TY - JOUR
T1 - Socioenvironmental Risk Factors for Adolescent Marijuana Use in a United States-Mexico Border Community
AU - Valdez, Elizabeth Salerno
AU - Valdez, Luis
AU - Korchmaros, Josephine
AU - Garcia, David O.
AU - Stevens, Sally
AU - Sabo, Samantha
AU - Carvajal, Scott
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by the National Institutes of Health under Ruth L. Kirschstein National Research Service Award F31MD012435 from the National Institute of Minority Health and Health Disparities; the Program in Migration and Health- California Endowment, UC Berkeley; and the Center for the Elimination of Health Disparities, Arizona Health Sciences, University of Arizona.
Funding Information:
The authors acknowledge the commitment of the youth health coalition to actively engage in community building, service, and policy change with the purpose of building a better community. This project and its data are theirs. This research was supported by the National Institutes of Health under Ruth L. Kirschstein National Research Service Award F31MD012435 from the National Institute of Minority Health and Health Disparities; the Program in Migration and Health-California Endowment, UC Berkeley; and the Center for the Elimination of Health Disparities, Arizona Health Sciences, University of Arizona.
Publisher Copyright:
© The Author(s) 2020.
PY - 2021/1
Y1 - 2021/1
N2 - Purpose: We examined how socioenvironmental risk factors unique to the United States-Mexico border, defined as border community and immigration stress, normalization of drug trafficking, and perceived disordered neighborhood stress, contribute to tobacco, alcohol, and marijuana use among adolescents residing there. Design: Cross-sectional design. Setting: The study was conducted at a high school on the United States-Mexico border. Subjects: A sample of 445 primarily Hispanic students (ages 14-18). Measure: Perceived Disordered Neighborhood Stress Scale, Border Community and Immigration Stress Scale, and Normalization of Drug Trafficking Scale. Analysis: Logistic regression assessed the association between the socioenvironmental risk factors and past 30-day tobacco, alcohol, and marijuana use. Results: Participants with higher border community and immigration stress scores were significantly more likely to have used tobacco (adjusted odds ratio [aOR] = 1.41, P <.01) and alcohol (aOR = 1.31, P <.01) in the past 30 days. Perceived disordered neighborhood stress also was associated with past 30-day alcohol use (aOR = 1.46, P <.00). The normalization of drug trafficking was associated with past 30-day marijuana use (aOR = 1.45, P <.05). Conclusions: Public health practitioners, educational institutions, and policy makers should consider the economic and normative environment of the United States-Mexico border for future substance use prevention and risk reduction efforts targeting border adolescents.
AB - Purpose: We examined how socioenvironmental risk factors unique to the United States-Mexico border, defined as border community and immigration stress, normalization of drug trafficking, and perceived disordered neighborhood stress, contribute to tobacco, alcohol, and marijuana use among adolescents residing there. Design: Cross-sectional design. Setting: The study was conducted at a high school on the United States-Mexico border. Subjects: A sample of 445 primarily Hispanic students (ages 14-18). Measure: Perceived Disordered Neighborhood Stress Scale, Border Community and Immigration Stress Scale, and Normalization of Drug Trafficking Scale. Analysis: Logistic regression assessed the association between the socioenvironmental risk factors and past 30-day tobacco, alcohol, and marijuana use. Results: Participants with higher border community and immigration stress scores were significantly more likely to have used tobacco (adjusted odds ratio [aOR] = 1.41, P <.01) and alcohol (aOR = 1.31, P <.01) in the past 30 days. Perceived disordered neighborhood stress also was associated with past 30-day alcohol use (aOR = 1.46, P <.00). The normalization of drug trafficking was associated with past 30-day marijuana use (aOR = 1.45, P <.05). Conclusions: Public health practitioners, educational institutions, and policy makers should consider the economic and normative environment of the United States-Mexico border for future substance use prevention and risk reduction efforts targeting border adolescents.
KW - United States-Mexico border
KW - adolescents
KW - age specific
KW - psychometric analysis
KW - racial minority groups
KW - research methods
KW - school
KW - specific populations
KW - specific populations
KW - specific settings
KW - substance use
KW - underserved populations
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U2 - 10.1177/0890117120927527
DO - 10.1177/0890117120927527
M3 - Article
C2 - 32458691
AN - SCOPUS:85085480564
VL - 35
SP - 20
EP - 27
JO - American Journal of Health Promotion
JF - American Journal of Health Promotion
SN - 0890-1171
IS - 1
ER -