUI regulations and medical insurance.
ContributorsCheon, Hyunjung (Author) / Katz, Charles (Thesis advisor) / White, Michael (Committee member) / Shafer, Michael (Committee member) / Arizona State University (Publisher)
Created2014
Description
Other studies have previously demonstrated that perceived stress and maladaptive stress management can lead to harmful outcomes including depression, morbidity, and mortality. College students (especially freshmen) have more difficulty dealing with stress, which can increase their susceptibility to engage in high risk behaviors. The importance of conducting this research is to discover the effects that perceived stress levels may have on depression outcomes in college students, and to evaluate the influence of health related behaviors on this relationship. This study used a retrospective cross-sectional correlational design to examine correlations between perceived stress, physical activity, and other health behaviors on clinical and perceived depression in college students. A random sample of 20,000 students was drawn from 62,476 students enrolled at Arizona State University (ASU). Participants included 2,238 students who volunteered to take the American College Health Association-National College Health Assessment (ACHA-NCHA) in spring 2009. Supplemental questions for ASU students were developed by ASU Wellness and administered as a part of the ACHA-NCHA II. The university sent an invitation email, wherein students were directed through a hyperlink to the survey website. ACHA provided institutional survey data in an SPSS file for analysis. The data were evaluated with Spearman Rho Correlation Analysis and Wilcoxon-Mann-Whitney test. There were more female participants (n = 580) than males (n = 483), both averaged 23 years of age. Men had greater height, weight, and body mass index than females, all were significant mean differences. There were more significant correlations between health factors and having perceived depression than with having real or diagnosed depression. Logistic regression showed that out of all variables and behaviors studied, only high levels of stress, poor general health, substance use, and gender (female) resulted in significant odds in predicting that a participant would be in one of the depression categories. This research suggests that addressing these factors may be important to prevent and reduce depression among college students. This study provides empirical evidence that there is a significant relationship between perceived stress and depression among college students, and that health behaviors such as substance abuse have a negative mediating effect on this relationship.
ContributorsSkipworth, Katherine (Author) / Swan, Pamela (Thesis advisor) / Woodruff, Larry (Committee member) / Moses, Karen (Committee member) / Arizona State University (Publisher)
Created2011
Description
ABSTRACT The relationships between adaptive and maladaptive aspects of gender roles in predicting substance use were examined in a sample of 955 (450 boys, 505 girls) Mexican American 7th and 8th grade adolescents participating in a school-based substance use intervention. The moderating effect of linguistic acculturation, the mediating effects of antisociality, depressive symptoms, and adaptive and avoidant coping on gender role-substance use relationships were examined. Correlational and path analyses supported the Functional Model of Gender Roles that considers these roles as adaptive or maladaptive social coping strategies. For boys, the path analyses yielded significant direct paths from aggressive masculinity to composite alcohol, cigarette, and marijuana use measures, with all other effects of gender roles on substance use operating through the mediators. Bootstrapped mediation tests yielded significant indirect paths, where for boys the positive relationships between assertive and aggressive masculinity with substance use and the negative relationship of affective femininity with substance use were mediated through antisociality, which is predictive of increased substance use. For girls, the positive relationship between aggressive masculinity with cigarette and alcohol use and the negative relationship of affective femininity with alcohol and cigarette use were also mediated by adaptive coping, which is predictive of decreased substance use. A different set of significant indirect paths through avoidant coping connected assertive masculinity and submissive femininity to alcohol use for boys. For boys, the paths from affective femininity to antisociality and adaptive coping were found to be moderated by linguistic acculturation, with the negative correlation of affective femininity with antisociality and positive correlation of this gender role with adaptive coping being stronger in boys low in acculturation. In turn, the pathway from this acculturation by affective femininity interaction to substance use was found to be mediated by antisociality. The present analyses confirmed the importance of gender roles and their interaction with acculturation in predicting substance use in Mexican American adolescents. The analyses also were important in delineating functional mechanisms through which these gender roles have their effects, with implications for the design of interventions to reduce substance use in this population.
ContributorsNagoshi, Julieann Lynn (Author) / Kulis, Stephen (Thesis advisor) / Marsiglia, Flavio (Committee member) / Gillmore, Mary (Committee member) / Arizona State University (Publisher)
Created2012
Description
There were two primary goals of this study, the first of which was to replicate previously established curvilinear associations between school affluence and substance use, while assessing potential relations between socioeconomic status (SES) and academic success during the transition to college. The second goal of this study was to establish patterns of perceived parenting factors in order to assess predictive value of such latent profiles with respect to student outcomes relevant to wellbeing and retention in college. Results indicated that substance use was, in fact, associated in a “U-shaped,” curvilinear fashion with high school affluence. Additionally, students grouped into three primary perceived parenting profiles, characterized broadly as “authoritative,” “warm and permissive,” and “uninvolved.” While “optimal” outcomes were associated with students in the authoritative group, these latent profiles lacked predictive value. Supplemental analyses revealed differential associations of various parent factors with males and females, as well as advantaged and disadvantaged youth. Taken together, these results emphasized the importance of parenting during high school in order to promote healthy, safe habits and sufficient self-agency during the transition to college.
ContributorsSmall, Phillip (Author) / Luthar, Suniya S. (Thesis advisor) / Infurna, Frank J. (Committee member) / Crnic, Keith A (Committee member) / Berkel, Cady (Committee member) / Arizona State University (Publisher)
Created2019
Description
A secondary data analysis was conducted to investigate the direct and indirect effects of family traditionalism, family cohesion, and parent involvement on alcohol, cigarette, and marijuana use in a sample of pre-adolescent youth (N = 635) and their parents (N = 462). Aim one hypothesized that family cohesion and family traditionalism would be indicators of a higher order construct, operationalized as familismo. Aims two and three hypothesized that family traditionalism, family cohesion, and parent involvement would be protective against youth substance use. Finally, aim four hypothesized that acculturation would decrease the protective effects of family traditionalism and family cohesion on substance use.
Using second order confirmatory factor analysis, aim one found that family cohesion and family traditionalism were indicators of a second order structure. Regarding aims two and three, a consistent significant association was found between family cohesion and parent involvement across alcohol, cigarette, and marijuana use outcomes. As well, family cohesion was significantly and inversely associated with past 30-day alcohol use amount ( = -.21, p < 0.05), lifetime alcohol use ( = -.19, p < 0.05), and lifetime marijuana use ( = -.31, p < 0.001). Counter to what was hypothesized, a significant positive relationship between family traditionalism and past 30-day alcohol use amount was found. No significant indirect effects were found. Specific to aim four, significant moderation effects were found between family cohesion and acculturation on alcohol and cigarette use. Higher acculturated youth had greater past 30-day alcohol and cigarette use amount compared to low acculturated youth; as family cohesion increased, alcohol and cigarette use for both low and high-acculturated youth decreased.
This study has important implications for social work and future research specific to culture, family, and youth substance use. This study may assist direct social work practitioners, school personnel, and other professionals that work with Latino youth and families in the tailoring of services that are culturally sensitive and relevant to this population and provides further understanding regarding the impact of culture and family on Latino youth substance use. Findings and limitations are discussed specific to social work practice, policy, and research.
Using second order confirmatory factor analysis, aim one found that family cohesion and family traditionalism were indicators of a second order structure. Regarding aims two and three, a consistent significant association was found between family cohesion and parent involvement across alcohol, cigarette, and marijuana use outcomes. As well, family cohesion was significantly and inversely associated with past 30-day alcohol use amount ( = -.21, p < 0.05), lifetime alcohol use ( = -.19, p < 0.05), and lifetime marijuana use ( = -.31, p < 0.001). Counter to what was hypothesized, a significant positive relationship between family traditionalism and past 30-day alcohol use amount was found. No significant indirect effects were found. Specific to aim four, significant moderation effects were found between family cohesion and acculturation on alcohol and cigarette use. Higher acculturated youth had greater past 30-day alcohol and cigarette use amount compared to low acculturated youth; as family cohesion increased, alcohol and cigarette use for both low and high-acculturated youth decreased.
This study has important implications for social work and future research specific to culture, family, and youth substance use. This study may assist direct social work practitioners, school personnel, and other professionals that work with Latino youth and families in the tailoring of services that are culturally sensitive and relevant to this population and provides further understanding regarding the impact of culture and family on Latino youth substance use. Findings and limitations are discussed specific to social work practice, policy, and research.
ContributorsMartinez, Marcos Jerome (Author) / Marsiglia, Flavio F (Thesis advisor) / Kulis, Stephen (Committee member) / Anthony, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2015
Description
There has been a rise in heroin use throughout the United States due to doctors increasingly prescribing painkillers to patients with chronic pain (Kanouse & Compton, 2015; Compton, Boyle, & Wargo, 2015). Individuals get addicted to painkillers and, when their doctor will no longer prescribe them, turn to alternative methods of relief; heroin is often their cheapest option (Kolodny, Courtwright, Hwang, Kreiner, Eadie, Clark, & Alexander 2015). Heroin users are three to four times more likely to die from overdose than other types of drug users (Darke & Hall, 2003). The purpose of this study is to determine the likelihood that heroin users successfully reenter the community upon release from prison in comparison to other types of drug users. There are several re-entry outcomes that can be considered “success”; this study measures success as an index of the quality of the returning offender’s familial relationships as well as recidivism. The data used for this analysis is the Serious and Violent Offender Reentry Initiative (SVORI). The sample consists of male offenders, aged 18 years and older, who have been convicted of and imprisoned for a serious or violent crime. Findings suggest familial social support does not have an effect on heroin use, but heroin use increases the risk of recidivism. These findings will provide a context for rehabilitation of heroin offenders and will launch future research focusing on the differences between heroin users and other types of drug users.
ContributorsGriffin, Amber (Author) / Wallace, Danielle (Thesis advisor) / Wright, Kevin (Committee member) / Chamberlain, Alyssa (Committee member) / Arizona State University (Publisher)
Created2016
Description
Adolescent substance use carries a considerable public health burden, and early initiation into use is especially problematic. Research has shown that sensation seeking traits increase risk for substance use experimentation, but less is known about individual and contextual factors that can potentially protect against this risk. This study utilized a longitudinal sub sample of youth (N=567) from a larger study of familial alcoholism to examine sensation seeking in early adolescence (ages 10-15) and its relations to later substance use experimentation. Hypotheses tested whether individual executive control, parenting consistency, neighborhood disadvantage, and neighborhood ethnic concentration moderated sensation seeking’s effects on substance use experimentation using multilevel zero-inflated Poisson modeling. Across models, higher levels of sensation seeking were predictive of a higher likelihood of having initiated substance use, but sensation seeking was not significantly related to the number of different substance use classes tried. Only neighborhood disadvantage emerged as a significant moderator of the path from sensation seeking to substance use initiation. The strength of sensation seeking effects on substance use initiation increased as neighborhood disadvantage decreased below average levels, with the most advantaged neighborhoods exhibiting the strongest link between sensation seeking and substance use. There was also a trend towards the most disadvantaged neighborhoods exhibiting increased sensation seeking effects on substance use initiation. These results highlight the importance of focusing on relatively more advantaged areas as potentially risky environments for the externalizing pathway to substance use.
ContributorsJensen, Michaeline R (Author) / Gonzales, Nancy A. (Thesis advisor) / Chassin, Laurie (Thesis advisor) / Enders, Craig (Committee member) / White, Rebecca (Committee member) / Arizona State University (Publisher)
Created2016
Description
There is a growing trend among community samples of young, adult women to initiate drug use for weight loss (Boys, Marsden, & Strang, 2001; Mendieta-Tan, Hulbert-Williams, & Nicholls, 2013). Research has suggested that consequential weight loss may maintain drug use (Cohen, et al., 2010; Ersche, Stochl, Woodward, & Fletcher, 2013; Sirles, 2002), which is compounded by women's perception that drugs are convenient and guarantee weight loss (Mendieta-Tan, et al., 2013). Stimulants, including cocaine, amphetamine, methamphetamine, and ecstasy, are notable drugs of use among college students (Johnston, et al., 2014; Teter, McCabe, LaGrange, Cranford, & Boyd, 2006). With known appetitive and metabolic effects, stimulants may be particularly attractive to college women, who are at elevated risk for increased body dissatisfaction and experimenting with extreme weight loss techniques (Grunewald, 1985; National Eating Disorder Association, 2013). A preliminary epidemiological study of 130 college women between 16- and 24-years old (Mage = 18.76, SDage = 1.09) was conducted to begin to investigate this phenomenon. Results showed women who reported use for weight control (n = 19, 14.6 %) predominantly used stimulants (68.4%), and this subgroup was severely elevated on global and subscales of eating pathology compared with college norms. Moreover, the odds of stimulant use were doubled when women engaged in a compensatory behavior, such as excessive exercise, self-induced vomiting, and laxative use. Although preliminary, these results suggest that a desire for weight control may be associated with stimulant use among college women. Women engaging in more extreme weight loss behaviors are at high risk for initiating and maintaining illicit stimulant use for weight-related reasons.
ContributorsBruening, Amanda B (Author) / Perez, Marisol (Thesis advisor) / Grimm, Kevin (Committee member) / Chassin, Laurie (Committee member) / Arizona State University (Publisher)
Created2016
Description
Dietary supplement (DS) use among adults is on the rise. This growing trend in DS use mirrors the quick and exponential growth of the fitness industry. The fitness industry focuses on the “appearance of health”, although some individuals focus on their appearance over and above their health. As a result of this focus on appearance, certain aspects of this unregulated industry promote unhealthy standards of beauty and an increase in negative body image, and influences at-risk youth to engage in dangerous practices such as extreme diet and exercise routines, or the misuse of dietary supplements. All of these factors have been linked to appearance and performance enhancing drug use, which is associated with substance use in athletes and non-athletes. This study sought to explore the role of gender as it pertained to dietary supplement use, specifically how gender differences amongst predictors of DS use (including BMI, physical activity, and body image) were associated with overall substance use in college students. The relationship between current DS use and other substance use was also examined. Students recruited from ASU fitness centers completed a survey which included questions on demographics, height and weight to calculate BMI, and several published, standardized questionnaires used to measure drug use, physical activity, body image, steroid and ephedrine use and attitudes, and dietary supplement use. There were significant gender differences in DS use as well as predictors or DS use. Controlling for demographic information, energy enhancing DS use and knowing someone who used steroids increased the likelihood an individual intended on using steroids in the future. Body image was not related to substance use in males, and physical activity mediated the relationship between DS use and substance use in males. While body image was associated with substance use in females, neither physical activity nor body image mediated the relationship between DS use and substance use in females.
ContributorsBucko, Agnes G (Author) / Vargas, Perla A (Thesis advisor) / Kassing, Jeffrey (Committee member) / Youngstedt, Shawn (Committee member) / Arizona State University (Publisher)
Created2017