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Neighborhood Structural Factors and Proximal Risk for Youth Substance Use

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Abstract

This study examined associations of neighborhood structural factors (census-based measures, socioeconomic disadvantage, and residential stability); self-reported measures of general and substance use-specific risk factors across neighborhood, school, peer, and family domains; and sociodemographic factors with substance use among 9th grade students. Data drawn from the Seattle Social Development Project, a theory-driven longitudinal study originating in Seattle, WA, were used to estimate associations between risk factors and past month cigarette smoking, binge drinking, marijuana use, and polysubstance use among students (N = 766). Results of logistic regression models adjusting for neighborhood clustering and including all domains of risk factors simultaneously indicated that neighborhood socioeconomic disadvantage was associated with a significantly higher likelihood of cigarette smoking, binge drinking, and polysubstance use, but not marijuana use. In fully controlled models, substance use-specific risk factors across neighborhood, school, peer, and family domains were also associated with increased likelihood of substance use and results differed by the outcome considered. Results highlight substance-specific risk factors as an intervention target for reducing youth substance use and suggest that further research is needed examining mechanisms linking neighborhood socioeconomic disadvantage and youth substance use.

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Notes

  1. Some SSDP participants received a social development intervention during elementary school (Hill et al. 2016). Sensitivity tests controlling for the intervention in all domain models produced substantively similar results.

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Funding

Data collection for this study was supported by grants from the National Institute on Drug Abuse (5R01DA003721 and 5R01DA033956). Support came from a National Poverty Research Center Dissertation Fellowship awarded by the Institute for Research on Poverty at the University of Wisconsin–Madison with funding from the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Cooperative Agreement number AE00103. Support for this study also came from the National Cancer Institute (award numbers F32CA232796 and P30CA042014) and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (award numbers R24HD042828 and T32HD007543). The opinions and conclusions expressed herein are solely those of the authors and should not be construed as representing the opinions or policy of any agency of the Federal government.

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Authors and Affiliations

  1. College of Social Work, University of Utah, 395 South 1500 East, Salt Lake City, UT, 84112, USA

    Christopher Cambron

  2. Center for Health Outcomes and Population Equity, Huntsman Cancer Institute, Salt Lake City, UT, USA

    Christopher Cambron

  3. Social Development Research Group, School of Social Work, University of Washington, Seattle, WA, USA

    Rick Kosterman, Richard F. Catalano & J. David Hawkins

  4. Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA

    Isaac C. Rhew & Katarina Guttmannova

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  1. Christopher Cambron
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  2. Rick Kosterman
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Correspondence to Christopher Cambron.

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Conflict of Interest

R. F. Catalano is on the board of Channing Bete Company, distributer of prevention programs. Other authors have no conflicts of interest to report.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the University of Washington and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Cambron, C., Kosterman, R., Rhew, I.C. et al. Neighborhood Structural Factors and Proximal Risk for Youth Substance Use. Prev Sci 21, 508–518 (2020). https://doi.org/10.1007/s11121-019-01072-8

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