Investigating the Relative Influence of Romantic Sex Partners and Close Friends on Adolescent Alcohol and Marijuana Use. 2023

Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
Department of Pediatrics, Johns Hopkins University School of Medicine, Rm 2025, 200 N. Wolfe St., David M. Rubenstein Child Health Building, Baltimore, 21287, MD, USA. pmatson@jhmi.edu.

A large body of research has identified peer exposure as a key factor driving adolescent substance use. However, findings on the role of sex partners are less robust and mixed. This study aims to fill this gap by examining the independent contribution of close friends' and sex partners' alcohol and marijuana use on adolescents' use of these substances. A secondary data analysis of social network data collected in 2000-2002 from a household sample of African American youth (14-19 years old) in the Bayview and Hunter's Point neighborhoods of San Francisco was conducted. Index participants and their nominated close friends and romantic sex partners (N = 104 triads) self-reported recent alcohol and marijuana use (defined as any use in the past 3 months). Generalized estimated equations were used to estimate the independent association between adolescent's recent substance use and their friend's and sex partner's use. Adolescents with a marijuana-using romantic sex partner had a nearly six-fold higher odds of using marijuana compared to adolescents with a non-using partner, controlling for close friend's marijuana use and other confounders [OR:5.69, 95%CI: 1.94, 16.7]; no association with close friend's marijuana use was found. A similar pattern was observed for alcohol use. Adolescents with an alcohol-using romantic sex partner had increased odds of using alcohol compared to adolescents with a non-using partner, controlling for close friend's alcohol use and other confounders [OR:2.40, 95%CI: 1.02, 5.63]; no association with close friend's alcohol use was found. Romantic sex partners may play a unique and significant role in adolescent substance use. Peer-focused interventions may be more effective if they consider romantic sex partners. Future research should consider the role of romantic sex partners in changing social context related to substance use from adolescence to young adulthood.

UI MeSH Term Description Entries
D008385 Marijuana Smoking Inhaling and exhaling SMOKE from CANNABIS. Cannabis Smoking,Hashish Smoking,Marihuana Smoking,Smoking Blunts,Smoking, Blunts,Blunt, Smoking,Blunts Smoking,Blunts Smokings,Blunts, Smoking,Smoking Blunt,Smoking, Cannabis,Smoking, Hashish,Smoking, Marihuana,Smoking, Marijuana,Smokings, Blunts
D010379 Peer Group Group composed of associates of same species, approximately the same age, and usually of similar rank or social status. Group, Peer,Groups, Peer,Peer Groups
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000074609 Marijuana Use Medicinal or recreational utilization of MARIJUANA. Marijuana-Related Disorder,Recreational Marijuana Use,Disorder, Marijuana-Related,Disorders, Marijuana-Related,Marijuana Related Disorder,Marijuana Use, Recreational,Marijuana Uses,Marijuana Uses, Recreational,Marijuana-Related Disorders,Recreational Marijuana Uses,Use, Marijuana,Use, Recreational Marijuana,Uses, Marijuana,Uses, Recreational Marijuana
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012747 Sexual Partners Married or single individuals who share sexual relations. Multiple Partners Sexual,Multiple Sex Partners,Multiple Sexual Partners,Sex Partners,Partner, Sex,Partner, Sexual,Sex Partner,Sex Partner, Multiple,Sex Partners, Multiple,Sexual Partner,Sexual Partner, Multiple
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults
D019966 Substance-Related Disorders Disorders related to substance use or abuse. Chemical Dependence,Drug Abuse,Drug Addiction,Drug Dependence,Drug Habituation,Drug Use Disorder,Drug Use Disorders,Organic Mental Disorders, Substance-Induced,Substance Abuse,Substance Dependence,Substance Related Disorder,Substance Use,Substance Use Disorder,Substance Use Disorders,Prescription Drug Abuse,Substance Addiction,Abuse, Drug,Abuse, Prescription Drug,Abuse, Substance,Addiction, Drug,Addiction, Substance,Chemical Dependences,Dependence, Chemical,Dependence, Drug,Dependence, Substance,Dependences, Chemical,Disorder, Drug Use,Disorder, Substance Related,Disorder, Substance Use,Disorders, Substance Related,Drug Abuse, Prescription,Habituation, Drug,Organic Mental Disorders, Substance Induced,Related Disorder, Substance,Related Disorders, Substance,Substance Abuses,Substance Uses,Use, Substance
D033062 Friends Persons whom one knows, likes, and trusts. Friendship,Acquaintances,Companions,Companion,Friend,Friendships

Related Publications

Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
January 1997, New directions for child development,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
January 2011, Journal of sex research,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
March 2009, Journal of youth and adolescence,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
January 2019, Addictive behaviors,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
May 2017, Pain,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
September 1997, Developmental psychology,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
December 2003, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43),
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
January 2005, American journal of health promotion : AJHP,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
June 1992, Journal of youth and adolescence,
Pamela A Matson, and Ivana Stankov, and Mariya Krutkova, and Sarah Flessa, and Caroline M Fichtenberg, and Jonathan M Ellen
September 2000, The Journal of adolescent health : official publication of the Society for Adolescent Medicine,
Copied contents to your clipboard!