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Peer conversation about substance (mis)use.

Danielle Pillet-Shore1

  • 1Department of Communication, University of New Hampshire, Durham, NH, USA.

Sociology of Health & Illness
|February 26, 2021
PubMed
Summary
This summary is machine-generated.

Friends discussing substance misuse can lead to informal social control. This study analyzes conversations, revealing how peer groups manage alcohol use and prevent pain medication misuse through natural dialogue.

Keywords:
conversation analysisdisclosuresemerging adultsidentityinformal social controlnormsopioidspeer pressurepreventionsocial ecologysocial supportsubstance use/misuse

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Area of Science:

  • Sociology
  • Communication Studies
  • Substance Use Research

Background:

  • Substance use and misuse are significant public health concerns.
  • Peer influence plays a crucial role in the initiation and continuation of substance use.
  • Understanding how substance use is discussed in natural peer interactions is vital for prevention strategies.

Purpose of the Study:

  • To investigate the spontaneous topicalization of substance use and misuse in everyday peer conversations.
  • To analyze how substance use disclosures are occasioned and responded to within a peer group.
  • To explore the role of informal social control in managing substance use behaviors among emerging adults.

Main Methods:

  • Analysis of a rare video-recorded interaction among American English-speaking university students.
  • Detailed examination of naturally occurring conversation focusing on substance (mis)use informings.
  • Qualitative analysis of conversational strategies and social dynamics.

Main Results:

  • Participants spontaneously disclosed information about their own substance (mis)use.
  • Peer responses included tacit recruitment of surveillance and enactment of informal social control.
  • The group promoted alcohol use while actively discouraging pain medication misuse by one member.

Conclusions:

  • Ordinary peer conversation is a critical site for sociological research on substance use and misuse.
  • Emerging adult peer groups utilize casual talk to establish and enforce social norms regarding substance use.
  • Informal social control within peer groups can simultaneously encourage some substance use while deterring others.