Associations of popularity with adolescent substance use were examined among 1,793 6 th -8 th grade students who completed an in-school survey. Popularity was assessed through both selfratings and peer nominations. Students who scored higher on either measure of popularity were more likely to be lifetime cigarette smokers, drinkers, and marijuana users, as well as past month drinkers. Self-rated popularity was positively associated with past month marijuana use and heavy drinking, and peer-nominated popularity showed a quadratic association with past month heavy drinking. These results extend previous work and highlight that popularity, whether based on selfperceptions or peer friendship nominations, is a risk factor for substance use during middle school. Given the substantial increase in peer influence during early adolescence, prevention program effectiveness may be enhanced by addressing popularity as a risk factor for substance use or working with popular students to be peer leaders to influence social norms and promote healthier choices.
Keywordspopularity; adolescent; gender; alcohol; cigarettes; marijuana Most adolescents aspire to be popular among their peers, and achieving this social status is commonly viewed as both desirable and an indicator of positive youth development. However, there is growing evidence that popularity may be hazardous to an adolescent's health. Due to a confluence of biological and psychosocial factors, adolescence is a period of heightened vulnerability to risk taking (Steinberg, 2004). Adolescents who are perceived as popular may be particularly inclined to engage in risk taking, as evidenced by their greater involvement in sexual activity (Mayeux et al., 2008), minor delinquency (Allen et al., 2005) and substance use (Alexander et al., 2001;Diego et al., 2003;Pirkle and Richter, 2006) compared to their less popular peers. It has been suggested that this heightened risk taking, which often takes the form of engagement in "adult" behaviors, may be one of the strategies that popular adolescents use to maintain their elevated social status (Mayeux et al., 2008). Of course, this risk taking can also put the adolescent at risk of short-and long-term adverse consequences; for example, there is evidence that popular adolescents drink more heavily in early adulthood and are at heightened risk for problem drinking by middle adulthood (Dubow et al., 2008
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript measures of popularity involve eliciting nominations of classmates or schoolmates, and calculating popularity based on the number of nominations each adolescent receives. Some sociometric measures ask students to identify peers who are considered in the school to be the most popular (Killeya-Jones et al., 2007;Mayeux et al., 2008). A more common approach is to assess popularity by asking students to identify their closest or best friends (Alexander et al., 2001;Valente et al., 2005), or peers with whom they would desire to be best friends (Dubow et al., 2...