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309086
Developmental Response to Popular Culture and Adolescent Substance Use: Understanding the Unofficial Rules of Adolescence
Wednesday, November 19, 2014
Scott Frank, MD, MS
,
Master of Public Health Program, Case Western Reserve University School of Medicine, Cleveland, OH
Purpose: To assess the association between developmental response to popular culture and adolescent substance use utilizing the 9-item Unofficial Rules of Adolescence (UROA) survey. Background: UROA describe the extent to which teens accept a popular culture perception of how adolescent “should” behave. UROA are: fitting in (shift of primary affiliation from parents to peers); trying on (identity development); trying out (exploring limits); looking good (social acceptability); getting over (autonomy); getting mine (fit in society); getting some (sexual development); and getting out (becoming independent). Each UROA may be coped with through healthy or unhealthy behavior. Methods: The Youth Risk Behavior Survey was administered in 2013 with an added module measuring UROA to high school students (n=1404) in a diverse public school in Midwestern inner ring suburb (response rate 82%). UROA revealed a single factor (Eigen value=3.23) and Cronbach’s alpha= 0.77. Results: Unhealthy coping with UROA was associated with current cigarette smoking (OR=4.10, CI=2.14-7.85); current alcohol use (OR=3.87, CI=2.85-5.26); binge drinking (OR=3.89, CI=2.62-5.79); current marijuana use (OR=3.33, CI=2.76-5.45); prescription drug abuse (OR=2.83, CI=1.66-4.82); and illicit drug use (OR=2.92, CI=1.60-5.35). Unhealthy coping with UROA is also associated with substance use comorbidities such as depressive sadness (OR=2.14, CI=1.57-2.91), self-harm (OR=1.97, CI=1.34-2.87), and suicidal ideation (OR=2.97, CI=1.96-4.51). All odds ratios adjusted for gender, race, SES, grade level. Compared with measures of youth assets or parental monitoring, UROA was more strongly associated with substance use behavior. Conclusion: UROA are strongly associated with teen substance use. Promoting understanding of UROA may contribute to substance abuse prevention.
Learning Areas:
Diversity and culture
Epidemiology
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health
Learning Objectives:
Describe the relationship between the unofficial rules of adolescence and the developmental tasks of adolescence.
List healthy and unhealthy ways to cope with the unofficial rules of adolescence
Explain the relationship between the unofficial rules of adolescence and teen substance abuse
Keyword(s): Adolescents, Alcohol Use
Presenting author's disclosure statement:Organization/institution whose products or services will be discussed: None.
Qualified on the content I am responsible for because: I am a family medicine and public health practitioner, educator and researcher with addiction medicine fellowship training. I am director of a Local Health Department, and the CWRU Master of Public Health Program. I was principal investigator for a SAMHSA Drug Free Community Support Grant for 10 years. The work presented here was largely developed through that program.
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.
