Jeremy Mennis

Peer Attitudes Effects on Adolescent Substance Use: The Moderating Role of Race and Gender

We examined the relationship between adolescents’ perceptions of their close friends’ attitudes about substance use, and their own use of cigarettes, alcohol, and marijuana. Using data from the 2010 National Survey on Drug Use and Health, a multistage area probability sample sponsored by the Substance Abuse and Mental Health Services Administration (n = 17,865), we tested the direct and moderating effects of subgroups of race and gender on perceptions of adolescents’ close friends on past month substance use. Significant effects were found on peer attitudes influencing substance use for all race and gender subgroups. Close friends’ attitudes of indifference were associated with increased substance use and disapproval associated with reduced use, controlling for age, income, family structure, and adolescents’ own attitudes of risk of substance use. Significant moderating effects of peer attitudes on cigarette and marijuana use were found for both gender and race moderators. Conditional effects of the moderation by race were also examined for gender subgroups. The moderating effect of race on close friends’ attitudes impacting cigarette and marijuana use was stronger in magnitude and significance for females compared to males. Female marijuana and cigarette use was more influenced by close friends’ attitudes than males, and whites were more influenced by their close friends than Hispanics and blacks. White females are more susceptible to close friends’ attitudes on cigarette use as compared to white males and youth of other races. Implications for socially oriented preventive interventions are discussed.

Social and geographic contexts of adolescent substance use: The moderating effects of age and gender

Abstract This study investigates whether age and gender moderate the effects of social network and neighborhood contexts on adolescent substance use using a spatially embedded, egocentric social network data set comprised of 254 urban adolescents. Results indicate that substance use is enhanced by being older and male, as well as the presence of neighborhood concentrated disadvantage and interaction with substance using peers at adolescents’ perceived risky places. Older adolescents are more strongly influenced by social and neighborhood contexts than younger adolescents, where ages 14–16 appear to be a key transition age for the emergence of contextual effects on substance use.

Environmental Justice in Hamburg, Germany

This environmental justice study investigates whether disempowered segments of the population in Hamburg, Germany, namely, foreigners and the poor, reside disproportionately in neighborhoods that contain, have higher concentrations of, and are in closer proximity to facilities releasing toxic chemicals into the environment. Methods include choropleth mapping; comparisons of means, correlation, and ordinary least squares (OLS); and spatial econometric regression. The results provide evidence that toxic release facilities are disproportionately located within, and closer to, neighborhoods with comparatively higher proportions of foreigners and the poor as compared to those with higher proportions of German citizens and the non-poor. We speculate that the causes of this pattern of environmental inequity are similar to the causes scholars have proposed for comparable patterns observed in many U.S. cities, where marginalized immigrant or minority groups subject to discrimination in housing and employment have sought low-wage labor in industrial areas, whereas wealthier German citizens have settled in environmentally safer parts of the city.

Racial and Ethnic Disparities in Outpatient Substance Use Disorder Treatment Episode Completion for Different Substances.

This study investigates how racial and ethnic disparities in treatment episode completion vary across different problem substances in an urban sample of 416,224 outpatient treatment discharges drawn from the 2011 U.S. Treatment Episode Dataset-Discharge (TEDS-D) data set. Fixed effects logistic regression is employed to test for the association of race and ethnicity with treatment episode completion for different substances of use while controlling for confounding demographic, socioeconomic, and geographic clustering factors. Results show that African Americans and Hispanics are less likely to complete a treatment episode than Whites, and that these disparities vary among users of different substances. For African Americans, this disparity is observed over all substances, but is particularly acute among users of alcohol and methamphetamine, substances for which African Americans generally have lower rates of use disorder as compared to Whites. For Hispanics, this disparity is driven primarily by users of heroin, for which Hispanics are only 75% as likely as Whites to complete a treatment episode. For users of cocaine and methamphetamine, there is no significant difference between Hispanics and Whites in the likelihood of treatment episode completion. These results contribute to emerging research on the mechanisms of substance use disorder treatment outcomes and highlight the need for culturally appropriate treatment programs to enhance treatment program retention and associated positive post-treatment outcomes.

Neighborhood Collective Efficacy and Dimensions of Diversity: A Multilevel Analysis

Collective efficacy is becoming an increasingly important concept within the social and health sciences as researchers question how the social environment of a neighborhood influences a host of individual psychological, behavioral, and health outcomes. We investigate whether ethnic as well as other dimensions of neighborhood-level diversity are associated with collective efficacy. Survey data are used to capture perceptions of neighborhood cooperation and social cohesion for 26 344 survey respondents in southeast Pennsylvania; US Census data are used to capture neighborhood concentrated disadvantage and residential mobility, as well as diversity along a range of dimensions, including ethnicity, birthplace, household type, occupation, income, and educational attainment. Multilevel modeling is employed to test the association of various dimensions of neighborhood diversity with individual-level perceptions of neighborhood cooperation and social cohesion, while controlling for individual and other neighborhood-level variables. Results suggest that low collective efficacy is associated with diversity in cultural characteristics such as ethnicity, birthplace, and household type. We ascribe these findings to patterns of neighborhood transition, or churning, where high rates of neighborhood in-migration and out-migration act to weaken collective efficacy. Diversity, both in educational attainment and in income, however, are associated with high neighborhood collective efficacy, and are not related to neighborhood churning.

Does substance use moderate the association of neighborhood disadvantage with perceived stress and safety in the activity spaces of urban youth

BACKGROUND This study investigates the association of activity space-based exposure to neighborhood disadvantage with momentary perceived stress and safety, and the moderation of substance use on those associations, among a sample of 139 urban, primarily African American, adolescents. METHOD Geospatial technologies are integrated with Ecological Momentary Assessment (EMA) to capture exposure to neighborhood disadvantage and perceived stress and safety in the activity space. A relative neighborhood disadvantage measure for each subject is calculated by conditioning the neighborhood disadvantage observed at the EMA location on that of the home neighborhood. Generalized estimating equations (GEE) are used to model the effect of relative neighborhood disadvantage on momentary perceived stress and safety, and the extent to which substance use moderates those associations. RESULTS Relative neighborhood disadvantage is significantly associated with higher perceived stress, lower perceived safety, and greater substance use involvement. The association of relative neighborhood disadvantage with stress is significantly stronger among those with greater substance use involvement. CONCLUSION This research highlights the value of integrating geospatial technologies with EMA and developing personalized measures of environmental exposure for investigating neighborhood effects on substance use, and suggests substance use intervention strategies aimed at neighborhood conditions. Future research should seek to disentangle the causal pathways of influence and selection that relate neighborhood environment, stress, and substance use, while also accounting for the role of gender and family and peer social contexts.

Dasymetric Spatiotemporal Interpolation

This research applies the principles of dasymetric mapping to spatiotemporal interpolation by extending the spatial concepts of zone and area to their temporal analogs of interval and duration, respectively. An example application of dasymetric spatiotemporal interpolation using crime event data is presented. Results indicate that dasymetric spatiotemporal interpolation significantly improves the accuracy of estimates over areal or duration weighting. In addition, even when dasymetric interpolation in either the spatial or temporal dimension is relatively weak, combining dasymetric estimation in both space and time dimensions simultaneously has the potential to amplify the accuracy of the overall dasymetric estimation.

The role of tobacco outlet density in a smoking cessation intervention for urban youth.

This study investigates the role of tobacco outlet density in a randomized controlled trial of a text messaging-based smoking cessation intervention conducted among a sample of 187 primarily African American youth in a midsize U.S. city. A moderated mediation model was used to test whether the indirect effect of residential tobacco outlet density on future smoking was mediated by the intention to smoke, and whether this indirect effect differed between adolescents who received the intervention and those who did not. Results indicated that tobacco outlet density is associated with intention to smoke, which predicts future smoking, and that the indirect effect of tobacco outlet density on future smoking is moderated by the intervention. Tobacco outlet density and the intervention can be viewed as competing forces on future smoking behavior, where higher tobacco outlet density acts to mitigate the sensitivity of an adolescent to the interventions intended effect. Smoking cessation interventions applied to youth should consider tobacco outlet density as a contextual condition that can influence treatment outcomes.

Risky Substance Use Environments and Addiction: A New Frontier for Environmental Justice Research.

Substance use disorders are widely recognized as one of the most pressing global public health problems, and recent research indicates that environmental factors, including access and exposure to substances of abuse, neighborhood disadvantage and disorder, and environmental barriers to treatment, influence substance use behaviors. Racial and socioeconomic inequities in the factors that create risky substance use environments may engender disparities in rates of substance use disorders and treatment outcomes. Environmental justice researchers, with substantial experience in addressing racial and ethnic inequities in environmental risk from technological and other hazards, should consider similar inequities in risky substance use environments as an environmental justice issue. Research should aim at illustrating where, why, and how such inequities in risky substance use environments occur, the implications of such inequities for disparities in substance use disorders and treatment outcomes, and the implications for tobacco, alcohol, and drug policies and prevention and treatment programs.

Urban greenspace is associated with reduced psychological stress among adolescents: A Geographic Ecological Momentary Assessment (GEMA) analysis of activity space

This study investigates the momentary association between urban greenspace, captured using Normalized Difference Vegetation Index (NDVI) derived from Landsat imagery, and psychological stress, captured using Geographic Ecological Momentary Assessment (GEMA), in the activity spaces of a sample of primarily African American adolescents residing in Richmond, Virginia. We employ generalized estimating equations (GEE) to estimate the effect of exposure to urban greenspace on stress and test for moderation by sex, emotional dysregulation, season, neighborhood disadvantage, and whether the observation occurs at home or elsewhere. Results indicate that urban greenspace is associated with lower stress when subjects are away from home, which we speculate is due to the properties of stress reduction and attention restoration associated with exposure to natural areas, and to the primacy of other family dynamics mechanisms of stress within the home. Subjects may also seek out urban greenspaces at times of lower stress or explicitly for purposes of stress reduction. The greenspace-stress association away from home did not differ by sex, emotional dysregulation, neighborhood disadvantage, or season, the latter of which suggests that the observed greenspace-stress relationship is associated with being in a natural environment rather than strictly exposure to abundant green vegetation. Given the association of urban greenspace with lower stress found here and in other studies, future research should address the mediated pathways between greenspace, stress, and stress-related negative health outcomes for different population subgroups as a means toward understanding and addressing health disparities.