School experiences linked to marijuana use differ for Black male and female teens

Among African American adolescents, negative school feelings and poor grades were associated with marijuana use for both sexes, but perceived peer use was a much stronger predictor for females (8x more likely) than males (3.5x more likely).

Vidourek, Rebecca A et al.·Journal of community health·2019·Moderate EvidenceCross-Sectional
RTHC-02333Cross SectionalModerate Evidence2019RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

For females, the strongest risk factors were negative school feelings (OR 2.72), finding courses uninteresting (OR 2.70), and poor grades (OR 2.52). For males, the strongest risk factors were feeling school was unimportant for later life (OR 3.47), negative school feelings (OR 2.36), and poor grades (OR 2.73). Perceived peer marijuana use was dramatically more predictive for females (OR 8.29) than males (OR 3.42).

Key Numbers

Females: negative feelings OR 2.72, uninteresting courses OR 2.70, poor grades OR 2.52, perceived peer use OR 8.29. Males: school unimportant OR 3.47, negative feelings OR 2.36, poor grades OR 2.73, perceived peer use OR 3.42.

How They Did This

Secondary analysis of the 2012 National Survey on Drug Use and Health. Multivariable logistic regression examining past-month marijuana use among African American adolescents by school experiences and sex.

Why This Research Matters

Prevention programs often take a one-size-fits-all approach, but these findings suggest that the pathways to marijuana use differ by sex, even within the same racial/ethnic group.

The Bigger Picture

The dramatic sex difference in peer influence suggests that social norms interventions might be particularly effective for young Black women, while relevance-of-education messaging might work better for young Black men.

What This Study Doesn't Tell Us

Cross-sectional data cannot establish causation. Self-reported marijuana use. 2012 data may not reflect current trends. Focused on African American adolescents only.

Questions This Raises

  • ?Why is perceived peer use so much more influential for females?
  • ?Would sex-specific prevention programs produce better outcomes?

Trust & Context

Key Stat:
8x risk from perceived peer use for females
Evidence Grade:
Large national survey with robust statistical methods, but cross-sectional design limits causal inference.
Study Age:
2019 analysis of 2012 national survey data.
Original Title:
Sex Differences in the Association Between School Experiences and Marijuana Use Among African American Adolescents.
Published In:
Journal of community health, 44(3), 534-543 (2019)
Database ID:
RTHC-02333

Evidence Hierarchy

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

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

What school factors predict teen marijuana use?

Negative feelings about school, poor grades, and perceived peer use were significant predictors for both sexes, though the specific patterns differed between African American males and females.

Does peer influence affect boys and girls differently for marijuana use?

In this study, perceived peer marijuana use made African American girls 8 times more likely to use, compared to 3.5 times for boys, suggesting peer influence operates more strongly for females.

Read More on RethinkTHC

Cite This Study

RTHC-02333·https://rethinkthc.com/research/RTHC-02333

APA

Vidourek, Rebecca A; King, Keith A. (2019). Sex Differences in the Association Between School Experiences and Marijuana Use Among African American Adolescents.. Journal of community health, 44(3), 534-543. https://doi.org/10.1007/s10900-019-00652-7

MLA

Vidourek, Rebecca A, et al. "Sex Differences in the Association Between School Experiences and Marijuana Use Among African American Adolescents.." Journal of community health, 2019. https://doi.org/10.1007/s10900-019-00652-7

RethinkTHC

RethinkTHC Research Database. "Sex Differences in the Association Between School Experience..." RTHC-02333. Retrieved from https://rethinkthc.com/research/vidourek-2019-sex-differences-in-the

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.