Person-Environment Fit, Substance Use Attitudes, and Early Adolescent Substance Use

Subst Use Misuse. 2019;54(4):628-638. doi: 10.1080/10826084.2018.1531426. Epub 2018 Nov 13.

Abstract

Background: Adolescent substance use is a national health concern. While the literature is clear on the prevalence of substance use during the adolescent developmental period, a dearth of literature is available on the developmental contexts, particularly the influence of school factors, in which substance use occurs.

Objectives: This study examined the intermediary role of substance use attitudes on the relationship between school racial composition and alcohol and marijuana use in a sample of sixth to eighth graders.

Methods: The sample consisted of 4228 middle school students (89% White; 53% female) in the Midwest. A moderated mediation analysis was conducted on the relationship between school racial composition, substance use attitudes, and substance use, with race as the moderator.

Results: Results indicated a significant relationship between the percentage of White or Black students in a school and alcohol or marijuana use and that this relationship was mediated by substance use attitudes. These relationships did not differ significantly by student race. Conclusions/Importance: Preliminary findings indicate the importance of considering school racial composition as a systems level risk or promotive factor for attitudes toward substance use as well as substance use outcomes.

Keywords: African-American; Substance use; ethnic/racial; school context.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Attitude*
  • Female
  • Humans
  • Male
  • Marijuana Smoking / epidemiology
  • Marijuana Smoking / psychology*
  • Midwestern United States / epidemiology
  • Race Factors*
  • Schools*
  • Students / psychology*
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / psychology*