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The Interplay Between Marijuana-Specific Risk Factors and Marijuana Use Over the Course of Adolescence
Open accessAbstract
Permissive attitudes and norms about marijuana use and perceptions of low harm from use are considered risk factors for adolescent marijuana use. However, the relationship between risk and use may be reciprocal and vary across development and socializing domains. We examined the bidirectional relationships between marijuana-specific risk factors in individual, parent, peer, and community domains and adolescent marijuana use. Longitudinal data came from a sample of 2002 adolescents in 12 communities. Controlling for sociodemographic covariates and communities in which the individuals resided, autoregressive cross-lagged models examined predictive associations between the risk factors and marijuana use. After accounting for concurrent relationships between risk and use and stability in behavior over time, early adolescence and the transition to high school were particularly salient developmental time points. Specifically, higher risk in all four domains in grades 7 and 9 predicted greater use 1 year later. Moreover, youth's perception of lax community enforcement of laws regarding adolescent use at all time points predicted increases in marijuana use at the subsequent assessment, and perceived low harm from use was a risk factor that prospectively predicted more marijuana use at most of the time points. Finally, greater frequency of marijuana use predicted higher levels of risk factors at the next time point in most socializing domains throughout adolescence. Prevention programs should take into account developmental transitions, especially in early adolescence and during the transition to high school. They also should focus on the reciprocal relationships between use and risk across multiple socializing domains.
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Perceiving the drug as harmless was an independent risk factor that could prospectively predict future marijuana abuse.
“perceiving the drug as harmless was an independent risk factor that could prospectively predict future marijuana abuse [27].”
From Risk and protective factors of drug abuse among adolescents: a systematic review (2021) · cites this paper as [27]
The Discussion reports that adolescents’ perception of low harm prospectively predicted more marijuana use at most time points, after accounting for concurrent associations and prior behavior. But the Methods measure past-month use frequency, not marijuana abuse; the Discussion also cautions that the associations are not necessarily causal. (LLM, conf=0.88)
Experimental — accuracy not yet measuredRebellious traits are positively associated with marijuana drug abuse.
“Another longitudinal study by Guttmannova et al. showed that rebellious traits are positively associated with marijuana drug abuse [27].”
From Risk and protective factors of drug abuse among adolescents: a systematic review (2021) · cites this paper as [27]
The Results (Cross-lagged Models; page unavailable) report that rebelliousness was positively associated with marijuana use in Grade 8 adolescents. The Methods (Measures; page unavailable) define the outcome as past-month use frequency, not marijuana abuse, so the claim's reference to abuse goes beyond what was measured. (LLM, conf=0.88)
Experimental — accuracy not yet measuredLow parental educational level predicted a greater risk of future drug abuse by reducing the youth's perception of harm.
“low parental educational level predicted a greater risk of future drug abuse by reducing the youth’s perception of harm [27, 43].”
From Risk and protective factors of drug abuse among adolescents: a systematic review (2021) · cites this paper as [27]
The Results (Cross-lagged Models) associate lower parental education with lower perceived harm and greater marijuana use in Grade 8. The Discussion says lower perceived harm predicted later marijuana use, but the paper does not establish that perceived harm mediated the parental-education association. It studies marijuana use rather than future drug abuse generally, and its Limitations section cautions that the associations are not necessarily causal. (LLM, conf=0.87)
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Risk and protective factors of drug abuse among adolescents: a systematic review
Nawi, A. M., Ismail, R., Ibrahim, F., Hassan, M. R., Manaf, M. R. A., Amit, N., Ibrahim, N., & Shafurdin, N. S. (2021) · BMC Public Health · doi:10.1186/s12889-021-11906-2 · Cited by 506
“The studies include three prospective cohort studies [24–26], one community trial [27], one case-control study [28], and nine cross-sectional studies [29–45].”
BackgroundResult
Metadata
- Authors
- Guttmannova, K., Skinner, M. L., Oesterle, S., White, H. R., Catalano, R. F., & Hawkins, J. D.
- Affiliations
- University of Washington (US)
- Rutgers, The State University of New Jersey (US)
- Venue
- Prevention Science
- Published
- 2018-03-05
- Volume
- 20
- Issue
- 2
- Pages
- 235-245
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC6123306
- OpenAlex
- W2790151012
- Cited by
- 41
- References
- 4
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 3 · 2023: 7 · 2022: 8 · 2021: 7 · 2020: 3 · 2019: 4
- FWCI
- 2.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01 DA015183-12)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Keywords
- adolescent cannabis use, parental influence, peer influence, early adolescence, transition to high school, substance use prevention
- MeSH terms
- Marijuana Use, Adolescent, Adolescent Behavior, Alcohol Drinking, Marijuana Abuse, Female, Humans, Male, Marijuana Smoking, Peer Group, Risk Factors, Social Behavior, Violence
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