Download Risk Perception, Parental Substance Use Involvement and Marijuana Use Among American Adolescents Book in PDF, Epub and Kindle
The purpose of the present dissertation was to examine risk perception as a potential moderator for the relationship between parental substance use involvement and adolescent marijuana use. This dissertation used data from the 1997 and 1998 National Household Surveys on Drug Abuse (NHSDA). In some households, an adult and an adolescent were included in the sample. A total of 2481 parent-child pairs were derived, so that adolescents' marijuana use involvement and perceptions could be analyzed in relation to parental use of marijuana, alcohol, and cigarettes. The parent and the adolescent were interviewed independently and in confidentiality, using the same standardized questionnaire. Substance use measurements used in the present study included lifetime; past year, and past year dependency (for both the parent and the adolescent); risk perception was based on the adolescent's perceived risk of physical harm from weekly marijuana use. Data analyses allowed for the control of potential confounders, including: age, gender, race, location, socio-economic status, peer marijuana use, and marijuana use parental attitude, accommodating statistically the complex sample design. As expected, parental use of marijuana, alcohol, and cigarettes was associated with adolescent marijuana use. In most of the models to test for moderation, "great" (high) risk perception was inversely associated with the influence of parental use on adolescent marijuana use. The odds of marijuana use among adolescents who perceived great risk in weekly marijuana use and who had a parent who had ever used marijuana were greater compared to adolescents with a parent who had never used marijuana (OR = 3.4, 90% CI = 1.18, 9.64), but these odds of marijuana use were lower compared to adolescents with a parent who had ever used marijuana but did not perceive great risk (OR = 7.6, 90% CI = 3.34, 17.33). An ancillary finding was that parental substance use was inversely related with adolescent risk perception of marijuana. Limitations notwithstanding, this research suggests that risk perception could function as a protective factor and could be a potential component of selective interventions, which involve children of substance users. However, more research is needed to better understand the underlying mechanisms for risk perception among children exposed to parental substance use.-- Abstract.