142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

299621
Direct effects and interactions of individual characteristics, peers, parents, schools, and community influences on rural adolescent substance use and school connectedness

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 10:45 AM - 11:00 AM

Christina Proctor, PhD , Department of Health Promotion and Behavior, The University of Georgia, Athens, GA
Jessica Legge Muilenburg, PhD , Department of Health Promotion and Behavior, The University of Georgia, Athens, GA
Past research on contextual factors influencing drug use shows that protective factors in the community, school, and home all interact to influence youth drug use; however, these studies lack information about the casual pathways and interactions of protective factors and their role in preventing drug use. In particular, previous researchers focused on contextual factors influencing drug use or school connectedness. Few studies examined school connectedness as a mediator between contextual factors and drug use. This study examines the relationship between school connectedness and substance use using structural equation modeling. Data were collected using an anonymous survey administered to 1,059 middle and high-school students in rural South Georgia. Participants were primarily male (51.4%) and White (64.5%). Contextual factors negatively directly related to substance use include school connectedness, religion, refusal efficacy, social norms, and community safety (P<.05). Contextual factors positively related to school connectedness include self-control, social support, family involvement, teacher support, and community connectedness (P<.05).  School connectedness was a full mediator for the following relationships: self-control and substance use, social norms and substance use, social support and substance use, family involvement and substance use, teacher support and substance use, and community connectedness and substance use (P<.05). Moderating effects of age, race, and gender significantly influenced the interactions (p<.05). This study illustrates the importance of school connectedness when examining contextual factors influencing drug use in rural adolescents.

Learning Areas:

Public health or related education
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify contextual factors at the intrapersonal, interpersonal, school, and community level influencing rural adolescent substance use. Evaluate a structural equation model based on Jessor's Problem Behavior Theory, Theory of Planned Behavior, and the Socio-ecological Framework. Assess the mediating effect of school connectedness on rural adolescent substance use.

Keyword(s): Rural Health, Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.