Changes in Peer Norms As a Mediator of Reduction in Adolescent Alcohol Use

Overview

Journal Subst Use Misuse

Publisher Informa Healthcare

Date 2019 Apr 25

PMID 31014176

Citations 5

Authors

Elon Gersh

Christine M Lee

Carolyn A McCarty

Affiliations

Soon will be listed here.

Abstract

Evidence from college samples suggests that changes in peer norms (perception about peer use) mediate changes in alcohol use. There is relatively little intervention-based research in adolescents. To investigate whether changes in peer norms mediate the relationship between a brief intervention to reduce alcohol use, and level of use; additionally, to determine whether any mediation effects differ by adolescent age. Eighty-four adolescents aged 14-18 (Mean = 16.49, SD = 1.00), presenting to school-based health centers with moderate to high risk alcohol use were randomized to receive an electronic screening and feedback tool () in addition to their visit, or their visit alone. includes provision of normative feedback regarding adolescent alcohol use. Measures of self-reported alcohol use, and peer norms were collected at baseline and 2-month follow-up. Changes in perceptions of the proportion of peers using alcohol significantly mediated the relationship between the intervention and all three alcohol outcomes (frequency, typical quantity, and maximum quantity) such that reductions in perceived peer use were associated with reduced use. Moderated mediation suggested that these effects were stronger for younger adolescents compared with older adolescents. Perceptions of the frequency and quantity of peer use were not significant mediators of alcohol use. Results suggest that integrating normative feedback regarding peer alcohol use is a promising approach in adolescent focused school interventions. They extend previous findings by suggesting that perceptions of the proportion of peers using may be particularly meaningful, and that effects may be more pronounced in younger adolescents.

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References

Preacher K, Rucker D, Hayes A . Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions. Multivariate Behav Res. 2016; 42(1):185-227. DOI: 10.1080/00273170701341316. View

Baer J, Carney M . Biases in the perceptions of the consequences of alcohol use among college students. J Stud Alcohol. 1993; 54(1):54-60. DOI: 10.15288/jsa.1993.54.54. View

Georgie J M, Sean H, Deborah M C, Matthew H, Rona C . Peer-led interventions to prevent tobacco, alcohol and/or drug use among young people aged 11-21 years: a systematic review and meta-analysis. Addiction. 2015; 111(3):391-407. PMC: 4833174. DOI: 10.1111/add.13224. View

Imai K, Keele L, Tingley D . A general approach to causal mediation analysis. Psychol Methods. 2010; 15(4):309-34. DOI: 10.1037/a0020761. View

Bonomo Y, Coffey C, Wolfe R, Lynskey M, Bowes G, Patton G . Adverse outcomes of alcohol use in adolescents. Addiction. 2001; 96(10):1485-96. DOI: 10.1046/j.1360-0443.2001.9610148512.x. View

Walker D, Neighbors C, Rodriguez L, Stephens R, Roffman R . Social norms and self-efficacy among heavy using adolescent marijuana smokers. Psychol Addict Behav. 2011; 25(4):727-32. PMC: 3342009. DOI: 10.1037/a0024958. View

Eisenberg M, Toumbourou J, Catalano R, Hemphill S . Social norms in the development of adolescent substance use: a longitudinal analysis of the International Youth Development Study. J Youth Adolesc. 2014; 43(9):1486-97. PMC: 4130778. DOI: 10.1007/s10964-014-0111-1. View

Borsari B, Carey K . Peer influences on college drinking: a review of the research. J Subst Abuse. 2002; 13(4):391-424. DOI: 10.1016/s0899-3289(01)00098-0. View

Kelly A, Chan G, Toumbourou J, Oflaherty M, Homel R, Patton G . Very young adolescents and alcohol: evidence of a unique susceptibility to peer alcohol use. Addict Behav. 2012; 37(4):414-9. DOI: 10.1016/j.addbeh.2011.11.038. View

10.

Hingson R, Zha W . Age of drinking onset, alcohol use disorders, frequent heavy drinking, and unintentionally injuring oneself and others after drinking. Pediatrics. 2009; 123(6):1477-84. DOI: 10.1542/peds.2008-2176. View

11.

Collins R, Parks G, Marlatt G . Social determinants of alcohol consumption: the effects of social interaction and model status on the self-administration of alcohol. J Consult Clin Psychol. 1985; 53(2):189-200. DOI: 10.1037//0022-006x.53.2.189. View

12.

Song E, Smiler A, Wagoner K, Wolfson M . Everyone says it's ok: adolescents' perceptions of peer, parent, and community alcohol norms, alcohol consumption, and alcohol-related consequences. Subst Use Misuse. 2012; 47(1):86-98. DOI: 10.3109/10826084.2011.629704. View

13.

Ecker A, Cohen A, Buckner J . Overestimation of close friend drinking problems in the prediction of one's own drinking problems. Addict Behav. 2016; 64:107-110. PMC: 5149410. DOI: 10.1016/j.addbeh.2016.08.038. View

14.

Brooks-Russell A, Simons-Morton B, Haynie D, Farhat T, Wang J . Longitudinal relationship between drinking with peers, descriptive norms, and adolescent alcohol use. Prev Sci. 2013; 15(4):497-505. PMC: 4160800. DOI: 10.1007/s11121-013-0391-9. View

15.

Nesi J, Rothenberg W, Hussong A, Jackson K . Friends' Alcohol-Related Social Networking Site Activity Predicts Escalations in Adolescent Drinking: Mediation by Peer Norms. J Adolesc Health. 2017; 60(6):641-647. PMC: 6402495. DOI: 10.1016/j.jadohealth.2017.01.009. View

16.

Kazdin A . Mediators and mechanisms of change in psychotherapy research. Annu Rev Clin Psychol. 2007; 3:1-27. DOI: 10.1146/annurev.clinpsy.3.022806.091432. View

17.

Perkins H, Linkenbach J, Lewis M, Neighbors C . Effectiveness of social norms media marketing in reducing drinking and driving: A statewide campaign. Addict Behav. 2010; 35(10):866-74. PMC: 4942845. DOI: 10.1016/j.addbeh.2010.05.004. View

18.

Duan L, Chou C, Andreeva V, Pentz M . Trajectories of peer social influences as long-term predictors of drug use from early through late adolescence. J Youth Adolesc. 2009; 38(3):454-65. DOI: 10.1007/s10964-008-9310-y. View

19.

Litt D, Stock M . Adolescent alcohol-related risk cognitions: the roles of social norms and social networking sites. Psychol Addict Behav. 2011; 25(4):708-13. DOI: 10.1037/a0024226. View

20.

DAmico E, McCarthy D . Escalation and initiation of younger adolescents' substance use: the impact of perceived peer use. J Adolesc Health. 2006; 39(4):481-7. DOI: 10.1016/j.jadohealth.2006.02.010. View