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Substance use among adolescents: fulfilling a need state
A G Mainous1, C A Martin, M J Oler
1Department of Family Practice, Kentucky Clinic, University of Kentucky, Lexington 40536-0284, USA.
Summary
Adolescents with unfulfilled needs are more likely to engage in substance use, including smoking, drinking, and marijuana use. This feeling state, not tied to age, may be a precursor to adolescent substance abuse.
Area of Science:
- Psychology
- Public Health
- Adolescent Studies
Background:
- Adolescent substance use is a significant public health issue.
- The role of need fulfillment in adolescent substance use is under-investigated.
Purpose of the Study:
- To investigate the relationship between need fulfillment and adolescent substance use.
- To explore the association between need fulfillment, depression, and substance use behaviors.
Main Methods:
- Survey of 823 high school students in the Southeastern United States.
- Utilized a needs fulfillment scale, Children's Depression Inventory, and substance use items.
- Employed t-tests and correlation analyses to examine relationships.
Main Results:
- Higher scores on the Need scale were significantly associated with increased likelihood of substance use (p < .05).
- Cigarette smoking, alcohol consumption, and marijuana use showed significant positive correlations with the Need scale for both genders.
- The Need scale positively correlated with the Children's Depression Inventory (r = .45, p = .0001) but was not collinear; it did not correlate significantly with age (r = .04, p = .11).
Conclusions:
- A state of unfulfilled needs may drive adolescents toward substance use.
- Unmet needs, rather than developmental stage, appear to be a precursor to adolescent substance abuse.
- Addressing adolescent need fulfillment may be a strategy for preventing substance use.