U.S. Trends in Adolescent Substance Use and Conduct Problems and Their Relation to Trends in Unstructured In-Person Socializing With Peers

Journal of Adolescent Health(2021)

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摘要
Purpose: This study examined whether national trends in unstructured in-person socializing with peers (i.e., socializing without goals or supervision) among adolescents could help explain recent declines in adolescent risk behaviors (e.g., substance use, fighting, theft). Methods: The sample contained of 44,842 U.S. 12th-grade students (aged 17-18 years) from the Monitoring the Future survey (years 1999-2017). Analyses examined (1) prevalence trends, (2) latent factor structure of risk behaviors and unstructured in-person socializing, and (3) whether trends in the unstructured in-person socializing factor accounted for the relationship between time (i.e., survey year) and the risk behavior factor. Results: Adolescent risk behaviors and unstructured in-person socializing declined by approxi-mately 30% in the U.S., and both formed coherent latent factors. After adjusting for sociodemo-graphics, declines in unstructured in-person socializing accounted for approximately 86% of declines in risk behaviors. Conclusions: The prevalence of risk behaviors and unstructured in-person socializing behaviors declined among U.S. 12th graders from 1999 to 2017. It is unknown whether such effects are directly causal and/or influenced by unmeasured variables. However, the results provide evidence that national declines in unstructured in-person socializing are a likely component of the expla-nation for national declines in adolescent risk behaviors. (c) 2021 Society for Adolescent Health and Medicine. All rights reserved.
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关键词
Adolescent,Risk behavior,Substance abuse,Delinquency,Unstructured socializing,Epidemiology,Multivariate modeling
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