Perceived Risk of Weekly Marijuana Use Among Students Participating in the National Survey on Drug Use and Health

Abstract

This study sought to assess the relationship of risk perception of weekly marijuana use and the influence of parental, peer, and school factors as predictors among U.S. adolescents. Data for this study was derived from the 2020 National Survey on Drug Use and Health. Students who reported strong parental involvement/support, peer disapproval of marijuana use, low perception of peer use, and enjoyed school were more likely to report that using marijuana weekly was a risk behavior. Students who reported no lifetime alcohol or illicit drug use were more likely to view weekly marijuana use as a risk behavior. Differences were also observed for sex of respondent. This study further adds evidence of the influence of parental, peer, and school factors as effective strategies to control adolescent marijuana use. There is a need for multidimensional programs that target adolescents’ perceptions of risk of marijuana use, as well as targeting significant others.

Keywords

risk perception marijuana adolescents parental involvement peer influence

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References

Barnes

G. M.

Hoffman

J. H.

Welte

J. W.

(2006). Effects of parental monitoring and peer deviance on substance use and delinquency. Journal of Marriage and Family, 68(1), 1084–1104. https://doi.org/10.1111/j.1741-3737.2006.00315.x

Barrett

Bradley

(2016). Attitudes and perceived risk of cannabis use in Irish adolescents. Irish Journal of Medical Science, 185(3), 643–647. https://doi.org/10.1007/s11845-015-1325-2

Bryant

A. L.

Schulenberg

J. E.

O’Malley

P. M.

, et al. (2003). How academic achievement, attitudes, and behaviors relate to the course of substance use during adolescence: A 6-year, multiwave national longitudinal study. Journal of Research on Adolescence, 13(3), 361–397. https://doi.org/10.1111/1532-7795.1303005

Centers for Disease Control and Prevention (2019a). High school YRBS, CDC. https://nccd.cdc.gov/Youthonline/App/Results.aspx

Centers for Disease Control and Prevention (2019b). Marijuana and public health. CDC. https://www.cdc.gov/marijuana/health-effects/teens.html

Chadi

Levy

Weitzman

E. R.

(2020). Moving beyond perceived riskiness: Marijuana- related health beliefs and marijuana use in adolescents. Substance Abuse, 41(3), 297–300. https://doi.org/10.1080/08897077.2019.1635972

Cox

R. B.

Washburn

I. J.

Croff

J. M.

(2021). Parental school involvement and substance use? A novel family-based prevention strategy for Latino youth. Family Relations, 70(1), 1178–1189. https://doi.org/10.1111/fare.12533

Criss

M. M.

Lee

T. K.

Morris

A. S.

et al. (2015). Link between monitoring behavior and adolescent adjustment: An analysis of direct and indirect effects. Journal of Family Studies, 24(3), 668–678. https://doi.org/10.1007/s10826-013-9877-0

Cyrus

Coudray

M. S.

Kiplagat

et al. (2021). A review investigating the relationship between cannabis use and adolescent cognitive functioning. Current Opinion in Psychology, 38(1), 38–48. https://doi.org/10.1016/j.copsyc.2020.07.006

10.

Enrenreich

Nahapetyan

Orpinas

, et al. (2015). Marijuana use from middle school to high school: Co-Occurring problem behaviors, teacher-rated academic skills and sixth grade predictors. Journal of Youth and Adolescence, 44(10), 1929–1940.

11.

Gaete

Rojas

Fritsch

, et al. (2018). Association between school membership and substance use among adolescents. Frontiers in Psychiatry, 9(25), 1–8. https://doi.org/10.3389/fpsyt.2018.00025

12.

Glanz

Rimer

B. K.

Viswanath

(2015). Health behavior: Theory, research, and practice (5th edition). Jossey-Bass.

13.

Hall

Degenhardt

(2009). Adverse health effects of non-medical cannabis use. Lancet, 374(9698), 1383–1391. https://doi.org/10.1016/S0140-6736(09)61037-0

14.

Hammond

C. J.

Chaney

Hendrickson

Sharma

(2020). Cannabis use among U.S. adolescents in the ear of marijuana legalization. International Review of Psychiatry, 32(3), 221–234. https://doi.org/10.1080/09540261.2020.1713056

15.

Hanauer

Walker

M. R.

Machledt

, et al. (2021). Association between perceived risk of harm and self-reported binge drinking, cigarette smoking, and marijuana smoking in young adults. Journal of American College Health, 69(4), 345–352. https://doi.org/10.1080/07448481.2019.1676757

16.

Hayakawa

Giovanelli

Englund

M. M.

, et al. (2016). Not just academics: Paths of longitudinal effects of parent involvement to substance use in emerging adulthood. Journal of Adolescent Health, 58(4), 433–439. https://doi.org/10.1016/j.jadohealth.2015.11.007

17.

Homel

Thompson

Leadbetter

(2014). Trajectories for marijuana use in youth ages 15-25: Implications for postsecondary education experiences. Journal of Studies on Alcohol and Drugs, 75(4), 674–683. https://doi.org/10.15288/jsad.2014.75.674

18.

Jiang

Mermin

J.,

Perry

D. K.

, et al. (2013). The relationship of multiple, simultaneously occuring health risk behaviors to academic performacne of high school students. Journal of Behavioral Health, 2(1), 44–51.

19.

Kilmer

J. R.

Hunt

S. B.

Lee

C. M.

Neighbors

(2007). Marijuana use, risk perception, and consequences: Is perceived risk congruent with reality? Addictive Behavior, 32, 3026–3033. https://doi.org/10.1016/j.addbeh.2007.07.009

20.

Ladis

Trucco

E. M.

Huang

, et al. (2021). Longitudinal effects of peer, school, and parenting contexts on substance use initiation in middle adolescents. Journal of Evidence-Informed Social Work, 18(5), 566–584.

21.

Leban

Griffin

O. H.

(2020). Disentangling the links between risk factors and adolescent substance use. Journal of Substance Use, 25(6), 644–651. https://doi.org/10.1080/14659891.2020.1760373

22.

Lubman

D. L.

Cheetham

Yucel

(2015). Cannabis and adolescent brain development. Pharmacology & Therapeutics, 148, 1–16. https://doi.org/10.1016/j.pharmthera.2014.11.009

23.

Mariani

A. C.

Williams

A. R.

(2021). Perceived risk of harm from monthly cannabis use among US adolescents: National Survey on Drug Use and Health. Preventive Medicine Reports, 23, 1–6. https://doi.org/10.1016/j.pmedr.2021.101436

24.

Meier

M. H.

Caspi

Ambler

, et al. (2012). Persistent cannabis users show neuropsychological decline from childhood to midlife. Proceedings of the National Academy of Sciences, 109(40) 2657–2664. https://doi.org/10.1073/pnas.1206820109

25.

Meier

M. H.

Hill

M. L.

Small

P. J.

, et al. (2015). Associations of adolescent cannabis use with academic performance and mental health: A longitudinal study of upper middle-class youth. Drug and Alcohol Dependence, 156, 207–212. https://doi.org/10.1016/j.drugalcdep.2015.09.010

26.

Merianos

A. L.

Rosen

B. L.

Montgomery

Barry

A. E.

Smith

M. L.

(2017). Impact of perceived risk and friend influence on alcohol and marijuana use among students. The Journal of School Nursing, 33(6), 446–455. https://doi.org/10.1177/1059840517717591

27.

Miech

R. A.

Johnston

L. D.

O’Malley

P. M.

, et al. (2020). Monitoring the Future national survey results on drug use, 1975-2019: Volume I, Secondary school students. Institute for Social Research, The University of Michigan.

28.

Mulla

M. M.

Bogen

K. W.

Orchowski

L. M.

(2020). The mediating role of school connectedness in the associations between dating and sexual violence victimization and substance use among high school students. Preventive Medicine, 139(2), 1–7. https://doi.org/10.1016/j.ypmed.2020.106197

29.

Patte

K. A.

Qian

Letherdale

S. T.

(2017). Binge drinking and academic performance, engagement, aspirations, and expectations. Health Promotion and Chronic Disease Prevention in Canada, 37(11), 376–385. https://doi.org/10.24095/hpcdp.37.11.02

30.

Rusby

J. C.

Light

J. M.

Crowley

Westling

(2018). Influence of parent-youth relationship, parental monitoring, and parent substance use on adolescent substance use onset. Journal of Family Psychology, 32(3), 310–320. https://doi.org/10.1037/fam0000350

31.

Sarvet

A. L.

Wall

M. M.

Keyes

K. M.

(2018). Recent rapid decrease in adolescents’ perception that marijuana use is harmful, but no concurrent increase in use. Drug and Alcohol Dependence, 186, 68–74. https://doi.org/10.1016/j.drugalcdep.2017.12.041

32.

Silins

Horwood

L. J.

Patton

G. C.

et al. (2014). Young adult sequelae of adolescent cannabis use: An integrated analysis. The Lancet Psychiatry, 1, 286-293. https://doi.org/10.1016/S2215-0366(14)70307-4

33.

Supple

A. J.

(2016). School substance use norms and racial composition moderate parental and peer influences on adolescent substance use. American Journal of Community Psychology, 57(3/4), 280–290. https://doi.org/10.1002/ajcp.12043

34.

Substance Abuse and Mental Health Services Administration . (2020a). Key substance use and mental health indicators in the United States: Results from the 2019 national survey on drug use and health. SAMHSA. https://www.samhsa.gov/data/

35.

Substance Abuse and Mental Health Services Administration . (2020b). 2020 national survey on drug use and health methodology. SAMHSA. https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health

36.

Substance Abuse and Mental Health Services Administration (SAMHSA) . (2020c). 2020 National Survey on drug use and health. SAMHSA. https://www.datafiles.samhsa.gov/dataset/national-survey-drug-use-and-health-2020-nsduh-2020-ds0001

37.

Takagi

Yucel

Cotton

, et al. (2011). Verbal memory, learning, and executive functioning among adolescent inhalant and cannabis users. Journal of Studies on Alcohol and Drugs, 72(1), 96–105. https://doi.org/10.15288/jsad.2011.72.96

38.

Thrash

Warner

(2016). The geography of normative climates: An application to adolescent substance use. Journal of Youth and Adolescence, 45(8), 1587–1603. https://doi.org/10.1007/s10964-016-0444-z

39.

Villagrana

Lee

S.-Y.

(2018). Parental influence on adolescent cigarette, alcohol and marijuana use: A focus on race/ethnicity and age. Child and Adolescent Social Work Journal, 35(2), 107–118. https://doi.org/10.1007/s10560-017-0518-0

40.

Weatherson

K. A.

O’Neill

Lau

E. Y.

, et al. (2018). The protective effects of school connectedness on substance use and physical activity. Journal of Adolescent Health, 63(2), 724–731. https://doi.org/10.1016/j.jadohealth.2018.07.002

41.

Willams

G. C.

Battista

Letherdale

S. T.

(2020). An examination of how age of onset for alcohol, cannabis, and tobacco are associated with school outcomes in grade 12. Addictive Behaviors, 102(2), 1–12.