The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents

Bibliographic Details
Main Author:	Lee, Eun Lye
Language:	English
Published:	Case Western Reserve University School of Graduate Studies / OhioLINK 2016
Subjects:	Social Work Neighborhood Cumulative Factor Substance Use Adolescence
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=case1453386589

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-case14533865892021-08-03T06:34:51Z The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents Lee, Eun Lye Social Work Neighborhood Cumulative Factor Substance Use Adolescence While previous research underscores the important role that neighborhood contexts play for child and adolescent health and well-being, how these neighborhood contexts influence adolescent substance use initiation has been understudied. This study addresses this gap by estimating the cumulative effects of neighborhood social disorder and neighborhood social capital on the initiation of substance use among adolescents who spent a significant period of their childhood in a public housing in Denver, Colorado. This study uses data from the Denver Child Study – a natural experiment aimed at assessing neighborhood effects on the developmental outcomes of Latino and African American children and adolescents from low-income families.This study is guided by ecological systems theory which emphasizes the importance of understanding child developmental outcomes through the interplay between individuals and their surrounding environmental contexts as well as general strain theory which stresses the role of strain in the prediction of adolescent substance use initiation. Using a Cox Proportional Hazard Cause-Specific model, this study: (1) examines the effects of cumulative exposure to neighborhood risk (i.e., neighborhood social disorder and neighborhood violent and property crime rates) and protective (i.e., neighborhood social capital) factors during preadolescence on the likelihood of initiating alcohol, cigarette and marijuana use during adolescence; (2) investigates whether the effects of the aforementioned cumulative risk and protective factors are different across the three types of substances; and (3) examines whether the effects of cumulative neighborhood risk and protective factors vary by Latino and African American ethnicity. The results drawn from this study indicate that exposure to neighborhood social disorder during preadolescence is a significant risk factor, especially for the initiation of cigarette use among adolescents. Additionally, the effect of such exposure to neighborhood social disorder during preadolescence on the initiation of cigarette use during adolescence was significant only for Latino youth. These findings suggest the need for further research on the relationship between exposure to neighborhood social disorder and adolescent substance use initiation in order to develop and implement community-based prevention and intervention programs to reduce substance use initiation and facilitate healthy adolescent development. 2016-06-01 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1453386589 http://rave.ohiolink.edu/etdc/view?acc_num=case1453386589 unrestricted This thesis or dissertation is protected by copyright: some rights reserved. It is licensed for use under a Creative Commons license. Specific terms and permissions are available from this document's record in the OhioLINK ETD Center.
collection	NDLTD
language	English
sources	NDLTD
topic	Social Work Neighborhood Cumulative Factor Substance Use Adolescence
spellingShingle	Social Work Neighborhood Cumulative Factor Substance Use Adolescence Lee, Eun Lye The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents
author	Lee, Eun Lye
author_facet	Lee, Eun Lye
author_sort	Lee, Eun Lye
title	The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents
title_short	The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents
title_full	The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents
title_fullStr	The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents
title_full_unstemmed	The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents
title_sort	effects of cumulative neighborhood risk and protective factors on substance use initiation among low-income latino and african american adolescents
publisher	Case Western Reserve University School of Graduate Studies / OhioLINK
publishDate	2016
url	http://rave.ohiolink.edu/etdc/view?acc_num=case1453386589
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The Effects of Cumulative Neighborhood Risk and Protective Factors on Substance Use Initiation among Low-income Latino and African American Adolescents

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