Risk and protective factors for alcohol, marijuana, and cocaine use among child welfare-involved youth

Samantha L. Pittenger, Kelly E. Moore, Emily R. Dworkin, Cindy A. Crusto, Christian Connell

Research output: Contribution to journalArticle

Abstract

Youth involved in child welfare services (CWS) are at elevated risk for substance use. CWS involvement may provide an opportunity for intervention to prevent subsequent use; however, little is known about mitigating substance use risk in this population. Using data from the second National Survey of Child and Adolescent Well-Being (NSCAW II), the present study examined individual, psychological, and contextual risk factors (e.g., prior substance use, depression, posttraumatic stress, maltreatment experiences) and protective factors (e.g., caregiver monitoring, peer relationships) following CWS involvement (Wave 1) in relation to alcohol, marijuana, and cocaine use 36 months later (Wave 3). The nationally-representative sample of CWS-involved youth was restricted to individuals who were aged 11 years or older at Wave 1 and had at least a partial interview at Wave 3 (N = 763). Three logistic regression models showed that Wave 1 substance use increased the likelihood of marijuana and cocaine use at Wave 3 [marijuana OR = 1.41 (1.19–1.68); cocaine OR = 1.26 (1.07–1.50)] but not binge alcohol use [OR = 1.44 (0.95–2.19)]. Other risk and protective factors had limited predictive value for Wave 3 substance use. The present findings suggest that initiating substance use prior to or at the time of CWS involvement is a critical risk factor for later substance use. Substance use screening and referral to treatment is imperative for CWS-involved youth.

Original languageEnglish (US)
Pages (from-to)88-94
Number of pages7
JournalChildren and Youth Services Review
Volume95
DOIs
StatePublished - Dec 1 2018

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Cannabis
Cocaine
Child Welfare
child welfare
alcohol
Alcohols
Logistic Models
maltreatment
caregiver
Protective Factors
well-being
logistics
monitoring
Caregivers
adolescent
regression
Referral and Consultation
Interviews
Psychology
interview

All Science Journal Classification (ASJC) codes

  • Education
  • Developmental and Educational Psychology
  • Sociology and Political Science

Cite this

Pittenger, Samantha L. ; Moore, Kelly E. ; Dworkin, Emily R. ; Crusto, Cindy A. ; Connell, Christian. / Risk and protective factors for alcohol, marijuana, and cocaine use among child welfare-involved youth. In: Children and Youth Services Review. 2018 ; Vol. 95. pp. 88-94.
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Risk and protective factors for alcohol, marijuana, and cocaine use among child welfare-involved youth. / Pittenger, Samantha L.; Moore, Kelly E.; Dworkin, Emily R.; Crusto, Cindy A.; Connell, Christian.

In: Children and Youth Services Review, Vol. 95, 01.12.2018, p. 88-94.

Research output: Contribution to journalArticle

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