Prevention efforts can be informed by learning more about the risks and protective factors for adolescent non-medical use of prescription drugs (NMUPD). A study was conducted with data collected from the Health Chat study to look at the potential influence of maternal factors, social norms, and perceptions of risk and availability on NMUPD by adolescent females. Health Chat was a social media intervention to help reduce mothers’ permissiveness toward their teen daughters’ indoor tanning behavior in an effort to prevent skin cancer. Mother-daughter communication on other health topics was also analyzed. Methods and findings for this NMUPD analysis have been published online in the journal, Drugs: Education, Prevention and Policy.
Multiple logistic regression was used for analysis. Daughters’ past NMUPD and inclination for future NMUPD were regressed onto descriptive norms for friend use, perceived drug accessibility and risk of harm from use, daughter age, mothers’ disapproval about use, mothers’ past NMUPD and inclination for future NMUPD, and the mother-daughter relationship quality. Akaike weights and lasso regressions were also estimated to evaluate the relative importance of each correlate. Higher descriptive norms for friend use, older age, and mothers’ inclination for NMUPD were risk factors for daughters’ NMUPD. Protective factors were a closer mother-daughter relationship and mothers’ disapproving attitudes towards NMUPD. The authors conclude that friend descriptive norms, mother-daughter relationship quality, and mothers’ attitudes about NMUPD could be explored as key targets for prevention efforts.
This research was funded by a grant and supplement from the National Cancer Institute (CA192652; Dr. David Buller and Dr. Sherry Pagoto, Multiple Principal Investigators). The lead author is Gemma Wallace from Colorado State University. Collaborating authors include Dr. Katie Baker and Dr. Stephanie Mathis from East Tennessee State University; Dr. Kimberly Henry from Colorado State University; Dr. Sherry Pagoto from the University of Connecticut; and Dr. David Buller and Julia Berteletti from Klein Buendel.