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Resilience against marijuana use initiation in low-income African American youth
Affiliation:1. Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States;2. Université Paris Descartes, Centre de Recherche Épidémiologique et Statistique Sorbonne Paris Cité UMR1153, Paris, France;3. Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United States;4. Department of Biostatistics, Columbia University Mailman School of Public Health, New York, NY, United States;1. Brain and Mental Health research hub, Monash Institute of Cognitive and Clinical Neurosciences, Monash University, VIC, Australia;2. School of Psychology, UNSW, Sydney, NSW, Australia;3. National Cannabis Prevention and Information Centre, UNSW, Sydney, NSW, Australia;4. Cannabis Information and Support, NSW, Australia;1. Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK;2. Prince Sultan College for Emergency Medical Services, King Saud University, Saudi Arabia;1. Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, United States;2. Oregon State University College of Pharmacy, 2730 SW Moody Ave., CL5CP, Portland, OR 97201, United States;3. HealthInsight Oregon, 2020 SW 4th Avenue, Suite 520, Portland, OR 97201, United States
Abstract:IntroductionRecent increases in marijuana use among adolescents, in concert with decreases in perceptions of harm caused by marijuana use, documented associations of marijuana use with health problems and academic disengagement, and the increase in cannabis potency over the past two decades highlight the need for effective prevention and intervention efforts to delay and/or curb marijuana use among adolescents. The present study investigated the role of four promotive factors in the role of abstinence from marijuana use initiation.MethodsLow-income, urban, African American youth (N = 302; 54.6% female; M age = 12.05 years, SD = 1.57 years, Range = 10 to 16) participating in a larger study of stress and coping who had not initiated marijuana use at baseline were included in the sample. Goal directedness, emotion regulation, perceived support from mother, and religious coping, assessed at baseline, were evaluated for their contributions to marijuana use initiation two years later."ResultsBy time 3, 14.7% of the sample reported having initiated marijuana use. Univariate analyses indicated that abstainers were younger, better able to regulate their emotions, and marginally more likely to use religious coping. Logistic regression analysis was used to develop a best-fitting model describing abstinence from marijuana use; this model revealed age and emotion regulation as unique contributors to abstinence.ConclusionsEmotion regulation is a teachable skill, and is included in many school-based prevention and parenting programs. Recommendations to enhance the effectiveness of self-regulation interventions in African American youth are discussed.
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