Assessing the “Gateway Hypothesis” among Middle and High School Students in Tennessee

Abstract

The current study examines the applicability of the “gateway hypothesis” to drug use patterns of secondary school students from a nonmetropolitan area in Tennessee. The data were collected from students in the 8^th, 10^th, and 12^th grades at three secondary schools, using self-administered questionnaires under supervision of teachers. Although there is some support for the gateway hypothesis in our data, there is also evidence that what differentiates those who move from initial marijuana use to use of harder drugs are risk factors unique to individuals and their environments, consistent with the predictions of problem behavior theory and integrated systems theory. Implications for various interpretations of the gateway hypothesis are discussed.

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References

Adler

Kandel

D. B.

1981 Cross-cultural perspectives on developmental stages in adolescent drug use. Journal of Studies on Alcohol, 42, 701–715.

Agrawal

Neale

Prescott

Kendler

2004a Cannabis and other illicit drugs: Comorbid use and abuse/dependence in males and females. Behavior Genetics, 34 (3), 217–228.

Agrawal

Neale

Prescott

Kendler

2004b A twin study of early cannabis use and subsequent use and abuse/dependence of other illicit drugs. Psychological Medicine, 34 (7), 1227–1237.

Bahr

Stephen J. Maughan

Suzanne

Marcos

Anastasios C.

Bingdao

1998 Family, religiosity, and the risk of adolescent drug use. Journal of Marriage and the Family, 60 (4), 979–992.

Biederman

Monuteaux

Mick

Wilens

Fontanella

Poetzl

Kirk

Masse

Faraone

2006 Is cigarette smoking a gateway to alcohol and illicit drug use disorders? A study of youths with and without Attention Deficit Hyperactivity Disorder. Biological Psychiatry, 59, 258–264.

Boyum

Reuter

2005 An analytic assessment of U.S. drug policy. Washington DC: American Enterprise Institute.

Brook

J.S.

Whiteman

Gordon

A.S.

1983 States of drug use in adolescence: Personality, peer, and family correlates. Developmental Psychology, 19, 269–277.

Chen

Unger

Palmer

Weiner

Johnson

Wong

Austin

2002 Prior cigarette smoking initiation predicting current alcohol use: Evidence for a gateway drug effect among California adolescents from eleven ethnic groups. Addictive Behavior, 27, 799–817.

Collier

2006 The genetics of cannabis involvement in humans: A genetic epidemiological perspective. Addiction, 101 (6), 780–781.

10.

Cox

Oakes

1984 Analysis of survival data. London: Chapman and Hall.

11.

Donovan

J. E.

Jessor

1983 Problem drinking and the dimension of involvement with drugs: A guttman scalogram analysis of adolescent drug use. American Journal of Public Health, 73, 543–552.

12.

Donovan

J. E.

Jessor

1985 The structure of problem behavior in adolescence and young adulthood. Journal of Consulting and Clinical Psychology, 53, 890–904.

13.

Ellickson

Hays

Bell

R. M.

1992 Stepping through the drug use Sequence: Longitudinal scalogram analysis of initiation and regular use. Journal of Abnormal Psychology, 101, 441–451.

14.

Garnier

H. E.

Stein

J. A.

2002 An 18-year model of family and peer effects on adolescent drug use and delinquency. Journal of Youth and Adolescence, 31 (1), 45–56.

15.

Goldstein

J.W.

Gleason

T. C.

Korn

J. H.

1975 Whither the epidemic? Psychoactive drug-use career patterns of college students. Journal of Applied Social Psychology, 5, 16–33.

16.

Golub

Johnson

B. D.

1994 Cohort differences in drug-use pathways to crack among current crack abusers in New York City. Criminal Justice and Behavior, 21 (4), 403–422.

17.

Golub

Johnson

B. D.

2001 Variation in youthful risks of progression from alcohol and tobacco to marijuana and to hard drugs across generations. American Journal of Public Health, 91 (2), 225–232.

18.

Golub

Johnson

B. D.

2002 The misuse of the ‘Gateway Theory’ in U.S. policy on drug abuse control: A secondary analysis of the muddled deduction. International Journal of Drug Policy, 13 (1), 5–19.

19.

Gove

W.R.

Geerken

Hughes

1979 Drug use and mental health among a representative sample of young adults. Social Forces, 58, 572–590.

20.

Hall

Lynskey

2005 Is cannabis a gateway drug? Testing hypotheses about the relationship between cannabis use and the use of other illicit drugs. Drug and Alcohol Review, 24 (1), 39–48.

21.

Hamburg

B.A.

Kraemer

H.C.

Jahnke

1975 A hierarchy of drug use in adolescence: Behavioral and attitudinal correlates of substantial drug use. American Journal of Psychiatry, 132, 1155–1163.

22.

Hawkins

J. D.

Catalano

R. F.

Miller

J. Y.

1992 Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64–105.

23.

Jang

S. J.

Johnson

B. R.

2001 Neighborhood disorder, individual religiosity, and adolescent use of illicit drugs: A test of multilevel hypotheses. Criminology, 39, 109–143.

24.

Jessor

S. L.

1978 Theory testing in longitudinal research on marihuana use. In Kandel

D.B.

(Ed.), Longitudinal research on drug use (pp. 41–78). Washington, D.C. Hemisphere Publishing Corporation.

25.

Jessor

S. L.

(1997). Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.

26.

Jessor

S. L.

Finney

1973 A social psychology of marijuana use: Longitudinal studies of high school and college youth. Journal of Personality and Social Psychology, 26, 1–15.

27.

Johnson

R. E.

Marcos

A. C.

Bahr

S. J.

1987 The role of peers in the complex etiology of adolescent drug use. Criminology, 25, 323–340.

28.

Johnston

1973 Marijuana users and drug subcultures. New York: John Wiley and Sons.

29.

Kandel

D.B.

1975 States in adolescent involvement in drug use. Science, 190, 912–914.

30.

Kandel

D.B.

1990 Parenting styles, drug use, and children's adjustment in families of young adults. Journal of Marriage and the Family, 52 (1), 183–196.

31.

Kandel

D. B.

2002 Examining the gateway hypothesis stages and pathways of drug involvement. In Kandel

D. B.

(Ed.), Stages and pathways of drug involvement: Examining the gateway hypothesis (pp. 3–15). New York, NY: Cambridge University Press.

32.

Kandel

2003

Does marijuana use cause the use of other drugs?

Journal of the American Medical Association, 289, 482–483.

33.

Kandel

D.B.

Faust

1975 Sequence and stages in patterns of adolescent drug use. Archives of General Psychiatry, 32, 923–932.

34.

Kandel

D.B.

Marguliers

R.Z.

Davies

1978 Analytical strategies for studying transitions into developmental stages. Sociology of Education, 51, 162–176.

35.

Kandel

D.B.

Yamaguchi

1993 From beer to crack: Developmental patterns of drug involvement. American Journal of Public Health, 83, 851–855.

36.

Kandel

D.B.

Yamaguchi

1999 Developmental stages of involvement in substance use. In Tarter

R. E.

Ammerman

R. J.

Ott

P. J.

(Eds.), Sourcebook on substance abuse: Etiology, assessment and treatment (pp. 50–70). Needham Heights, MA: Allyn and Bacon.

37.

Kandel

D.B.

Yamaguchi

Chen

1992 Stages of progression in drug involvement from adolescence to adulthood: Further evidence for the gateway theory. Journal of Studies on Alcohol, 1992, 447–457.

38.

Kaplan

H. B.

Martin

S. S.

Robbins

1984 Pathways to adolescent drug use: Self-derogation, peer influence, weakening of social controls, and early substance use. Journal of Health and Social Behavior, 25 (3), 270–289.

39.

Kokkevi

Richardson

Florescu

Kuzman

Stergar

2007 Psychosocial correlates of substance use in adolescence: A cross-national study in six European countries. Drug and Alcohol Dependence, 86 (1), 67–74.

40.

Lessem

Hopfer

Haberstick

Timberlake

Ehringer

Smolen

Hewitt

2006 Relationship between adolescent marijuana use and young adult illicit drug use. Behavioral Genetics, 36, 4.

41.

McCambridge

Strang

2005 Age of first use and ongoing patterns of legal and illegal drug use in a sample of young Londoners. Substance Use and Misuse, 40 (3), 313–319.

42.

MacCoun

1998

In what sense (if any) is marijuana a gateway drug?

Drug Policy Analysis Bulletin, 4, 5–8.

43.

MacCoun

2006 Competing accounts of the gateway effect: The field thins, but still no clear winner. Addiction, 101 (4), 470–476.

44.

Mackesy-Amiti

M. E.

Fendrich

Goldstein

P. J.

1997 Sequence of drug use among serious drug users: Typical vs. atypical progression. Drug and Alcohol Dependence, 45, 185–196.

45.

Margulies

Rebecca Z.

Kessler

Ronald C.

Kandel

D.S.

1977 A longitudinal study of onset of drinking among high-school students. Journal of Studies on Alcohol, 38, 897–912.

46.

Mellinger

G. D.

Sommers

R. H.

Davidson

S. T.

Manheimer

D. I.

1976 The amotivational syndrome and the college student. Annals of the New York Academy of Sciences, 282, 37–55.

47.

Mills

C.J.

Noyes

H.L.

1984 Patterns and correlates of initial and subsequent drug use among adolescents. Journal of Consulting and Clinical Psychology, 52, 231–243.

48.

Morral

McCaffrey

Paddock

2002 Reassessing the marijuana gateway effect. Addiction, 97, 1493–1504.

49.

National Center on Addiction and Substance Abuse (CASA) 1994 Cigarettes, alcohol, marijuana: Gateways to illicit drug use. New York: CASA.

50.

Oetting

E.R.

Donnermeyer

J.F.

1998 Primary socialization theory: The etiology of drug use and deviance. Substance Use and Misuse, 33, 995–1026.

51.

Office of National Drug Control Policy 2006 White House drug policy. Retrieved June 10, 2007, from http://www.whitehousedrugpolicy.gov.

52.

Office of National Drug Control Policy 2007 National drug control strategy. Retrieved June 10, 2007, from http://whitehousedrugpolicy.gov/publications/policy/ndcs07/ndcs07.pdf.

53.

Paulsen

Robinson

2004 Spatial aspects of crime: Theory and practice. Boston, MA: Allyn & Bacon.

54.

Rebellon

Gundy

2006 Can social psychological delinquency theory explain the link between marijuana and other illicit drug use?: A longitudinal analysis of the gateway hypothesis. Journal of Drug Issues, 36 (3), 515–539.

55.

Reid

Elifson

Sterk

2007 Ecstasy and gateway drugs: Initiating the use of ecstasy and other drugs. Annals of Epidemiology, 17 (1), 74–80.

56.

Robinson

2004

Why crime?

An integrated systems theory of antisocial behavior. Upper Saddle River, NJ: Prentice Hall.

57.

Robinson

Scherlen

2007 Lies, damned lies, and drug war statistics: A critical analysis of claims made by the office of national drug control policy. Albany, NY: SUNY Press.

58.

Smith

G. M.

Fogg

C. P.

1978 Psychological predictors of early use, late use, and nonuse of marijuana among teenage students. In Kandel

D.B.

(Ed.), Longitudinal research on drug use (pp. 101–114). Washington, D.C.: Hemisphere Publishing Corporation.

59.

The National Center on Addiction and Substance Abuse 1994 Cigarettes, alcohol, marijuana: Gateways to illicit drug use. New York: Author.

60.

Tabchnick

B. G.

Fidell

L. S.

2001 Using multivariate statistics. Needham Heights, MA: Allyn and Bacon.

61.

Tarter

Vanyukov

Kirisci

Reynolds

Clark

2006 Predictors of marijuana use in adolescents before and after licit drug use: Examination of the gateway hypothesis. American Journal of Psychiatry, 163 (12), 2134–2140.