Can High and Consistent School‐Related Protective Factors Prevent Cannabis Use Among American Indian Middle School Students?
BACKGROUND: High cannabis use rates among American Indian (AI) adolescents necessitate the identification of factors that protect against early cannabis initiation. METHODS: Data collected from 279 AI middle school students attending reservation‐based schools in 2018 and 2019 were analyzed. Three wa...
| Published in: | Journal of School Health Vol. 94; no. 2; pp. 138 - 148 |
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| Main Authors: | , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Feb2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174635939&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174635939 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00224391 JOS jtl: Journal of School Health issn: 00224391 maglogo: Y pubinfo: dt: Feb2024 vid: 94 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 174635939 169778898 174635939 174635939 10.1111/josh.13380 174635939 ppf: 138 ppct: 10 formats: tig: atl: Can High and Consistent School‐Related Protective Factors Prevent Cannabis Use Among American Indian Middle School Students? aug: au: Henry, Kimberly L. Stanley, Linda R. Swaim, Randall C. affil: Department of Psychology and Colorado School of Public Health, Colorado State University, Fort Collins CO. sug: subj: Substance Abuse Prevention and Control Cannabis School Health Services Native Americans Human Students, Middle School United States Structural Equation Modeling Surveys Descriptive Statistics Data Analysis Software T-Tests Child Adolescence Odds Ratio Confidence Intervals Ethnic Groups Healthcare Disparities Student Attitudes Logistic Regression School Policies Child: 6-12 years Adolescent: 13-18 years ab: BACKGROUND: High cannabis use rates among American Indian (AI) adolescents necessitate the identification of factors that protect against early cannabis initiation. METHODS: Data collected from 279 AI middle school students attending reservation‐based schools in 2018 and 2019 were analyzed. Three waves of data, with approximately 6 months between each, were used. A repeated measures latent class analysis examined a school‐related protective factor index over three waves. The predictive power of lifetime cannabis use on school protection class membership was estimated, along with differences in past month cannabis use at follow‐up 2 across school protection classes while holding baseline use constant. RESULTS: Four school protection classes were identified: high, moderate, low, and declining protection. Abstinence at baseline was associated with an increased odds of membership in the high protection class compared to the moderate and low protection classes. Students with consistent and high school protection throughout middle school were significantly less likely to report past month cannabis use at follow‐up 2 compared to other classes. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Maintaining a high level of school protection throughout middle school substantially lowers the odds of cannabis use among AI adolescents. CONCLUSIONS: Interventions to promote school‐related protective factors in this population are essential and should be designed and tested. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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