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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
5028.0: Wednesday, December 14, 2005 - 9:42 AM

Abstract #118100

Risk and protective factors associated with cultural differences in adolescent substance abuse

Gilbert Saint-Jean, MD, MPH, PhD and Lee A. Crandall, PhD. Department of Epidemiology and Public Health, University of Miami, 1801 NW 9th Avenue, Room # 212C, Locator D-93, Miami, FL 33136, 305-243-6571, gsaint@med.miami.edu

To identify and evaluate the socio-psychological factors that are associated with differences in use prevalence of alcohol and marijuana between non-acculturated and acculturated Florida youth, we employed cross-tabulations and logistic regression to analyze self-reported data from the 63,000 participants in the 2004 Florida Youth Substance Abuse Survey (FYSAS). FYSAS is administered annually to public middle and high school students in 64 of Florida's 67 counties. Questionnaire items cover socio-demographics, tobacco, alcohol, and illicit substance (ATOD) use; perceptions and attitudes toward drug use; and delinquent behaviors. The outcome variables for this study were past 30 day use of alcohol and past 30 day use of marijuana. The key independent variable was language used at home. Of the 32 socio-psychological factors included as covariates in the analysis we found that 13 had a significant (p<0.05) and independent impact on differences in use of both drugs. They included perceived availability of drugs, poor family discipline, family conflict, parental attitudes favorable toward ATOD use and antisocial behavior, social skills, friends' delinquent behavior and use of drugs, favorable attitudes toward antisocial behavior and ATOD use, low perceived risk of drug use, early initiation of drug use, and sensation seeking. Additionally, community rewards for prosocial involvement, community disorganization, laws and norms favorable to drug use, family opportunities for prosocial involvement, and belief in moral order had an independent impact on alcohol use only. Low neighborhood attachment, poor family supervision, family history of antisocial behavior, and rebelliousness had an independent impact on marijuana use only.

Learning Objectives: At the end of the presentation the participant should be able to

Keywords: Adolescent Health, Drug Use

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

[ Recorded presentation ] Recorded presentation

Risk and Protective Factors for Adolescent Substance Use

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA