Dataset Information

The reciprocal relationships of social norms and risk perceptions to cigarette, e-cigarette, and cannabis use: Cross-lagged panel analyses among US young adults in a longitudinal study.

ABSTRACT:

Introduction

Given the distinct and evolving social norms, research on health implications, and regulations regarding cigarettes, e-cigarettes, and cannabis, it is important to understand the interplay between social norms, risk perceptions, and use of these products.

Methods

We analyzed 3 waves of longitudinal data (Fall 2018, 2019, 2020) from 3006 young adults (M_age=24.56, 54.8% female, 31.6% sexual minority, 39.6% racial/ethnic minority) from 6 US metropolitan statistical areas. Cross-lagged panel models (CLPMs) examined reciprocal relationships of (a) perceived social norms (i.e., peer use, social acceptability) and risk perceptions (i.e., harm, addictiveness) to (b) number of days of cigarette, e-cigarette, and cannabis use in the past 30 days, respectively.

Results

At baseline, lifetime and past 30-day use prevalence was: 61.8% and 26.9% for cigarettes, 57.7% and 37.7% for e-cigarettes, and 70.7% and 39.2% for cannabis. Perceived social norms and use of cigarettes and e-cigarettes decreased over time, and risk perceptions increased (except cigarettes showed stable perceived harm). Regarding cannabis, perceived social norms and use increased, yet perceived harm and addictiveness also increased. CLPM indicated that greater perceived social norms predicted greater cigarette, e-cigarette, and cannabis use over time, and vice versa. While greater perceived risk predicted less e-cigarette and cannabis use and vice versa, this did not hold true for cigarettes: use predicted lower perceived risk, but risk perceptions did not predict later use.

Conclusions

Tobacco and cannabis intervention and regulatory efforts should address health risks of use, particularly of e-cigarettes and cannabis, as well as denormalizing use.

SUBMITTER: Romm KF

PROVIDER: S-EPMC11365042 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

The reciprocal relationships of social norms and risk perceptions to cigarette, e-cigarette, and cannabis use: Cross-lagged panel analyses among US young adults in a longitudinal study.

Romm Katelyn F KF Wang Yan Y Ma Yan Y Wysota Christina N CN Blank Melissa D MD Huebner David M DM Roche Kathleen M KM Berg Carla J CJ

Drug and alcohol dependence 20220715

<h4>Introduction</h4>Given the distinct and evolving social norms, research on health implications, and regulations regarding cigarettes, e-cigarettes, and cannabis, it is important to understand the interplay between social norms, risk perceptions, and use of these products.<h4>Methods</h4>We analyzed 3 waves of longitudinal data (Fall 2018, 2019, 2020) from 3006 young adults (M<sub>age</sub>=24.56, 54.8% female, 31.6% sexual minority, 39.6% racial/ethnic minority) from 6 US metropolitan statis ...[more]

PMID: 35926300

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Project description:Background and aimsAdolescents and young adults increasingly view cannabis as a relatively safe drug. Perception of risk associated with cannabis use is correlated negatively with the prevalence of use, but the causal nature of this association is debated. The aim of this study is to quantitate the reciprocal associations between cannabis use and risk perception in a longitudinal panel of emerging adults.DesignObservational study of longitudinal data from the Monitoring the Future longitudinal study using autoregressive cross-lagged panel analyses to investigate reciprocal associations between cannabis risk perception and frequency of past-year cannabis use.SettingSurveys administered to 12th-grade students from the United States general population.ParticipantsA total of 9929 12th-grade students (mean age 18.0 years) who were surveyed initially during 2000-05 and follow-up data until approximately 23-24 years old (three waves; n = 9929).MeasurementsPerception of risk association with cannabis use and frequency of past-year cannabis use.ResultsAt baseline, 33% of the 12th-graders used cannabis in the past year versus 28% by the third follow-up; 83% believed that smoking cannabis regularly carried moderate or great risk versus 78% by the third follow-up. All cross-lagged paths in both directions were statistically significant (all P < 0.001), consistent with reciprocal influences between cannabis use and risk perception. The negative association between past-year cannabis use and subsequent risk perception (standardized coefficient range -0.21 to -0.27) was stronger than that between risk perception and subsequent use (standardized coefficient range -0.08 to -0.11; confidence intervals did not overlap with those for the coefficients reported above). Similar results were obtained when the analysis was limited to those who had never used cannabis prior to baseline.ConclusionsLongitudinal associations between cannabis use and perception of risks from cannabis use are reciprocal in nature, with a stronger association between cannabis use and lower subsequent risk perception.

Project description:BackgroundWhile the association between depressive symptoms and deliberate self-harm in adolescence is extensively documented, the nature, bi-directionality, and longitudinal dynamics of this relationship remain underexplored. This study aims to investigate the causal and reciprocal relationship between depressive symptoms and deliberate self-harm among rural adolescents in western China.MethodsA 2-year panel study was conducted among 1,840 adolescents aged 10-18 attending rural junior and senior high schools in Sichuan Province, China. The Center for Epidemiologic Studies-Depression Scale (CES-D) and a global measure of self-reported deliberate self-harm were utilized to examine the relationship between depressive symptoms and deliberate self-harm using both classic and random intercept cross-lagged panel models. Multi-group comparisons were carried out for the gender, pubertal stage, and academic performance subgroups.ResultsPositive and statistically significant correlations were found between depressive symptoms and deliberate self-harm both within and across the three waves of the panel survey, after adjusting for covariates, among rural adolescents in western China (Range: 0.05-0.28, p < 0.05). As anticipated, depressive symptoms positively predicted later deliberate self-harm, which in turn reciprocally predicted subsequent depressive symptoms, both between and within individuals. While the cross-lagged effects were invariant by gender and academic performance, the effect of baseline depressive symptoms on later deliberate self-harm was stronger for adolescents in the early pubertal stage (β = 0.19, 95% Confidence Interval: 0.08 to 0.30) than for those in the middle-to-late pubertal stage (β = 0.13, 95% CI: 0.06 to 0.19).ConclusionThere is a causal and reciprocal relationship between depressive symptoms and deliberate self-harm among rural adolescents in China. Not only does this finding lend further credence to a growing body of research on adolescents' self-harming behaviors but also informs early intervention strategies aimed at improving behavioral health of rural adolescents in western China.

Dataset Information

The reciprocal relationships of social norms and risk perceptions to cigarette, e-cigarette, and cannabis use: Cross-lagged panel analyses among US young adults in a longitudinal study.

Introduction

Methods

Results

Conclusions

Publications

The reciprocal relationships of social norms and risk perceptions to cigarette, e-cigarette, and cannabis use: Cross-lagged panel analyses among US young adults in a longitudinal study.

Similar Datasets

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