Search Results
Author: Weitzman, Elissa R.
Resulting in 1 citation.
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Weitzman, Elissa R. Minegishi, Machiko Wisk, Lauren Levy, Sharon |
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Substance Use and Educational Impacts in Youth With and Without Chronic Illness American Journal of Preventive Medicine published online (4 October 2023). Also: https://doi.org/10.1016/j.amepre.2023.09.029 Cohort(s): NLSY79 Publisher: Elsevier Keyword(s): Academic Development; Adolescent Behavior; Adolescent Health; Alcohol Use; Behavioral Problems; Child Health; Childhood; Children, Academic Development; Children, Behavioral Development; Chronic Illness; Cigarette Use (see Smoking); Drug Use; Education; Educational Outcomes; Grade Point Average (GPA)/Grades; High School; High School Students; Illnesses; Marijuana/Cannabis Use; Modeling, Poisson (IRT–ZIP); School Performance; Schooling; Smoking (see Cigarette Use); Substance Use; Teenagers; Truancy Introduction: Alcohol, cannabis, and nicotine are commonly used psychoactive substances that affect adolescent neurocognition. Little is known about the educational impacts of their use on measures of educational performance, participation and problems, especially among youth with a chronic illness who may use these substances to alleviate stress and symptoms. Methods: Adolescents receiving general or subspecialty care were administered an electronic survey from 2016 to 2018. Data were analyzed in 2023. Using modified Poisson models, cross-sectional associations between past 12-month usage of alcohol, cannabis, and/or nicotine and educational impacts were estimated. Results: Among 958 adolescents (mean age 16.0 years (SD 1.3), 564 (58.9%) female gender, 445 (46.5%) in subspecialty care), 294 (30.7%), 220 (23.0%), and 126 (13.2%) reported past 12-month use of alcohol, cannabis, and nicotine respectively, while 407 (42.5%) reported ≥1 educational impact, including recent lower grades 210 (21.9%), past 3-month truancy from school 164 (17.1%) or activities 170 (17.7%), and detention 82 (8.6%). Use of cannabis, but not other substances, was associated with negative educational impacts: lower grades (mostly C's/D's/F's), adjusted prevalence ratios [APR, (95%CI)] 1.54 (1.13-2.11); past 3-month truancy from school [2.16 (1.52-3.07)]; detention [2.29 (1.33-3.94)]. The association between cannabis use and any negative educational impact was stronger among adolescents with a chronic illness (P<0.001). Conclusions: Among adolescents, cannabis use was associated with a heightened risk of negative educational impacts, even after controlling for alcohol and nicotine use. Adolescents with chronic illness were especially likely to experience negative educational impacts. Findings underscore need for preventive interventions and messaging to reduce risks. |
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Bibliography Citation
Weitzman, Elissa R., Machiko Minegishi, Lauren Wisk and Sharon Levy. "Substance Use and Educational Impacts in Youth With and Without Chronic Illness." American Journal of Preventive Medicine published online (4 October 2023).
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