Adolescent Prescription Drug Misuse
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Questions and Answers

The correlation coefficient between nonmedical tranquilizer use and total family income is .048.

False (B)

Nonmedical sedative use shows a stronger correlation with age than with poverty level.

False (B)

Hispanic ethnicity demonstrates a significant negative correlation with nonmedical pain reliever use.

False (B)

Black ethnicity has a correlation coefficient of .204 with any nonmedical prescription drug misuse.

<p>True (A)</p> Signup and view all the answers

The strongest correlation found is between total family income and nonmedical stimulant use.

<p>False (B)</p> Signup and view all the answers

Peer disapproval is qualitatively similar to peer approval.

<p>False (B)</p> Signup and view all the answers

The NSDUH survey includes participants aged 12 years or older.

<p>True (A)</p> Signup and view all the answers

A larger sample of adolescents aged 12 to 17 years was included in the 2010 NSDUH study.

<p>True (A)</p> Signup and view all the answers

The majority of adolescents reported using marijuana or hashish more than once a month.

<p>False (B)</p> Signup and view all the answers

Approximately 50% of the 2010 NSDUH sample was female.

<p>False (B)</p> Signup and view all the answers

Parental perception of substance use disapproval was examined using a 3-point scale.

<p>True (A)</p> Signup and view all the answers

The NSDUH uses telephone interviews as its primary data collection method.

<p>False (B)</p> Signup and view all the answers

Socioeconomic and gender variables were included in the second step of the regression analysis.

<p>False (B)</p> Signup and view all the answers

Perceived peer substance use disapproval can decrease the likelihood of cigarette, alcohol, and marijuana use among adolescents.

<p>True (A)</p> Signup and view all the answers

The odds ratios were used as a measure of effect size in the results.

<p>True (A)</p> Signup and view all the answers

Older adolescents were less likely to report prescription drug misuse compared to younger adolescents.

<p>False (B)</p> Signup and view all the answers

Caregiver and peer disapproval are positively associated with early substance use initiation.

<p>False (B)</p> Signup and view all the answers

The NSDUH survey targets only institutionalized populations in the US.

<p>False (B)</p> Signup and view all the answers

There was a significant increase in the percentage of white adolescents across income levels.

<p>True (A)</p> Signup and view all the answers

The analyses by ethnic/racial group were conducted using weighted data.

<p>False (B)</p> Signup and view all the answers

All adolescents aged 10 to 18 participated in the National Survey on Drug Use and Health sample.

<p>False (B)</p> Signup and view all the answers

This study examines differences in peer and parental influences on substance use among ethnic/racial minority adolescents.

<p>True (A)</p> Signup and view all the answers

The study's findings can be generalized to all adolescents regardless of ethnic background.

<p>False (B)</p> Signup and view all the answers

Parents have a diminished influence on adolescents' decision making about risky behaviors.

<p>False (B)</p> Signup and view all the answers

The study included adolescents who self-identified as multiracial.

<p>False (B)</p> Signup and view all the answers

The study highlights the need to explore how multiple cultural identities can shape health-related behaviors.

<p>True (A)</p> Signup and view all the answers

White adolescents were found to be less influenced by parental and peer attitudes compared to ethnic minority adolescents.

<p>False (B)</p> Signup and view all the answers

Self-report surveys are known to be entirely free from bias in health-related studies.

<p>False (B)</p> Signup and view all the answers

Future studies are recommended to investigate the full spectrum of attitudes regarding substance use.

<p>True (A)</p> Signup and view all the answers

White adolescents who perceived close friends’ strong disapproval of monthly marijuana use were over 200% less likely to report NMUPD.

<p>True (A)</p> Signup and view all the answers

Hispanic adolescents have a higher odds ratio for smoking marijuana monthly compared to white adolescents.

<p>False (B)</p> Signup and view all the answers

Close friends’ disapproval of trying marijuana had a significant impact on Hispanic adolescents.

<p>False (B)</p> Signup and view all the answers

The likelihood of African American adolescents reporting NMUPD is influenced by peer disapproval of smoking 11 packs of cigarettes a day.

<p>False (B)</p> Signup and view all the answers

Parental disapproval of daily alcohol consumption among white adolescents had an odds ratio greater than 1.

<p>True (A)</p> Signup and view all the answers

The odds ratio for white adolescents' smoking marijuana monthly is less than 2.

<p>False (B)</p> Signup and view all the answers

Parental disapproval is generally more effective in reducing substance use among Hispanic adolescents compared to white adolescents.

<p>True (A)</p> Signup and view all the answers

Close friends’ disapproval of smoking marijuana monthly is significant for all ethnic groups mentioned.

<p>False (B)</p> Signup and view all the answers

The odds ratios presented indicate a stronger influence of parental disapproval over peer disapproval in all ethnic groups.

<p>False (B)</p> Signup and view all the answers

Drinking alcohol daily showed significant associations for both white and Hispanic adolescents.

<p>True (A)</p> Signup and view all the answers

Parental disapproval significantly decreases the likelihood of prescription drug misuse among Hispanic adolescents.

<p>True (A)</p> Signup and view all the answers

Among African American adolescents, gender has a higher impact on drug misuse than age based on disapproval from close friends.

<p>False (B)</p> Signup and view all the answers

White adolescents who perceive strong disapproval from their peers are less likely to try marijuana according to the data.

<p>True (A)</p> Signup and view all the answers

All ethnic groups showed a significant effect of age on drug misuse owing to parental disapproval.

<p>True (A)</p> Signup and view all the answers

The odds ratio for gender among Hispanic adolescents is greater than 1.0, indicating a higher likelihood of drug misuse.

<p>False (B)</p> Signup and view all the answers

Close friends’ disapproval has a stronger impact on the likelihood of prescription drug misuse as compared to parental disapproval among African American adolescents.

<p>False (B)</p> Signup and view all the answers

Among Hispanic adolescents, the odds ratio for age due to close friends’ disapproval is higher than for parental disapproval.

<p>False (B)</p> Signup and view all the answers

Significant differences in drug misuse risk exist between genders across all ethnic groups for both parental and close friends' disapproval.

<p>False (B)</p> Signup and view all the answers

Flashcards

Within-group analysis

A research method where the same group of people is studied over time, allowing for comparisons between their own attitudes and behaviors at different stages.

Peer influence

The attitudes and actions of individuals who are similar in age and social standing, often significantly influencing a person's behavior.

Parental influence

The beliefs and actions of parents or guardians, playing a crucial role in shaping a child's behavior and attitudes.

NSDUH

The National Survey on Drug Use and Health, a large-scale study that gathers nationwide data on drug use patterns in the US.

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Multistage area probability sampling

A sampling method that ensures all individuals in a population have a chance of being selected for the study, representative of the larger group.

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Oversampling

A research approach designed to produce more accurate estimates for specific sub-groups within the larger population.

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In-Person Interviews

A type of survey gathering information through face-to-face interviews, aiming for greater accuracy and trust.

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Cooperation and willingness to report

Techniques used in research to increase participants' comfort and honesty in sharing information, especially sensitive topics.

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Spearman's Rho Correlation Coefficient

A statistical measure indicating the strength and direction of the relationship between two variables.

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Nonmedical Prescription Drug Use

The use of a prescription medication for non-medical purposes.

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Two-Tailed Test

A statistical analysis technique comparing the mean values of two independent groups to determine significant differences.

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P-Value

The likelihood of a result occurring by chance.

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P < .05

Representing a statistically significant relationship, indicating that the result is unlikely to be due to chance.

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Chi-squared Test (x2)

A statistical test used to analyze the relationship between two categorical variables, such as gender and substance use disapproval.

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Poisson Regression

A type of regression analysis used to predict the count of events occurring within a specific time period, taking into account factors like parental disapproval of substance use.

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Logistic Regression

A type of regression analysis used to predict the probability of a binary outcome, such as whether an adolescent will engage in NMUPD, based on factors like perceived parental disapproval of substance use.

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Odds Ratio

A measure of the effect size in regression analysis, indicating how much the odds of an outcome change for a one-unit increase in the predictor variable.

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Perceived Parental Substance Use Disapproval

The perception of parents' disapproval of substance use by adolescents.

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Perceived Peer Substance Use Disapproval

The perception of peers' disapproval of substance use by adolescents.

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Moderator

A variable that influences the relationship between other variables.

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Hierarchical Regression

A statistical technique used to control for the influence of other variables when analyzing the relationship between two variables.

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Age & Drug Misuse

The likelihood of prescription drug misuse decreases as a person ages.

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Parental and Peer Disapproval

Adolescents who perceive their parents or close friends strongly disapprove of substance use are less likely to misuse prescription drugs.

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White Adolescents and Parental Disapproval

White adolescents who perceive their parents strongly disapprove of substance use are significantly less likely to misuse prescription drugs than those who perceive less disapproval.

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White Adolescents and Peer Disapproval

White adolescents who perceive their close friends strongly disapprove of substance use are significantly less likely to misuse prescription drugs than those who perceive less disapproval.

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Hispanic Adolescents and Parental Disapproval

Hispanic adolescents who perceive their parents strongly disapprove of substance use are less likely to misuse prescription drugs than those who perceive less disapproval.

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Hispanic Adolescents and Peer Disapproval

Hispanic adolescents who perceive their close friends strongly disapprove of substance use are less likely to misuse prescription drugs than those who perceive less disapproval.

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African American Adolescents and Parental Disapproval

African American adolescents who perceive their parents strongly disapprove of substance use are less likely to misuse prescription drugs than those who perceive less disapproval.

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African American Adolescents and Peer Disapproval

African American adolescents who perceive their close friends strongly disapprove of substance use are less likely to misuse prescription drugs than those who perceive less disapproval.

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Parental and peer influences are unique in minority youth

These influences can be stronger and distinct in minority adolescents compared to white adolescents.

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Why are white teens at higher risk for NMUPD?

The study's findings suggest that white teens are more likely to engage in non-medical prescription drug use (NMUPD) due to parental and peer influences.

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What factors contribute to lower NMUPD rates in minority groups?

Exploring the cultural and societal reasons for lower NMUPD rates among ethnic minorities.

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How do multiple cultures influence substance use in multiracial youth?

Future research should consider the impact of multiple cultural identities on substance use behaviors in multiracial youth.

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Limitations of self-reported data

Studies using self-reported data might be less reliable than those using direct observations.

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Advantages of using NSDUH for research

Using a large, national dataset like NSDUH helps researchers generalize findings to a wider population.

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Parents remain influential in adolescents' decision-making

The study's findings highlight the enduring influence of parents on adolescent decision-making, even in risky behaviors.

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Missing information in the study: perceived peer and parental approval

The study didn't assess perceived peer or parental approval of substance use, limiting the understanding of adolescent attitudes.

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Close friends’ disapproval impact

The likelihood of engaging in prescription drug misuse is significantly lower for white adolescents who perceive their close friends strongly disapprove of monthly marijuana usage.

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Study focus

This research study investigated the effects of perceived disapproval of substance use by both parents and peers on adolescent prescription drug misuse.

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Parental disapproval impact

The study revealed that parental disapproval of substance use, especially cigarette smoking and marijuana use, was significantly associated with a reduced likelihood of prescription drug misuse among white adolescents.

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Ethnic differences

The study found distinct patterns of influence based on ethnicity, suggesting that parental and peer disapproval may have different impacts on different groups.

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NMUPD

The term used in the study to refer to the misuse of prescription drugs by adolescents.

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Substance use disapproval correlation

The researchers found a strong correlation between perceived disapproval of cigarette smoking, marijuana use, and prescription drug misuse. This suggests that negative attitudes toward these substances can influence adolescent drug use.

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Social influence impact

The study's findings reinforce previous research that highlights the significance of social influence, especially from peers and parents, in shaping adolescent behavior and substance use patterns.

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Study Notes

Ethnic/Racial Differences in Adolescent Prescription Drug Misuse

  • Prescription drug misuse is a growing epidemic, especially among adolescents in the US
  • Misuse involves using prescription medication without a prescription or for non-medical purposes
  • White adolescents have higher rates of prescription drug misuse than Hispanic or African American adolescents
  • Perceived disapproval from parents and peers correlates negatively with prescription drug misuse, particularly among white adolescents

Socio-cultural Influences

  • Parental and peer disapproval of substance use significantly lowered the likelihood of prescription drug misuse among white adolescents compared to non-white adolescents
  • There are differences in disapproval of substance use across ethnic groups (e.g., views on alcohol vs marijuana) and types of substances
  • The study highlights the importance of exploring culturally-specific mechanisms in adolescents' risk behaviors—going beyond simple risk models
  • Understanding how cultural factors, particularly disapproval of substance use attitudes of peers and parents, may be different among groups is important - future studies needed in this area
  • The study examined the influence of perceived peer and parental disapproval on adolescent prescription drug misuse (NMUPD) among African American, Hispanic, and White adolescents

Study Methods

  • The study used secondary data from the 2010 National Survey on Drug Use and Health
  • The sample size was 18,614 adolescents aged 12-17
  • The study incorporated computer-assisted personal interviewing (CAPI, audio-computer assisted self-interviewing (ACASI)) to collect survey data
  • Variables included NMUPD (nonmedical use of prescription drugs subtype), sociodemographic measures
  • Perceived parental and peer disapproval of substance use
  • Statistical analysis like Poisson and logistic regressions were used for analysis

Results

  • White adolescents reported significantly higher rates of stimulant and tranquilizer misuse compared to African American and Hispanic adolescents
  • Conversely, African American adolescents reported the lowest rates
  • Hispanic adolescents had rates of misuse that fell between white and African American adolescents
  • Perceived parental disapproval was a significant protective factor for misuse for each ethnic group, but not as effective as the influence of parents
  • The effect of disapproval regarding substance use varied between ethnic groups and substance types
  • Higher income levels were related to less NMUPD among all ethnic groups
  • Key findings show that peer and parental disapproval may influence misuse, particularly among white adolescents.
  • Age and gender also played a role in the likelihood of misuse, with older adolescents and females showing a higher likelihood of misuse, these results were consistent with previous research.

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Description

This quiz explores the ethnic and racial differences in prescription drug misuse among adolescents, focusing on the influences of parental and peer disapproval. It highlights the varying rates of misuse and the socio-cultural factors that affect adolescents' behaviors regarding prescription medications. Test your understanding of this growing epidemic and its implications.

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