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A cross-national comparison of risk and protective factors for adolescent substance use : the United States and Australia

Beyers, Jennifer M., Toumbourou, John W., Catalano, Richard F., Arthur, Michael W. and Hawkins, J. David 2004, A cross-national comparison of risk and protective factors for adolescent substance use : the United States and Australia, Journal of adolescent health, vol. 35, no. 1, pp. 3-16, doi: 10.1016/j.jadohealth.2003.08.015.

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Title A cross-national comparison of risk and protective factors for adolescent substance use : the United States and Australia
Author(s) Beyers, Jennifer M.
Toumbourou, John W.ORCID iD for Toumbourou, John W. orcid.org/0000-0002-8431-3762
Catalano, Richard F.
Arthur, Michael W.
Hawkins, J. David
Journal name Journal of adolescent health
Volume number 35
Issue number 1
Start page 3
End page 16
Publisher Elsevier Inc
Place of publication Amsterdam, The Netherlands
Publication date 2004-07
ISSN 1054-139x
1879-1972
Keyword(s) adolescence
gender differences
international
policy
risk factors
substance use
youth
Summary Purpose
To compare risk and protective factors that influence youth substance use in Australia and the United States. The two countries have different policy orientations toward substance use: Australia has adopted harm-reduction policies, and the United States has adopted abstinence-focused polices.

Methods
Cross-sectional survey data were collected from independent samples of adolescents in the states of Maine (N = 16,861; 53% female, 7% Non-white) and Oregon (N = 15,542; 51% female, 24% Non-white) in the United States and Victoria in Australia (N = 8442; 54% Female, 11% Non-white) in 1998 (Maine and Oregon) and 1999 (Victoria). Chi-square tests, t-tests, effect size comparisons, and logistic regression analyses that accounted for age and gender were used to investigate cross-national similarities and differences in: (a) rates of cigarette, alcohol, and marijuana use; (b) levels of risk and protective factors; and (c) magnitudes of associations between risk and protective factors and substance use.

Results
More adolescents in Victoria reported using cigarettes and alcohol, whereas more of the U.S. adolescents reported using marijuana. Exposure to risk and protective factors was generally similar in the cross-national samples. However, adolescents in Maine and Oregon perceived handguns to be more readily available, reported more participation in religious activities, and were higher in sensation-seeking and social skills; and adolescents in Victoria had more favorable attitudes toward drug use and reported community norms and parental attitudes more favorable to drug use. Most of the risk and protective factors were strongly associated with substance use to a similar degree in Victoria, Maine, and Oregon. However, among adolescents in Maine and Oregon peer/individual risk and protective factors associated with social detachment were more strongly related to substance use, and among adolescents in Victoria, family protective factors were less strongly related to alcohol use.

Conclusions
Inter-country influences on youth substance use are generally similar despite different policy directions. Existing differences suggest that the abstinence policy context is associated with higher levels of illicit drug use and stronger relations between individual indicators of social detachment and substance use, whereas the harm reduction policy context is related to more cigarette and alcohol use, possibly from exposure to normative influences that are more tolerant of youth drug use.
Language eng
DOI 10.1016/j.jadohealth.2003.08.015
Field of Research 111706 Epidemiology
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2004, Society for Adolescent Medicine
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009216

Document type: Journal Article
Collection: School of Psychology
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