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Adolescent performance enhancing substance use: regional differences across the US.

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  • 1Johnson Hall School of Nursing, Purdue University, 502 N. University St., West Lafayette, IN 47907-2069, USA. jthorlto@purdue.edu

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Adolescent use of performance enhancing substances (PES) is linked to mental health issues, drug offers at school, and regional factors. Addressing these predictors may help prevent serious health consequences.

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Area of Science:

  • Public Health
  • Adolescent Medicine
  • Substance Use Research

Background:

  • Performance enhancing substances (PES) are a significant industry with public health implications for adolescents.
  • Adolescent PES use is associated with severe adverse effects, including mental health problems and premature death.
  • Understanding predictors of PES use is crucial for developing targeted interventions.

Purpose of the Study:

  • To identify predictors of performance enhancing substances (PES) use among adolescents.
  • To analyze the relationship between various psychosocial, behavioral, and demographic factors and PES use.
  • To utilize Bandura's Social Cognitive Theory as a framework for understanding adolescent PES use.

Main Methods:

  • Secondary analysis of the 2007 National Youth Risk Behavior Survey (YRBS) data (n=14,041).
  • Correlational study employing bi-variate and logistic regression analyses using SPSS Complex Samples.
  • Examined associations between PES use and variables such as mental health status, drug offers, and substance use behaviors.

Main Results:

  • Feeling sad/hopeless, suicidal ideation, body image concerns, and peer drug offers were significant predictors of PES use.
  • Geographic location (South US region highest), sexual activity, smoking, and alcohol use were also associated with PES use.
  • High rates of drug offers at school (17-39%) and PES use (5-17%) were reported across the US.

Conclusions:

  • Multiple factors, including mental health, environmental influences, and substance use, predict adolescent PES use.
  • Preventable factors contributing to morbidity and mortality associated with PES use were identified.
  • Regional disparities in PES use highlight the need for tailored public health and policy interventions for adolescents.