Peer norms and ability to resist peer pressure predicted hazardous cannabis use in Oregon teens

Among 204 Oregon adolescents tracked over 12 months in a legal cannabis state, perceiving more peer cannabis use and having lower resistance to peer influence predicted increasing hazardous cannabis use over time.

Kenyon, Emily A et al.·Frontiers in psychiatry·2024·Moderate EvidenceObservational
RTHC-05422ObservationalModerate Evidence2024RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Observational
Evidence
Moderate Evidence
Sample
N=204

What This Study Found

Individual increases in hazardous cannabis use were significantly associated with higher peer norms (perceiving more peer use) and lower resistance to peer influence. Between-adolescent differences in hazardous use were associated only with peer norms. Past-month cannabis use was associated with peer norms but not resistance to peer influence.

Key Numbers

204 adolescents ages 15-19 (mean 18.68, 67% female); 12-month follow-up with 4 time points; peer norms and resistance to peer influence both predicted within-person changes in hazardous use; only peer norms predicted between-person differences

How They Did This

Longitudinal study of 204 adolescents aged 15-19 in the Portland, Oregon area (legal recreational cannabis state) who endorsed at least one heavy drinking episode. Data collected across four time points over 12 months, analyzed with multilevel latent growth curve modeling.

Why This Research Matters

In states where cannabis is legal for adults, understanding the cognitive and social factors that drive adolescent use can help design targeted prevention programs.

The Bigger Picture

The finding that both peer norms and individual resistance to peer pressure independently predicted hazardous use suggests prevention efforts need to address both the social environment and individual skills.

What This Study Doesn't Tell Us

Participants were all heavy drinkers so may not represent all adolescents; single metropolitan area in one state; self-reported peer norms and substance use; relatively small sample; 67% female

Questions This Raises

  • ?Would interventions targeting resistance to peer influence reduce hazardous cannabis use?
  • ?How do peer norms around cannabis differ in legal versus non-legal states?

Trust & Context

Key Stat:
204 teens tracked over 12 months in legal cannabis state
Evidence Grade:
Longitudinal design with sophisticated multilevel modeling, but limited by sample recruited for heavy drinking and single geographic area.
Study Age:
2024 study
Original Title:
Multilevel associations of peer cognitive factors and adolescent cannabis use in a legal recreational cannabis region.
Published In:
Frontiers in psychiatry, 15, 1477000 (2024)
Database ID:
RTHC-05422

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

Watches what happens naturally without intervening.

What do these levels mean? →

Frequently Asked Questions

What predicted hazardous cannabis use in teens?

Two factors predicted increasing hazardous cannabis use over time: believing peers used cannabis more frequently (peer norms) and having lower ability to resist peer pressure. Peer norms also predicted differences between teens in overall use levels.

Does this matter more in states where cannabis is legal?

The researchers specifically studied teens in Portland, Oregon, where adult recreational cannabis is legal. They argue that in legal contexts, evolving social norms around cannabis make peer influence factors especially important to understand for prevention.

Read More on RethinkTHC

Cite This Study

RTHC-05422·https://rethinkthc.com/research/RTHC-05422

APA

Kenyon, Emily A; Yang, Manshu; Chung, Tammy; Wilson, Anna C; Feldstein Ewing, Sarah W. (2024). Multilevel associations of peer cognitive factors and adolescent cannabis use in a legal recreational cannabis region.. Frontiers in psychiatry, 15, 1477000. https://doi.org/10.3389/fpsyt.2024.1477000

MLA

Kenyon, Emily A, et al. "Multilevel associations of peer cognitive factors and adolescent cannabis use in a legal recreational cannabis region.." Frontiers in psychiatry, 2024. https://doi.org/10.3389/fpsyt.2024.1477000

RethinkTHC

RethinkTHC Research Database. "Multilevel associations of peer cognitive factors and adoles..." RTHC-05422. Retrieved from https://rethinkthc.com/research/kenyon-2024-multilevel-associations-of-peer

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.