Cigarette, alcohol, and marijuana use among adolescents in foster family homes

Zhan, Weihai; Smith, Susan R.; Warner, L; North, Fred; Wilhelm, Sara

doi:10.1016/j.childyouth.2016.08.009

Cited by 7 publications

(5 citation statements)

References 39 publications

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“…This may have led to children with care experiences being in the comparator group. We measured only current FC status rather than histories of care: the survey did not assess duration and number of placements, which have been associated with poorer outcomes among young people in FC 17–16. For example, more stable placements for LAYP have been found to be protective of dating and relationship violence 54.…”

Section: Discussionmentioning

confidence: 99%

“…We measured only current FC status rather than histories of care: the survey did not assess duration and number of placements, which have been associated with poorer outcomes among young people in FC. 17 – 16 For example, more stable placements for LAYP have been found to be protective of dating and relationship violence. 54 We did not examine differences in outcomes among different types of care placements, for example, residential care versus foster care.…”

Section: Discussionmentioning

confidence: 99%

“… 8–13 Care-related factors, including placement type, periods in care and number of placements 14 have been found to predict a range of health outcomes. 15 16 However, there is also evidence that FC can be protective. Educational outcomes have to date received more attention than health outcomes, with limited evidence regarding the role of the care system in shaping adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of substance use, subjective well-being and interpersonal relationships among young people in foster care and private households: a cross sectional analysis of the School Health Research Network survey in Wales

et al. 2017

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ObjectiveTo investigate the association of living in foster care (FC) with substance use and subjective well-being in a sample of secondary school students (11–16 years) in Wales in 2015/16, and to examine whether these associations are attenuated by the perceived quality of interpersonal relationships.DesignCross-sectional, population-based health behaviour and lifestyle questionnaire.Setting and participantsWales, UK; young people who took part in the 2015/16 School Health Research Network (SHRN) questionnaire (n=32 479).Primary outcomeHealth behaviours among young people in FC were compared with those from private households.ResultsThe prevalence of all adverse outcomes was higher among young people in FC. Those in FC were significantly more likely to report mephedrone use (OR=9.24, 95% CI 5.60 to 15.34), multiple substance misuse behaviours (OR=3.72, 95% CI 2.30 to 6.00), poorer relationships with peers (RR=1.88, 95% CI 1.23 to 2.88) and teachers (RR=1.83, 95% CI 1.31 to 2.56), having experienced bullying (OR=1.80, 95% CI 1.38 to 2.35), dating violence (OR=1.66, 95% CI 1.13 to 2.43) and poor well-being (RR=1.72, 95% CI 1.20 to 2.46). The association between FC and substance use remained significant, though was attenuated after accounting for relationship variables. The association between FC and subjective well-being became non-significant after adjustment for relationship variables.ConclusionsYoung people living in FC experience significantly worse outcomes than young people not in care, likely due to a range of care and precare factors, which impact adversely on subsequent social relationships. The analyses are consistent with the hypothesis that the associations of FC with substance use and life satisfaction are partially explained by poorer quality social relationships. Large scale, longitudinal studies are required to investigate the relationship between being in care and health, educational and social outcomes. Mental health interventions and interventions to reduce substance use and improve well-being in FC should include a focus on supporting healthy social relationships.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of substance use, subjective well-being and interpersonal relationships among young people in foster care and private households: a cross sectional analysis of the School Health Research Network survey in Wales

et al. 2017

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“…In a sample of foster youth from California collected in 2012, 49% identified as lifetime smokers and 25% identified as current smokers (Siegel et al, 2016). In a sample of foster youth from Connecticut collected in 2015, rates of lifetime smoking were 45%, while rates of current smoking were 18% (Zhan et al, 2016). The similarity of these newer rates to ones reported in the current sample illustrates that prevention and intervention programs targeting foster youth may be needed.…”

Section: Discussionmentioning

confidence: 99%

Smoking Behaviors Among Adolescents in Foster Care: A Gender-Based Analysis

Shpiegel¹,

Sussman

Sherman

et al. 2017

Substance Use & Misuse

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Background and Objectives Adolescents in foster care are at high risk for cigarette smoking. However, it is not clear how their smoking behaviors vary by gender. The present study examined lifetime and current smoking among males and females, and explored gender-specific risk factors for engagement in smoking behaviors. Method Data from the Multi Site Evaluation of Foster Youth Programs was used to evaluate patterns of smoking among adolescents aged 12–18 years (N=1,121; 489 males, 632 females). Results Males and females did not differ significantly in rates of lifetime and current smoking, or in the age of smoking initiation and number of cigarettes smoked on a typical day. Gender-based analyses revealed that older age and placement in group homes or residential treatment facilities were associated with heightened risk of smoking among males. In contrast, sexual minority status (i.e. non-heterosexual orientation) and increased childhood victimization were associated with heightened risk of smoking among females. A history of running away was linked to smoking in both genders. Conclusion Gender should be considered when designing intervention programs to address cigarette smoking among foster youth, as the stressors associated with smoking may differ for males and females.

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“…As such, cigarette smoking among youth in foster care remains extraordinarily high, with lifetime rates ranging from 40% to 62% and current/recent rates from 15% to 46% (Braciszewski & Colby, 2015; Scott Jr, Munson, McMillen, & Ollie, 2006; Shpiegel, Sussman, Sherman, & El Shahawy, 2017; Siegel, Benbenishty, & Astor, 2016; Snyder & Medeiros, 2013; U.S. Department of Health and Human Services, 2005; Zhan, Smith, Warner, North, & Wilhelm, 2016). A national study recently found that youth with a foster care history were twice as likely as their general population peers to smoke cigarettes and nearly three times as likely to expect they will be smokers as adults (McDonald, Mariscal, Yan, & Brook, 2014).…”

Section: Introductionmentioning

confidence: 99%

Combustible cigarette smoking and alternative tobacco use in a sample of youth transitioning from foster care

Braciszewski

Vose-O’Neal

Gamarel

et al. 2019

Children and Youth Services Review

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Among the struggles faced by youth currently in or recently exiting foster care, tobacco use remains a low priority for practitioners and researchers, alike. Indeed, despite the dramatically altered landscape of tobacco products on the market, there have been no studies evaluating the use of alternative tobacco products among this vulnerable population. The current study aimed to determine the prevalence of lifetime and current combustible and non-combustible tobacco use among youth exiting foster care, and report on the prevalence of nicotine dependence, motivation to quit, and preferred methods of tobacco cessation. Youth aged 18-24 (M = 20.13, SD = 1.16) *

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Cigarette, alcohol, and marijuana use among adolescents in foster family homes

Cited by 7 publications

References 39 publications

Comparison of substance use, subjective well-being and interpersonal relationships among young people in foster care and private households: a cross sectional analysis of the School Health Research Network survey in Wales

Comparison of substance use, subjective well-being and interpersonal relationships among young people in foster care and private households: a cross sectional analysis of the School Health Research Network survey in Wales

Smoking Behaviors Among Adolescents in Foster Care: A Gender-Based Analysis

Combustible cigarette smoking and alternative tobacco use in a sample of youth transitioning from foster care

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