Chile's 2011 student protest movement did not cause the increase in adolescent marijuana use

Despite marijuana use doubling among Chilean adolescents between 2009 and 2013, the massive school strike and occupation movement of 2011 had no detectable causal effect on substance use.

Castillo-Carniglia, Alvaro et al.·Drug and alcohol dependence·2017·Moderate EvidenceLongitudinal Cohort
RTHC-01351Longitudinal CohortModerate Evidence2017RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Longitudinal Cohort
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Marijuana use among Chilean adolescents doubled between 2009 and 2013, coinciding with a massive student movement in which hundreds of schools were occupied by students. However, after controlling for secular trends and school characteristics using a fixed-effects difference-in-difference model, there was no evidence that schools directly affected by strikes and occupations had different substance use outcomes.

The increase in marijuana use appeared to be part of broader social changes occurring among the school-age population rather than a consequence of the protest movement itself. Neither marijuana initiation, marijuana use, alcohol use, nor heavy use showed any causal link to school occupations.

Key Numbers

Marijuana use doubled from 2009 to 2013 among Chilean adolescents. No significant causal effect of school occupations on: marijuana initiation, marijuana use, alcohol use, or heavy use. Data spanned 2005-2015, grades 9-12.

How They Did This

School-level aggregated panel design using five waves of the National Drug Surveys among Secondary Students (2005-2015) for students in grades 9-12. Fixed-effects difference-in-difference models compared schools that were occupied during 2011 with those that were not, before and after the movement.

Why This Research Matters

Social movements and disruptions to normal routines are often blamed for increases in youth substance use. This study provides rigorous causal analysis showing that the dramatic 2011 Chilean school occupation movement, despite affecting large numbers of adolescents, was not responsible for the contemporaneous increase in marijuana use.

The Bigger Picture

The finding that a major social disruption did not drive substance use increases challenges common assumptions about the causes of changing drug use patterns. Instead, the increase in Chilean adolescent marijuana use appears to reflect broader cultural shifts in attitudes toward cannabis that affected the entire youth population regardless of their involvement in protests.

What This Study Doesn't Tell Us

Ecological design using school-level aggregated data may miss individual-level variation. The movement was widespread, making it difficult to find true "control" schools. Other unmeasured factors may have changed simultaneously. The study cannot identify what did cause the marijuana increase if not the movement.

Questions This Raises

  • ?What broader social changes drove the doubling of adolescent marijuana use in Chile?
  • ?Do other social disruptions (natural disasters, pandemics) have different effects on youth substance use?
  • ?Would individual-level data reveal subgroup effects masked by school-level aggregation?

Trust & Context

Key Stat:
Marijuana use doubled among Chilean teens, but school protests were not the cause
Evidence Grade:
Panel study using difference-in-difference analysis, a strong quasi-experimental design for causal inference. Good methodology but limited by school-level aggregation.
Study Age:
Published in 2017. The study provides a useful methodological template for evaluating claims that social disruptions cause substance use changes.
Original Title:
School collective occupation movements and substance use among adolescents: A school-level panel design.
Published In:
Drug and alcohol dependence, 176, 21-27 (2017)
Database ID:
RTHC-01351

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Follows a group of people over time to track how outcomes develop.

What do these levels mean? →

Frequently Asked Questions

If the protests didn't cause the increase, what did?

The study does not identify the specific cause but suggests broader social changes in attitudes toward marijuana among the school-age population. This aligns with global trends of increasing cannabis normalization during the same period.

How did they determine the protests weren't the cause?

They used a difference-in-difference approach, comparing marijuana use trends between schools that were occupied and those that were not. If the protests caused the increase, occupied schools should have shown a greater rise. They did not.

Read More on RethinkTHC

Cite This Study

RTHC-01351·https://rethinkthc.com/research/RTHC-01351

APA

Castillo-Carniglia, Alvaro; Kaufman, Jay S; Pizarro, Esteban; Marín, José D; Wintemute, Garen; Cerdá, Magdalena. (2017). School collective occupation movements and substance use among adolescents: A school-level panel design.. Drug and alcohol dependence, 176, 21-27. https://doi.org/10.1016/j.drugalcdep.2017.02.025

MLA

Castillo-Carniglia, Alvaro, et al. "School collective occupation movements and substance use among adolescents: A school-level panel design.." Drug and alcohol dependence, 2017. https://doi.org/10.1016/j.drugalcdep.2017.02.025

RethinkTHC

RethinkTHC Research Database. "School collective occupation movements and substance use amo..." RTHC-01351. Retrieved from https://rethinkthc.com/research/castillo-carniglia-2017-school-collective-occupation-movements

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.