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Environmental stressors, low well-being, smoking, and alcohol use among South African adolescents

Listed author(s):
  • Brook, David W.
  • Rubenstone, Elizabeth
  • Zhang, Chenshu
  • Morojele, Neo K.
  • Brook, Judith S.
Registered author(s):

    This is the first study to examine the pathways from environmental stressors to substance use among a sample of South African adolescents (N = 2195). The study objective was to assess how environmental stressors might affect cigarette smoking and alcohol use among South African adolescents, and to focus on one mechanism, low well-being, which might mediate this association. Participants consisted of 2195 Black, mixed ancestry ("Colored"), Indian, and White youth, aged 12-17 years old (mean age = 14.6; SD = 1.8), recruited via a multi-stage stratified sampling procedure in Durban, Cape Town, and Johannesburg, South Africa. Data were collected via individual in-person structured interviews, administered by trained interviewers in the participant's preferred language. Structural equation modeling was used to analyze the interrelationships of environmental stressors (violent victimisation, legal and illegal drug availability) and low well-being (depressive symptoms, low self-esteem, health problems) with respect to adolescent cigarette smoking and alcohol use. The results supported our hypotheses: Environmental stressors were related to low well-being which, in turn, was linked to both adolescent smoking and alcohol use. There were also direct pathways from environmental stressors to both adolescent smoking and alcohol use. Smoking and alcohol use were significantly correlated. The findings suggest that environmental stressors may be associated with diminished psychological and physical well-being, as well as smoking and alcohol use, among South African adolescents. Longitudinal research is warranted to further understand the interrelationship of environmental stressors, low well-being, and adolescent substance use, so that these issues may be addressed by South African programmes and policies.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(11)00149-3
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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 72 (2011)
    Issue (Month): 9 (May)
    Pages: 1447-1453

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    Handle: RePEc:eee:socmed:v:72:y:2011:i:9:p:1447-1453
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    1. Kaminer, Debra & Grimsrud, Anna & Myer, Landon & Stein, Dan J. & Williams, David R., 2008. "Risk for post-traumatic stress disorder associated with different forms of interpersonal violence in South Africa," Social Science & Medicine, Elsevier, vol. 67(10), pages 1589-1595, November.
    2. Kalichman, Seth C. & Simbayi, Leickness C. & Kagee, Ashraf & Toefy, Yoesrie & Jooste, Sean & Cain, Demetria & Cherry, Chauncey, 2006. "Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities," Social Science & Medicine, Elsevier, vol. 62(7), pages 1641-1649, April.
    3. Williams, David R. & Gonzalez, Hector M. & Williams, Stacey & Mohammed, Selina A. & Moomal, Hashim & Stein, Dan J., 2008. "Perceived discrimination, race and health in South Africa," Social Science & Medicine, Elsevier, vol. 67(3), pages 441-452, August.
    4. Bengt Muthén & David Kaplan & Michael Hollis, 1987. "On structural equation modeling with data that are not missing completely at random," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 431-462, September.
    5. Myer, Landon & Stein, Dan J. & Grimsrud, Anna & Seedat, Soraya & Williams, David R., 2008. "Social determinants of psychological distress in a nationally-representative sample of South African adults," Social Science & Medicine, Elsevier, vol. 66(8), pages 1828-1840, April.
    6. Read, Jen'nan Ghazal & Gorman, Bridget K., 2006. "Gender inequalities in US adult health: The interplay of race and ethnicity," Social Science & Medicine, Elsevier, vol. 62(5), pages 1045-1065, March.
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