With over 52% of high school students reporting that they have tried alcohol or illicit drugs, 16% carrying a weapon, and 23% engaging in a physical fight, substance use and youth violence remain critical public health challenges in the United States. Using data from the 2017 Youth Risk Behavior Survey, study results revealed that youth who reported heavy use of either alcohol, marijuana, or illicit drugs were three to ten times more likely to report carrying a weapon or engaging in a physical fight. Similarly, youth with heavy substance use were one and half times to 14 times more likely to be a victim of violence or sexual or dating violence. The SEM analysis indicated that substance use had a significant effect on all aspects of violence. School-based behavioral health specialists and community-based pediatricians may need to develop targeted messages to address the potential for violence among youth who use alcohol and/or illicit drugs.
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Agnew, R. (2002). Experienced, vicarious, and anticipated strain: An exploratory study on physical victimization and delinquency. Justice Quarterly, 19(4), 603–632. https://doi.org/10.1080/07418820200095371.
Beardslee, J., Docherty, M., Mulvey, E., Schubert, C., & Pardini, D. (2018). Childhood risk factors associated with adolescent gun carrying among Black and White Males: An examination of self-protection, social influence, and antisocial propensity explanations. Law and Human Behavior, 42(2), 110–118. https://doi.org/10.1037/lhb0000270.
Bellair, P. E., & Mcnulty, T. L. (2005). Beyond the bell curve: Community disadvantage and the explanation of black-white differences in adolescent violence. Criminology, 43(4), 1135–1168. https://doi.org/10.1111/j.1745-9125.2005.00035.x.
Blashill, A. J. (2014). A dual pathway model of steroid use among adolescent boys: Results from a nationally representative sample. Psychology of Men & Masculinity, 15(2), 229–233. https://doi.org/10.1037/a0032914.
Blum, R. W., Beuhring, T., Shew, M. L., Bearinger, L. H., Sieving, R. E., & Resnick, M. D. (2000). The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. American Journal of Public Health, 90(12), 1879–1884.
Brener, N. D., Kann, L., Shanklin, S., Kinchen, S., Eaton, D. K., Hawkins, J., et al. (2013). Methodology of the youth risk behavior surveillance system—2013. Morbidity and Mortality Weekly Report, 62(RR01), 1–23.
Browning, S., & Erickson, P. (2009). Neighborhood disadvantage, alcohol use, and violent victimization. Youth Violence and Juvenile Justice, 7(4), 331–349. https://doi.org/10.1177/1541204009335532.
Centers for Disease Control and Prevention. (2013). Methodology of the youth risk behavior surveillance system—2013 (MMWR 2013;62). Retrieved from https://www.cdc.gov/mmwr/pdf/rr/rr6201.pdf.
Crawford-Jakubiak, J. E., Alderman, E. M., Leventhal, J. M., & Neglect, C. on C. A. A., & Adolescence, C. O. (2017). Care of the adolescent after an acute sexual assault. Pediatrics. https://doi.org/10.1542/peds.2016-4243.
Crime in the U.S. 2015.Uniform Crime Reports. (2015). Federal Bureau of Investigation. Retrieved from https://ucr.fbi.gov/crime-in-the-u.s/2015/crime-in-the-u.s.-2015.
Digest of Education Statistics. (2013, November). Retrieved from https://nces.ed.gov/programs/digest/d13/tables/dt13_206.10.asp.
Digest of Education Statistics. (2015, November). Retrieved from https://nces.ed.gov/programs/digest/d15/tables/dt15_219.80.asp.
Fite, P. J., Wynn, P., & Pardini, D. A. (2009). Explaining discrepancies in arrest rates between Black and White Male juveniles. Journal of Consulting and Clinical Psychology, 77(5), 916–927. https://doi.org/10.1037/a0016626.
Haegerich, T. M., Shults, R. A., Oman, R. F., & Vesely, S. K. (2016). The predictive influence of youth assets on drinking and driving behaviors in adolescence and young adulthood. The Journal of Primary Prevention, 37(3), 231–245. https://doi.org/10.1007/s10935-016-0418-7.
Hertz, M. F., Jones, S. E., Barrios, L., David-Ferdon, C., & Holt, M. (2015). Association between bullying victimization and health risk behaviors among high school students in the United States. The Journal of School Health, 85(12), 833–842. https://doi.org/10.1111/josh.12339.
Johnston, L. D., Miech, R. A., O’Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E. (2018). Monitoring the Future national survey results on drug use: 1975–2017: Overview, key findings on adolescent drug use. Institute for Social Research, The University of Michigan. Retrieved from https://monitoringthefuture.org/pubs/monographs/mtf-overview2017.pdf.
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Hawkins, J., et al. (2016). Youth risk behavior surveillance—United States, 2015. Morbidity and Mortality Weekly Report. Surveillance Summaries (Washington, D.C.: 2002), 65(6), 1–174. https://doi.org/10.15585/mmwr.ss6506a1.
Kaufman, J. M. (2009). Gendered responses to serious strain: The argument for a general strain theory of deviance. Justice Quarterly: JQ/Academy of Criminal Justice Sciences, 26(3), 410–444. https://doi.org/10.1080/07418820802427866.
Kliewer, W., & Murrelle, L. (2007). Risk and protective factors for adolescent substance use: Findings from a study in selected Central American Countries. Journal of Adolescent Health, 40(5), 448–455. https://doi.org/10.1016/j.jadohealth.2006.11.148.
Lim, J. Y., & Lui, C. K. (2016). Longitudinal associations between substance use and violence in adolescence through adulthood. Journal of Social Work Practice in the Addictions, 16(1–2), 72–92. https://doi.org/10.1080/1533256X.2016.1162166.
Loeber, R., & Farrington, D. P. (2011). Young homicide offenders and victims: Risk factors, prediction, and prevention from childhood. New York: Springer.
Loeber, R., Pardini, D., Homish, D. L., Wei, E. H., Crawford, A. M., Farrington, D. P., et al. (2005). The prediction of violence and homicide in young men. Journal of Consulting and Clinical Psychology, 73(6), 1074–1088. https://doi.org/10.1037/0022-006X.73.6.1074.
Logan-Greene, P., Nurius, P. S., & Thompson, E. A. (2012). Distinct stress and resource profiles among at-risk adolescents: Implications for violence and other problem behaviors. Child & Adolescent Social Work Journal, 29(5), 373–390. https://doi.org/10.1007/s10560-012-0269-x.
Lowry, R., Cohen, L. R., Modzeleski, W., Kann, L., Collins, J. L., & Kolbe, L. J. (1999). School violence, substance use, and availability of illegal drugs on school property among US high school students. Journal of School Health, 69(9), 347–355. https://doi.org/10.1111/j.1746-1561.1999.tb06427.x.
McGinty, E. E., Choksy, S., & Wintemute, G. J. (2016). The relationship between controlled substances and violence. Epidemiologic Reviews, 38(1), 5–31. https://doi.org/10.1093/epirev/mxv008.
McNaughton Reyes, H. L., Foshee, V. A., Bauer, D. J., & Ennett, S. T. (2012). Heavy alcohol use and dating violence perpetration during adolescence: Family, peer and neighborhood violence as moderators. Prevention Science, 13(4), 340–349. https://doi.org/10.1007/s11121-011-0215-8.
Meier, M. H., Caspi, A., Ambler, A., Harrington, H., Houts, R., Keefe, R. S. E., et al. (2012). Persistent cannabis users show neuropsychological decline from childhood to midlife. Proceedings of the National Academy of Sciences of the United States of America, 109(40), E2657–E2664. https://doi.org/10.1073/pnas.1206820109.
Miller, K. M., & Bank, L. (2013). Moderating effects of race on internalizing and externalizing behaviors among children of criminal justice and child welfare involved mothers. Children and Youth Services Review, 35(3), 472–481.
Moore, T. M., & Stuart, G. L. (2005). A review of the literature on marijuana and interpersonal violence. Aggression and Violent Behavior, 10(2), 171–192. https://doi.org/10.1016/j.avb.2003.10.002.
Muthén, L. K., & Muthén, B. O. (2012). Mplus: Statistical analysis with latent variables; user’s guide [version 7].
National Institute on Drug. (2019). Monitoring the Future Study: Trends in Prevalence of Various Drugs. Retrieved from https://www.drugabuse.gov/trends-statistics/monitoring-future/monitoring-future-study-trends-in-prevalence-various-drugs.
Nielsen, A. L., Ramiro Martinez, J., & Rosenfeld, R. (2005). Firearm use, injury, and lethality in assaultive violence: An examination of ethnic differences. Homicide Studies. https://doi.org/10.1177/1088767904274160.
Nuño, L. E., Herrera, V. M., Choate, D. E., & Koontz, M. (2019). Hispanic youth and illicit drug use: Assessing the relevance of risk and protective factors. Crime & Delinquency, 65(10), 1422–1454. https://doi.org/10.1177/0011128718814859.
Patrick, M. E., Schulenberg, J. E., O’malley, P. M., Johnston, L. D., & Bachman, J. G. (2011). Adolescents’ reported reasons for alcohol and marijuana use as predictors of substance use and problems in adulthood. Journal of Studies on Alcohol and Drugs, 72(1), 106–116.
Pinchevsky, G. M., Fagan, A. A., & Wright, E. M. (2014). Victimization experiences and adolescent substance use: Does the type and degree of victimization matter? Journal of Interpersonal Violence, 29(2), 299–319. https://doi.org/10.1177/0886260513505150.
Salas-Wright, C. P., Nelson, E. J., Vaughn, M. G., Reingle Gonzalez, J. M., & Córdova, D. (2017). Trends in fighting and violence among adolescents in the United States, 2002–2014. American Journal of Public Health, 107(6), 977–982. https://doi.org/10.2105/AJPH.2017.303743.
Sampson, R. J., Morenoff, J. D., & Raudenbush, S. (2005). Social anatomy of racial and ethnic disparities in violence. American Journal of Public Health, 95(2), 224–232. https://doi.org/10.2105/AJPH.2004.037705.
Schneider, K. E., Krawczyk, N., Xuan, Z., & Johnson, R. M. (2018). Past 15-year trends in lifetime cocaine use among US high school students. Drug and Alcohol Dependence, 183, 69–72. https://doi.org/10.1016/j.drugalcdep.2017.10.028.
Stagman, S., Schwarz, S. W., & Powers, D. (2011). Adolescent Substance Use in the U.S. Facts for policymakers. National Center for Children in Poverty.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2018). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health. 82.
Taylor, K. W., & Kliewer, W. (2006). Violence exposure and early adolescent alcohol use: An exploratory study of family risk and protective factors. Journal of Child and Family Studies, 15(2), 201–215. https://doi.org/10.1007/s10826-005-9017-6.
Terry-McElrath, Y. M., & Patrick, M. E. (2018). U.S. adolescent alcohol use by race/ethnicity: Consumption and perceived need to reduce/stop use. Journal of Ethnicity in Substance Abuse. https://doi.org/10.1080/15332640.2018.1433094.
The Centers for Disease Control and Prevention. (2017). Retrieved from https://www.cdc.gov/violenceprevention/youthviolence/index.html.
White, H. R., Jackson, K. M., & Loeber, R. (2009). Developmental sequences and comorbidity of substance use and violence. In M. D. Krohn, A. J. Lizotte, & G. P. Hall (Eds.), Handbook on crime and deviance (pp. 433–468). New York: Springer.
Zinzow, H. M., Ruggiero, K. J., Resnick, H., Hanson, R., Smith, D., Saunders, B., et al. (2009). Prevalence and mental health correlates of witnessed parental and community violence in a national sample of adolescents. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 50(4), 441–450. https://doi.org/10.1111/j.1469-7610.2008.02004.x.
A version of this paper was presented at American Public Health Association (APHA) Annual Meeting, San Diego, CA, in 2018.
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Kedia, S.K., Dillon, P.J., Jiang, Y. et al. The Association Between Substance Use and Violence: Results from a Nationally Representative Sample of High School Students in the United States. Community Ment Health J 57, 294–306 (2021). https://doi.org/10.1007/s10597-020-00648-x
- Illicit drugs
- Substance use
- High school students