Is the Association between Neighborhood Drug Prevalence and Marijuana use Independent of Peer Drug and Alcohol Norms? Results from a Household Survey of Urban Youth.

To inform policy debates surrounding marijuana decriminalization and add to our understanding of social and structural influences on youth drug use, we sought to determine whether there was an independent association between neighborhood drug prevalence and individual-level marijuana use after contr...

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Publicado en:Journal of Urban Health Vol. 92; no. 4; pp. 773 - 784
Autores principales: Leifheit, Kathryn, Parekh, Jenita, Matson, Pamela, Moulton, Lawrence, Ellen, Jonathan, Jennings, Jacky
Formato: Artículo
Publicado: Springer Nature Aug2015
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Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s11524-015-9962-3
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        atl: Is the Association between Neighborhood Drug Prevalence and Marijuana use Independent of Peer Drug and Alcohol Norms? Results from a Household Survey of Urban Youth.
      aug:
        au:
          Leifheit, Kathryn
          Parekh, Jenita
          Matson, Pamela
          Moulton, Lawrence
          Ellen, Jonathan
          Jennings, Jacky
        affil:
          Center for Child & Community Health Research, Department of Pediatrics, Johns Hopkins School of Medicine, Mason F. Lord Building, Center Tower-Suite 4200, 5200 Eastern Avenue Baltimore 21224 USA
          Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615N. Wolfe Street Baltimore 21205 USA
      su:
        Marijuana
        Alcohol drinking
        Neighborhoods
        Drug abuse
        Peers
        Youth health
      sug:
        subj:
          Marijuana
          Alcohol drinking
          Neighborhoods
          Drug abuse
          Peers
          Youth health
          Drinking Places (Alcoholic Beverages)
          All other miscellaneous crop farming
      keyword:
        Adolescent
        Cannabis
        Cross-sectional studies
        Environment
        Multilevel analysis
        Peer group
        Social epidemiology
        Adolescent
        Cannabis
        Cross-sectional studies
        Environment
        Multilevel analysis
        Peer group
        Social epidemiology
      ab: To inform policy debates surrounding marijuana decriminalization and add to our understanding of social and structural influences on youth drug use, we sought to determine whether there was an independent association between neighborhood drug prevalence and individual-level marijuana use after controlling for peer drug and alcohol norms. We analyzed cross-sectional data from a household survey of 563 youth aged 15-24 in Baltimore, Maryland. The study population was 88 % African-American. Using gender-stratified, weighted, multilevel logistic regression, we tested whether neighborhood drug prevalence was associated with individual-level marijuana use after controlling for peer drug and alcohol norms. Bivariate analyses identified a significant association between high neighborhood drug prevalence and marijuana use among female youth (AOR = 1.76, 95 % CI = 1.26, 2.47); the association was in a similar direction but not significant among male youth (AOR = 1.26, 95 % CI = 0.85, 1.87). In multivariable regression controlling for peer drug and alcohol norms, high neighborhood drug prevalence remained significantly associated among female youth (AOR = 1.59, 95 % CI = 1.12, 2.27). Among male youth, the association was attenuated toward the null (AOR = 0.95, 95 % CI = 0.63, 1.45). In the multivariable model, peer drug and alcohol norms were significantly associated with individual-level marijuana use among female youth (AOR = 1.54, 95 % CI = 1.17, 2.04) and male youth (AOR = 2.59, 95 % CI = 1.65, 4.07). This work suggests that individual-level marijuana use among female youth is associated with neighborhood drug prevalence independent of peer norms. This finding may have important implications as the policy landscape around marijuana use changes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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