{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Marziali ME"],"funding":["NIDA NIH HHS","National Institutes of Health, National Institute on Drug Abuse"],"pagination":["1085-1093"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC9706817"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["43(1)"],"pubmed_abstract":["<i>Objective:</i> While peer influence is a well-documented risk factor for adolescent substance use, it remains unclear whether peer or parental attitudes have greater impact, and if this relationship is moderated by having a confidant and the relationship between adolescents and their confidant. <i>Method</i>: Pooled (2015-2018) National Survey on Drug Use and Health (NSDUH) data on adolescents (12-17 years) were used. Perceived peer and parental disapproval of tobacco, alcohol, and marijuana use were dichotomized. We assessed associations between disapproval and past-month tobacco (<i>N</i> = 51,352), alcohol (<i>N</i> = 51,407), and marijuana use (<i>N</i> = 51,355) using separate multivariable logistic regression models. We explored effect modification by the presence of a confidant, parental vs. non-parental disapproval, and peer vs. non-peer confidant relationship. <i>Results</i>: Peer and parental disapproval, presence of any confidant, and identifying a parental confidant were consistently protective against substance use; identifying a peer confidant increased odds of use across substances. For marijuana use, peer disapproval (adjusted odds ratio [aOR]: 0.07, 95% confidence interval [CI]: 0.06, 0.08) was more protective than parental disapproval (aOR: 0.13, 95% CI: 0.12, 0.15). The joint presence of peer/parental disapproval and any confidant decreased the odds of substance use beyond the individual effects of peer/parental disapproval and having a confidant. However, having a peer confidant attenuated the protective association between peer/parental disapproval and tobacco, alcohol, and marijuana use. <i>Conclusions</i>: Both peer and parental relationships are salient when considering the social context of adolescent substance use and should be considered when studying the effects of perceived disapproval."],"journal":["Substance abuse"],"pubmed_title":["Perceptions of peer and parental attitudes toward substance use and actual adolescent substance use: The impact of adolescent-confidant relationships."],"pmcid":["PMC9706817"],"funding_grant_id":["R01DA037866","R01 DA037866","T32DA031099","T32 DA031099"],"pubmed_authors":["Levy NS","Martins SS","Marziali ME"],"additional_accession":[]},"is_claimable":false,"name":"Perceptions of peer and parental attitudes toward substance use and actual adolescent substance use: The impact of adolescent-confidant relationships.","description":"<i>Objective:</i> While peer influence is a well-documented risk factor for adolescent substance use, it remains unclear whether peer or parental attitudes have greater impact, and if this relationship is moderated by having a confidant and the relationship between adolescents and their confidant. <i>Method</i>: Pooled (2015-2018) National Survey on Drug Use and Health (NSDUH) data on adolescents (12-17 years) were used. Perceived peer and parental disapproval of tobacco, alcohol, and marijuana use were dichotomized. We assessed associations between disapproval and past-month tobacco (<i>N</i> = 51,352), alcohol (<i>N</i> = 51,407), and marijuana use (<i>N</i> = 51,355) using separate multivariable logistic regression models. We explored effect modification by the presence of a confidant, parental vs. non-parental disapproval, and peer vs. non-peer confidant relationship. <i>Results</i>: Peer and parental disapproval, presence of any confidant, and identifying a parental confidant were consistently protective against substance use; identifying a peer confidant increased odds of use across substances. For marijuana use, peer disapproval (adjusted odds ratio [aOR]: 0.07, 95% confidence interval [CI]: 0.06, 0.08) was more protective than parental disapproval (aOR: 0.13, 95% CI: 0.12, 0.15). The joint presence of peer/parental disapproval and any confidant decreased the odds of substance use beyond the individual effects of peer/parental disapproval and having a confidant. However, having a peer confidant attenuated the protective association between peer/parental disapproval and tobacco, alcohol, and marijuana use. <i>Conclusions</i>: Both peer and parental relationships are salient when considering the social context of adolescent substance use and should be considered when studying the effects of perceived disapproval.","dates":{"release":"2022-01-01T00:00:00Z","publication":"2022","modification":"2025-04-19T18:07:43.497Z","creation":"2025-04-19T18:07:43.497Z"},"accession":"S-EPMC9706817","cross_references":{"pubmed":["35442871"],"doi":["10.1080/08897077.2022.2060439"]}}