Kimberly G. Wagoner

Everyone Says It's OK: Adolescents’ Perceptions of Peer, Parent, and Community Alcohol Norms, Alcohol Consumption, and Alcohol-Related Consequences

An adolescents perception of norms is related to her or his engagement in alcohol-related behaviors. Norms have different sources, such as parents, peers, and community. We explored how norms from different sources were simultaneously related to different alcohol-related behaviors (current drinking, drunkenness, heavy episodic drinking, driving under the influence or riding with a impaired driver, and alcohol-related nonviolent consequences) using data collected in 2004 from 6,958 adolescents from 68 communities in five states. Results revealed that parent, friend, and community norms were related to adolescents’ alcohol-related behavior, but the strength of these impacts varied across behaviors. The pattern of results varied when the analysis relied on all adolescents or just those who had consumed alcohol in the last year.

Date Fighting Experiences among College Students: Are They Associated with Other Health-Risk Behaviors?.

Objective: The authors examined the clustering of health-risk behaviors among college students who reported date fight involvement. Participants and Methods: The authors administered a Web-based survey to a stratified random sample of 3,920 college students from 10 universities in North Carolina. Results: Among men, 5.6% reported date fight victimization, and 1% reported date fight perpetration. Victimization among men was associated with (1) first drink at age 15 years or younger, (2) a recent threat of violence by someone who had been drinking, (3) smoking, (4) amphetamine use, and (5) older age. Among women, 6.7% reported date fight victimization, which was associated with (1) older age, (2) assault from a student who had been drinking, (3) sex with 2 or more persons, (4) consumption of alcohol in high school, (5) illegal drug use, (6) nonsexual assault requiring medical treatment, and (7) living off campus. Of the women, 4.2% reported date fight perpetration, which was associated with (1) minority race/ethnicity, (2) older age, (3) frequency of sexual intercourse, and (4) alcohol and marijuana use. Conclusions: Date fight experiences were associated with multiple health-risk behaviors among this sample of college students.

Selected community characteristics and underage drinking

This study assessed the relationship between community characteristics and alcohol use among 6,636 youth, aged from 14 to 20, in 2004. After adjusting for individual-level characteristics, youth from communities with a greater proportion of grandparents as caregivers, larger numbers of married couple families, and higher employment rates were significantly less likely to report past 30-day alcohol use. Youth from communities with higher median household income were significantly more likely to report past 30-day alcohol use. Adolescents in communities with a greater percentage of whites were significantly more likely to report binge drinking. The results indicate that the community context is an important predictor of alcohol use.

E-cigarette Availability and Promotion Among Retail Outlets Near College Campuses in Two Southeastern States

INTRODUCTION E-cigarettes are relatively new products that simulate the smoking experience. This descriptive study assessed changes in e-cigarette availability and promotions among retailers in 11 college communities in North Carolina and Virginia during a 1-year period. METHODS During the spring of 2012 and 2013, observers completed assessments in 320 tobacco-selling retailers, including grocery and convenience stores, pharmacies, and tobacco shops. Assessors collected e-cigarette availability, advertising, price, and promotions. RESULTS E-cigarette availability increased among retailers from 24.7% in 2012 to 59.9% in 2013. They were available in the form of disposables and reusable kits and were most frequently available in tobacco shops, convenience stores, and pharmacies. The average price for disposables was

Marijuana use trajectories and academic outcomes among college students.

9.70 (SD = 1.07) in 2012 and

Adolescent date fighting victimization and perpetration from a multi-community sample: associations with substance use and other violent victimization and perpetration.

9.61 (SD = 2.10) in 2013; the average price for kits was

Free Alcohol Use and Consequences: Gender Differences Among Undergraduates

39.58 (SD = 15.79) in 2012 and

Adolescent and Young Adult Perceptions of Hookah and Little Cigars/Cigarillos: Implications for Risk Messages

32.59 (SD = 18.65) in 2013. The presence of interior advertising increased from 12.7% to 50.6% (p < .0001), and the presence of exterior advertising increased from 7.6% to 22.8% (p = .0002). Convenience stores with gas (16.4%-70.4%; p < .0001) and without gas (6.0%-48.4%; p < .0001) had significant increases in the presence of interior advertising. Convenience stores with gas also had a significant increase in the presence of exterior advertising (8.2%-33.3%; p < .0001). Only 3% of retailers offered price promotions. CONCLUSIONS Availability of e-cigarettes, including rechargeable kits and disposables, more than doubled during the study. The presence of interior and exterior advertising also significantly increased. Results underscore the need for further surveillance to understand how these environmental characteristics impact individual exposure and use of e-cigarettes.

Protective Behaviors and High-Risk Drinking among Entering College Freshmen.

BACKGROUND Marijuana is the most commonly used illicit drug by college students. Prior studies have established an association between marijuana use and poor academic performance in college, but research on the frequency of marijuana use over the entire college career is limited. The study objective was to examine the association of marijuana use trajectories on academic outcomes, including senior year enrollment, plans to graduate on time, and GPA. METHODS Data were collected from a cohort of 3146 students from 11 colleges in North Carolina and Virginia at six time points across the college career. Group-based trajectory models were used to characterize longitudinal marijuana use patterns during college. Associations between marijuana trajectory groups and academic outcomes were modeled using random-effects linear and logistic regressions. RESULTS Five marijuana trajectory groups were identified: non-users (69.0%), infrequent users (16.6%), decreasing users (4.7%), increasing users (5.8%), and frequent users (3.9%). Decreasing users and frequent users were more likely to drop out of college and plan to delay graduation when compared to non-users. All marijuana user groups reported lower GPAs, on average, than non-users. CONCLUSION These results identify marijuana use patterns that put students at risk for poor academic performance in college. Students who use marijuana frequently at the beginning of the college career are especially at risk for lower academic achievement than non-users, suggesting that early intervention is critical.

A Review of Social Host Policies Focused on Underage Drinking Parties: Suggestions for Future Research:

UNLABELLED Dating violence perpetration and victimization among adolescents in the U.S. is an important public health problem. The literature examining the relationship between dating violence, substance use, and other risk behaviors among adolescents is limited. OBJECTIVE The goal of this study was to examine associations of adolescent date fighting victimization and date fighting perpetration with substance use and other risk behaviors. METHODS Repeated cross-sectional phone surveys of 14-20 year olds from 70 communities across five states were conducted in the spring of2004 and 2006 (n=13,422). Multivariate regression analyses were used to analyze the relationship between date fighting victimization and date fighting perpetration with substance use and other risk behaviors. RESULTS Older age, Black race (vs. White), single parent household, age of first drink, riding in a car with a drinking driver, having been sexually victimized, and having threatened or hurt someone with a weapon were associated with date fighting victimization (all p<.01). Older age, female gender, Black race (vs. White), Hispanic ethnicity (vs. White), single parent household, age of first drink, past 30 day drunkenness, past 30 day marijuana use, having been sexually victimized, having perpetrated sexual victimization, and having threatened or hurt someone with a weapon were associated with date fighting perpetration. CONCLUSIONS Similar, yet distinct, patterns of individual characteristics and health risk behaviors emerged for date fighting victimization and perpetration among adolescents.