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Substance Abuse Treatment, Prevention, and Policy
Published in: Substance Abuse Treatment, Prevention, and Policy 1/2013

Open Access 01-12-2013 | Research

Adolescent substance use and peer use: a multilevel analysis of cross-sectional population data

Authors: Alfgeir Logi Kristjansson, Inga Dora Sigfusdottir, John P Allegrante

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2013

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Abstract

Background

Limited evidence exists concerning the importance of social contexts in adolescent substance use prevention. In addition to the important role schools play in educating young people, they are important ecological platforms for adolescent health, development and behaviors. In this light, school community contexts represent an important, but largely neglected, area of research in adolescent substance use and prevention, particularly with regard to peer influences. This study sought to add to a growing body of literature into peer contexts by testing a model of peer substance use simultaneously on individual and school community levels while taking account of several well established individual level factors.

Method

We analyzed population-based data from the 2009 Youth in Iceland school survey, with 7,084 participants (response rate of 83.5%) nested within 140 schools across Iceland. Multilevel logistic regression models were used to analyze the data.

Results

School-level peer smoking and drunkenness were positively related to adolescent daily smoking and lifetime drunkenness after taking account of individual level peer smoking and drunkenness. These relationships held true for all respondents, irrespective of socio-economic status and other background variables, time spent with parents, academic performance, self-assessed peer respect for smoking and alcohol use, or if they have substance-using friends or not. On the other hand, the same relationships were not found with regard to individual and peer cannabis use.

Conclusions

The school-level findings in this study represent context effects that are over and above individual-level associations. This holds although we accounted for a large number of individual level variables that studies generally have not included. For the purpose of prevention, school communities should be targeted as a whole in substance use prevention programs in addition to reaching to individuals of particular concern.
Literature
1.
2.
Bray JH, Adams GJ, Getz JG, McQueen A: Individuation, peers, and adolescent alcohol use: a latent growth analysis. J Consult Clin Psychol. 2003, 71: 553-564.CrossRefPubMed
3.
Hill J, Emery RE, Harden KP, Mendle J, Turkheimer E: Alcohol use in adolescent twins and affiliation with substance using peers. J Abnorm Child Psychol. 2008, 36: 81-94. 10.1007/s10802-007-9161-0.PubMedCentralCrossRefPubMed
4.
Go MH, Green HD, Kennedy DP, Pollard M, Tucker JS: Peer influence and selection effects on adolescent smoking. Drug Alcohol Depend. 2010, 109: 239-242. 10.1016/j.drugalcdep.2009.12.017.CrossRefPubMed
5.
Hoffman BR, Monge PR, Chou CP, Valente TW: Perceived peer influence and peer selection on adolescent smoking. Addict Behav. 2007, 32: 1546-1554. 10.1016/j.addbeh.2006.11.016.CrossRefPubMed
6.
Leatherdale ST, Cameron R, Brown KS, Jolin MA, Kroeker C: The influence of friends, family, and older peers on smoking among elementary school students: Low-risk students in high-risk schools. Prev Med. 2006, 42: 218-222. 10.1016/j.ypmed.2005.11.019.CrossRefPubMed
7.
Fite PJ, Colder CR, O’Connor RM: Childhood behavior problems and peer selection and socialization: risk for adolescent alcohol use. Addict Behav. 2006, 31: 1454-1459. 10.1016/j.addbeh.2005.09.015.CrossRefPubMed
8.
Curran PJ, Stice E, Chassin L: The relation between adolescent alcohol use and peer alcohol use: a longitudinal random coefficients model. J Consult Clin Psychol. 1997, 65: 130-140.CrossRefPubMed
9.
Ennett ST, Bauman KE: The contribution of influence and selection to adolescent peer group homogeneity: the case of adolescent cigarette-smoking. J Pers Soc Psychol. 1994, 67: 653-663.CrossRefPubMed
10.
Vervaeke HKE, Van Deursen L, Korf DJ: The role of peers in the initiation and continuation of ecstasy use. Subst Use Misuse. 2008, 43: 633-646. 10.1080/10826080701204854.CrossRefPubMed
11.
Hoffman BR, Sussman S, Unger JB, Valente TW: Peer influences on adolescent cigarette smoking: a theoretical review of the literature. Subst Use Misuse. 2006, 41: 103-155. 10.1080/10826080500368892.CrossRefPubMed
12.
Mason WA, Windle M: Family, religious, school and peer influences on adolescent alcohol use: a longitudinal study. J Stud Alcohol. 2001, 62: 44-53.CrossRefPubMed
13.
Nash SG, McQueen A, Bray JH: Pathways to adolescent alcohol use: family environment, peer influence, and parental expectations. J Adolesc Health. 2005, 37: 19-28. 10.1016/j.jadohealth.2004.06.004.CrossRefPubMed
14.
Snjiders TA, Bosker RJ: Multilevel analysis: an introduction to basic and advanced multilevel modeling. 1999, London: Sage
15.
Guo G, Zhao H: Multilevel modeling for binary data. Ann Rev Sociol. 2000, 26: 441-462. 10.1146/annurev.soc.26.1.441.CrossRef
16.
17.
18.
Sigfusdottir ID, Thorlindsson T, Kristjansson AL, Roe KM, Allegrante JP: Substance use prevention for adolescents: the Icelandic model. Health Promot Int. 2009, 24: 16-25.CrossRefPubMed
19.
Kristjansson AL, James JE, Allegrante JP, Sigfusdottir ID, Helgason AR: Adolescent substance use, parental monitoring, and leisure time activities: 12-year outcomes of primary prevention in Iceland. Prev Med. 2010, 51: 168-171. 10.1016/j.ypmed.2010.05.001.CrossRefPubMed
20.
Sigfusdottir ID, Kristjansson AL, Thorlindsson T, Allegrante JP: Trends in prevalence of substance use among Icelandic adolescents, 1995–2006. Subst Abuse Treatm Prev Policy. 2008, 3: 12-10.1186/1747-597X-3-12.CrossRef
21.
Leatherdale ST, McDonald P, Cameron R, Brown KS: A multi-level analysis examining the relationship between social influences for smoking and smoking onset. Am J Health Behav. 2005, 29: 520-530. 10.5993/AJHB.29.6.7.CrossRefPubMed
22.
Kuntsche E, Jordan MD: Adolescent alcohol and cannabis use in relation to peer and school factors – results of a multilevel analyses. Drug Alcohol Depend. 2006, 84: 167-174. 10.1016/j.drugalcdep.2006.01.014.CrossRefPubMed
23.
Kuntche E: When cannabis is available and visible at school – a multilevel analysis of students’ cannabis use. Drugs. 2010, 17: 681-688.
24.
Ennett ST, Bauman KE, Hussong A, Faris R, Foshee VA, Cai L, DuRant RH: The peer context of adolescent substance use: findings from social network analysis. J Res Adolesc. 2006, 16: 159-186. 10.1111/j.1532-7795.2006.00127.x.CrossRef
25.
ter Bogt T, Schmid H, Gabhainn SN, Fotiou A, Vollebergh W: Economic and cultural correlates of cannabis use among mid-adolescents in 31 countries. Addiction. 2006, 101: 241-251. 10.1111/j.1360-0443.2006.01309.x.CrossRefPubMed
26.
Alexander C, Piazza M, Mekos D, Valente T: Peers, schools, and adolescent cigarette smoking. J Adolesc Health. 2001, 2001 (29): 22-30.CrossRef
27.
Mayberry ML, Espelage DL, Koenig B: Multilevel modeling of direct effects and interaction of peers, parents, school and community influences on adolescent substance Use. J Youth Adolesc. 2009, 38: 1038-1049. 10.1007/s10964-009-9425-9.CrossRefPubMed
28.
29.
Kristjansson AL, Sigfusdottir ID, Allegrante JP, Helgason AR: Social correlates of cigarette smoking among Icelandic adolescents: a population-based cross-sectional study. BMC Public Health. 2008, 8: 86-10.1186/1471-2458-8-86.PubMedCentralCrossRefPubMed
30.
Sigfusdottir ID, Kristjansson AL, Allegrante JP: Health behavior and academic achievement in Icelandic school children. Health Educ Res. 2007, 22: 70-80.CrossRefPubMed
31.
Bernburg JG, Thorlindsson T, Sigfusdottir ID: Relative deprivation and adolescent outcomes in Iceland: a multilevel test. Soc Forces. 2009, 87: 1223-1250. 10.1353/sof.0.0177.CrossRef
32.
Piko BF, Kovacs E: Do parents and school matter? protective factors for adolescent substance use. Addict Behav. 2010, 35: 53-56. 10.1016/j.addbeh.2009.08.004.CrossRefPubMed
33.
O’Malley PM, Johnston LD, Bachman JG, Schulenberg JE, Kumar R: How substance Use differs among American secondary schools. Prev Sci. 2006, 7: 409-420. 10.1007/s11121-006-0050-5.CrossRefPubMed
34.
Song EY, Reboussin BA, Foley KL, Kaltenback LA, Wagoner KG, Wolfson M: Selected community characteristics and underage drinking. Subst Use Misuse. 2009, 44: 179-194. 10.1080/10826080802347594.CrossRefPubMed
35.
Wright DA, Bobashev G, Folsom R: Understanding the relative influence of neighborhood, family, and youth on adolescent drug use. Subst Use Misuse. 2007, 42: 2159-2171. 10.1080/10826080701212675.CrossRefPubMed
36.
Hibell B, Guttormsson U, Ahlström S, Balakireva O, Bjarnason T, Kokkevi A, Kraus L: The 2007 ESPAD report: substance Use among students in 35 European countries. 2009, CAN, EMCDDA and the Pompidou Group: Stockholm
Metadata
Title
Adolescent substance use and peer use: a multilevel analysis of cross-sectional population data
Authors
Alfgeir Logi Kristjansson
Inga Dora Sigfusdottir
John P Allegrante
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Substance Abuse Treatment, Prevention, and Policy / Issue 1/2013
Electronic ISSN: 1747-597X
DOI
https://doi.org/10.1186/1747-597X-8-27

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