The Construction of Risk and Protective Factor Indices for Adolescent Alcohol and other Drug Use

1995 ◽  
Vol 25 (4) ◽  
pp. 837-863 ◽  
Author(s):  
David J. DeWit ◽  
Gloria Silverman ◽  
Michael Goodstadt ◽  
Gina Stoduto
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Drug Use ◽  
Problem Behaviors ◽  
Protective Factor ◽  
Self Report ◽  
Regression Equations ◽  
Protective Measures ◽  
Illegal Drug Use ◽  
Main Effects

This paper applies the risk factor approach to assess the influence of protection and risk on five measures of substance use: overall involvement in drugs, frequent alcohol use, frequent illegal drug use, frequent drug abuse, and quantity of daily cigarette consumption. For each measure, it was hypothesized that an index of risk factors would serve to increase the likelihood of the occurrence of problem behavior and that an index of protection would result in a reduction. It was also hypothesized that under conditions of high risk the effect of protection would moderate the influence of risk factors more forcefully than under conditions of low risk. Data were obtained from a self-report questionnaire containing over 60 risk and protective measures administered to nearly 400 grade 9 students in 7 high schools located in Toronto, Canada. Measures were tested in a series of regression equations to construct indices of risk and protective factors for each substance measure. Results supported the hypothesis of separate risk and protective factor main effects for all categories of substances. Evidence of moderate to strong interaction effects (i.e., a moderating influence of protection) were also noted. Implications are discussed for methods of identifying high risk youth as well as programs designed to prevent/reduce problem behaviors among this group.

scholarly journals Consumo de alcohol, tabaco, cannabis y otras drogas en la adolescencia: efectos de la familia y el barrio [Use of alcohol, tobacco, cannabis and other drugs in adolescence: Effects of family and neighborhood]

2015 ◽  
Vol 31 (3) ◽  
pp. 1000 ◽  
Author(s):  
María C. Fuentes ◽  
Antonio Alarcón ◽  
Fernando García ◽  
Enrique Gracia
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Parental Involvement ◽  
Parenting Styles ◽  
Interaction Effect ◽  
Protective Factor ◽  
Intervention Programs ◽  
Educational Strategies ◽  
Neighborhood Risk ◽  
Main Effects

The aim of this study was to analyze the protective or risk factors of parental educational styles for the consumption of alcohol, tobacco, cannabis and other drugs, considering the interaction of parenting styles with the dangerousness of the neighborhood. Based on the responses of 628 adolescents, 369 females (58.8%) and 259 males (41.2%) between 15 and 17 years old (<em>M</em> = 16.03 years old, <em>SD</em> = 0.79 years old), families were classified according to their educational style (authoritative, indulgent, authoritarian or neglectful) and their level of perceived neighborhood risk (high or low). Results showed no interaction effect; however, main effects of educational styles and perceived neighborhood risk were obtained. Adolescents from indulgent families showed the lowest consumption in the substances evaluated, while those from authoritative, authoritarian and neglectful families showed the highest consumption. Moreover, adolescents from high-risk neighborhoods obtained the highest consumption. Indulgent educational style, acting primarily through affection and not imposition, works as a protective factor regardless of the danger in the neighborhood. The importance of encouraging this parental performance in prevention and intervention programs is highlighted, promoting specific educational strategies to improve affection, communication and parental involvement.

Validity of Self-Report of Cardiovascular Risk Factors in a Population at High Risk for Stroke

2015 ◽  
Vol 24 (12) ◽  
pp. 2860-2865 ◽  
Author(s):  
Ayan K. Dey ◽  
Akram Alyass ◽  
Ryan T. Muir ◽  
Sandra E. Black ◽  
Richard H. Swartz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
High Risk ◽  
Cardiovascular Risk Factors ◽  
Self Report

scholarly journals A Vulnerability Assessment for a Future HIV Outbreak Associated With Injection Drug Use in Illinois, 2017–2018

2021 ◽  
Vol 6 ◽  
Author(s):  
Cara Jane Bergo ◽  
Jennifer R. Epstein ◽  
Stacey Hoferka ◽  
Marynia Aniela Kolak ◽  
Mai T. Pho
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Drug Use ◽  
Injection Drug Use ◽  
Negative Binomial ◽  
Cook County ◽  
Injection Drug ◽  
County Level ◽  
Opioid Use ◽  
Zip Code

The current opioid crisis and the increase in injection drug use (IDU) have led to outbreaks of HIV in communities across the country. These outbreaks have prompted country and statewide examination into identifying factors to determine areas at risk of a future HIV outbreak. Based on methodology used in a prior nationwide county-level analysis by the US Centers for Disease Control and Prevention (CDC), we examined Illinois at the ZIP code level (n = 1,383). Combined acute and chronic hepatitis C virus (HCV) infection among persons &lt;40 years of age was used as an outcome proxy measure for IDU. Local and statewide data sources were used to identify variables that are potentially predictive of high risk for HIV/HCV transmission that fell within three main groups: health outcomes, access/resources, and the social/economic/physical environment. A multivariable negative binomial regression was performed with population as an offset. The vulnerability score for each ZIP code was created using the final regression model that consisted of 11 factors, six risk factors, and five protective factors. ZIP codes identified with the highest vulnerability ranking (top 10%) were distributed across the state yet focused in the rural southern region. The most populous county, Cook County, had only one vulnerable ZIP code. This analysis reveals more areas vulnerable to future outbreaks compared to past national analyses and provides more precise indications of vulnerability at the ZIP code level. The ability to assess the risk at sub-county level allows local jurisdictions to more finely tune surveillance and preventive measures and target activities in these high-risk areas. The final model contained a mix of protective and risk factors revealing a heightened level of complexity underlying the relationship between characteristics that impact HCV risk. Following this analysis, Illinois prioritized recommendations to include increasing access to harm reduction services, specifically sterile syringe services, naloxone access, infectious disease screening and increased linkage to care for HCV and opioid use disorder.

Modifying Pro-Drug Risk Factors in Adolescents: Results From Project ALERT

2004 ◽  
Vol 31 (3) ◽  
pp. 318-334 ◽  
Author(s):  
Bonnie Ghosh-Dastidar ◽  
Douglas L. Longshore ◽  
Phyllis L. Ellickson ◽  
Daniel F. McCaffrey
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Drug Use ◽  
Eighth Graders ◽  
Risk Groups ◽  
Drug Prevention ◽  
School Environments ◽  
School Based ◽  
Drug Risk ◽  
The Impact

The objective of this study was to evaluate the impact of a revised state-of-the-art drug prevention program, Project ALERT, on risk factors for drug use in mostly rural midwestern schools and communities. Fifty-five middle schools from South Dakota were randomly assigned to treatment or control conditions. Treatment-group students received 11 lessons in Grade 7 and 3 more in Grade 8. Effects for 4,276 eighth graders were assessed 18 months after baseline. Results indicate that Project ALERT had statistically significant effects on all the targeted risk factors associated with cigarette and marijuana use and more modest gains with the pro-alcoholrisk factors. The program helped adolescents at low, moderate, and high risk for future use, with the effect sizes typically stronger for the low- and moderate-risk groups. Thus, school-based drug prevention programs can lower risk factors that correlate with drug use, help low- to high-risk adolescents, and be effective in diverse school environments.

Drug Use among African Americans: Ethnic Identity as a Protective Factor

1998 ◽  
Vol 83 (3_suppl) ◽  
pp. 1427-1446 ◽  
Author(s):  
Judith S. Brook ◽  
Elinor B. Balka ◽  
David W Brook ◽  
Pe T. Win ◽  
Michal D. Gursen
Keyword(s):  
Ethnic Identity ◽  
African Americans ◽  
Drug Use ◽  
Protective Factor ◽  
African American Youth ◽  
Protective Role ◽  
Drug Prevention ◽  
Individual Interviews ◽  
Multiple Components ◽  
Main Effects

This study examined the multiple components of ethnic identity, the place of this ethnic identity set in the mediational model of the path to drug use predicted by our family interactional framework, and the protective role of each component of ethnic identity. The participants were 259 male and 368 female African Americans in late adolescence. They responded to a structured questionnaire in individual interviews. We found that few of the specific components of ethnic identity were significantly related as main effects to drug use. Most of the effect of ethnic identity was mediated by the family set of variables. Each of the components of ethnic identity offset risks or enhanced protective factors from the ecology, family, personality, and peer domains, thereby lessening drug use. This pattern highlights the importance of incorporating ethnic identity into drug prevention programs which serve African-American youth.

A Critical Assessment of Indications of the National Prevalence of Illegal Drug Use in Japan

2018 ◽  
Vol 45 (4) ◽  
pp. 425-440
Author(s):  
David Brewster
Keyword(s):  
Drug Use ◽  
Cultural Context ◽  
Developed Countries ◽  
Illegal Drug ◽  
Self Report ◽  
Illegal Drug Use ◽  
Critical Social Science ◽  
Low Levels ◽  
National Prevalence ◽  
Official Police

Indications of the national prevalence of illegal drug use in Japan have largely been presented from two main sources: official police-recorded statistics and a national self-report survey. Their findings have been often used to support a representation of Japan as having relatively low levels of illegal drug use in comparison to other developed countries. However, the use and presentation of these sources has rarely considered in any meaningful way their nature and accuracy in revealing patterns of illegal drug use. As such, there is a tendency to uncritically accept and reproduce dominant patterns that may distort and disguise a more realistic understanding. This article critically examines these two sources, identifying a series of methodological issues that may contribute toward an underrepresentation of illegal drug use. In doing so, it also argues that a more critical social science–informed perspective may allow for these sources to be better utilized and situated within the cultural context in which they are produced and which they claim to represent.

scholarly journals Adolescent High-Risk Behaviors and Orofacial Trauma

2019 ◽  
pp. 1-4
Author(s):  
Adriana Modesto ◽  
Kristen Pelczar ◽  
Deborah Studen-Pavlovich ◽  
Aaron M. Valasek ◽  
Zachary Mills ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Drug Use ◽  
Risk Behaviors ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
High Risk Behaviors ◽  
University Of Pittsburgh ◽  
The University ◽  
Physical Altercations

Aim: The objective of the study was to investigate if there was a relationship between high risk behaviors among adolescents and orofacial trauma. Material and Methods: The study used a cross-sectional retrospective design with data collected from electronic health records of over 4,000 patients treated in the Department of Pediatric Dentistry at the University of Pittsburgh School of Dental Medicine from May 2009 through September 2013. This study was approved by the University of Pittsburgh Institutional Review Board. Risk factors for trauma were obtained from each patient’s medical and social history and included tobacco, alcohol and illicit drug use, tattoos, piercings, and mouthguard use during sports. Outcome measures used were history of broken bones or orofacial trauma. The odds ratios (OR) and 95% confidence intervals (CI) of each risk factor in increasing risk for trauma outcomes were calculated. Chi-square tests were also performed with an alpha of 0.05. Results and Conclusions: A total of 2,609 patients were included in this study. Males (N=1,340) had statistically more often orofacial trauma than females, and were statistically more often exposed to all risk factors (tobacco, alcohol and illicit drug use, tattoos, and physical altercations) than females with the exception of using piercings in body parts other than the ears and not wearing mouthguard for sports. Wearing mouthguard for sports decreased in 50% the risk of orofacial trauma (OR=0.53; 95% CI 0.42-0.68; p=0.00000001). Tobacco use and physical altercations increased the chance of broken bone, fractured tooth, and orofacial trauma in 2-fold (smoking, OR=1.85-2.28, 95% CI 1.3-2.96; physical altercations, OR=1.9-2.34; p=0.0005). Drinking and using illicit drugs increased the risk of broken bone (OR=1.9, 95% CI 1.37- 2.64; p=0.0001). Use of mouthguards for sports dramatically reduced the risk of orofacial trauma. Tobacco, alcohol and illicit drug use, and getting into physical altercations increased the risk of orofacial trauma.

Gratitude, Forgiveness, and Anger: Resources and Risk Factors for Italian Prison Inmates

2021 ◽  
pp. 0306624X2110491
Author(s):  
Francesca Danioni ◽  
Francesca Giorgia Paleari ◽  
Sara Pelucchi ◽  
Maria Rita Lombrano ◽  
Daniel Lumera ◽  
...  
Keyword(s):  
Risk Factors ◽  
Protective Factor ◽  
Northern Italy ◽  
Self Report ◽  
Psychological Wellbeing ◽  
Prison Inmates ◽  
Social Concern ◽  
Interpersonal Forgiveness ◽  
Violent Behaviors

The adjustment of prison inmates is recently becoming a social concern. In the current study we focused on the role of gratitude, interpersonal forgiveness, and anger, which have been widely addressed as likely to influence people’s health and adaptive behaviors, in shaping prison inmates’ psychological wellbeing and criminal attitudes. Participants were 104 male prison inmates aged between 24 and 75 ( Mage = 46.63, SD = 11.38) imprisoned in Northern Italy who were asked to fill in an anonymous self-report questionnaire. Results highlighted that all dimensions considered play an important, albeit different and highly specific, role; Gratitude is a promotional factor that enhances psychological wellbeing, whereas interpersonal forgiveness appears to be a protective factor against the adoption of a criminal attitude as violence or antisocial intent. Finally, anger is a risk factor toward both psychological wellbeing and violent behaviors. Implications of these results and further developments of the study are discussed.

Adverse Factors Associated With Forced Sex Among Southern Adolescent Girls

PEDIATRICS ◽  
1995 ◽  
Vol 96 (5) ◽  
pp. 944-946
Author(s):  
Stephen Nagy ◽  
Ralph DiClemente ◽  
Anthony G. Adcock
Keyword(s):  
Sexual Abuse ◽  
Drug Use ◽  
Adolescent Girls ◽  
Sexually Abused ◽  
Illegal Drug ◽  
Self Report ◽  
Sexually Active ◽  
Illegal Drug Use ◽  
Factors Associated ◽  
Forced Sex

Objective. To identify adverse behavioral and psychological factors associated with forced sex experiences of adolescent girls compared with their sexually active counterparts. Method. An anonymous self-report survey examining an array of psychosocial items, to which 3124 grade 8 and grade 10 female students responded. Results. Sexually abused girls were more likely to have been pregnant, to have initiated sexual intercourse at a younger age, to indicate illegal drug use, to have feelings of depression, to express more frequent suicidal ideation, and to have been physically abused. Conclusions. Behaviors such as gateway drug use, truancy, binge drinking of alcohol, and participation in violent episodes that were previously identified as indicators of sexual abuse did not distinguish between sexually active adolescents and those who had been sexually abused. Physicians should consider carefully a structured series of questions relating to behaviors as one approach in determining the risk of sexual abuse. Positive responses to young sexual initiation, pregnancy, illegal drug use, negative mental health states, and evidence of physical abuse are potential markers of sexual abuse in adolescent female clients.

Drug Use during Pregnancy

1997 ◽  
Vol 27 (3) ◽  
pp. 463-485 ◽  
Author(s):  
Ellen Hutchins
Keyword(s):  
Risk Factors ◽  
Drug Use ◽  
Pregnant Women ◽  
Psychosocial Risk Factors ◽  
Self Report ◽  
Psychosocial Risk ◽  
History Of Childhood ◽  
History Of ◽  
Drug Problems ◽  
Prenatal Drug Use

Prevention and intervention services for pregnant, drug-using women have often developed prior to gaining empirical data on the antecedents of prenatal drug use. These data are important to address some of the underlying factors of drug use during pregnancy. A review of the literature indentified at least six categories of psychosocial risk factors that have been investigated as relevant to drug use among women, including pregnant women. These factors include: (1) history of childhood sexual abuse, (2) family history of alcohol or drug problems, (3) male partner's alcohol or drug use, (4) current depression, (5) social support, and (6) homelessness or transiency. An examination of these psychosocial risk factors indicates that the existing literature on these factors in drug use is limited by a lack of methodological rigor, resulting in large variations in prevalence rates due to factors such as definition. This paper summarizes the existing literature and methodological iussues regarding the relation between psychosocial risk factors and drug use among women, including pregnant women. It also discusses some of the limitations and issues in assessing prenatal drug use with a particular focus on self-report and urine toxicologies.

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