Introduction: Based on Bronfenbrenner's bioecological theory and Bornstein's specificity principle, the purpose of this study was to examine adolescents' time in out-of-school settings as a precursor of three types of problematic substance use in adulthood (i.e., binge drinking, regular marijuana use, and use of illicit drugs).
Method: Adolescents (N = 978) reported the time they spent in four common out-of-school settings at ages 15 and 18: unsupervised time with peers, organized sports, other organized activities, and paid employment. At age 26, participants reported binge drinking, marijuana use, and illicit drug use.
Results And Conclusions: Adolescents' time in out-of-school settings during high school predicted age 26 substance use over and above family and adolescent factors, including adolescents' substance use during high school. Adolescents' unsupervised time with peers increased the odds and frequency of binge drinking and regular marijuana use at age 26. Time in high school organized sports increased the odds of binge drinking at age 26, but not marijuana or illicit drug use. Time spent in other organized activities, such as community service and the arts, lowered the odds of illicit drug use whereas paid employment in high school was not related to age 26 substance use. Aligned with Bornstein's specificity principle, time spent in specific out-of-school settings during adolescence were differentially related to substance use problems in early adulthood, with some activities serving as a risk factor and other activities serving as a protective factor for young adults.
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http://dx.doi.org/10.1002/jad.12104 | DOI Listing |
Womens Health (Lond)
December 2024
Institute of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Background: Pregnancy in adolescents continues to remain a significant public health challenge, with repeat pregnancies in this age group often receiving insufficient attention. In Uganda, repeat adolescent pregnancy varies between 26.1% and 55.
View Article and Find Full Text PDFPLOS Glob Public Health
December 2024
Makerere University School of Public Health, Kampala, Uganda.
In Uganda, cervical cancer due to Human Papilloma Virus (HPV) is the most prevalent cancer among women. In 2015, the HPV vaccine was introduced into Uganda's EPI program, targeting young girls in-and out-of-school. However, HPV vaccine uptake remains low at 44% for the second dose with disparities in vulnerable populations in urban poor settings.
View Article and Find Full Text PDFJAMA Netw Open
November 2024
Division of Environmental Health Sciences, University of California, Berkeley.
J Adolesc Health
December 2024
Burnet Institute, Melbourne, Australia; Centre for Adolescent Health, Royal Children's Hospital, Melbourne, Australia; South Australian Health and Medical Research Institute, Adelaide, Australia. Electronic address:
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