ERIC Number: EJ1460866
Record Type: Journal
Publication Date: 2025-Jan
Pages: 16
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1389-4986
EISSN: EISSN-1573-6695
Available Date: 2025-01-20
Model Building with Youth: Applying a System Science Approach to Examine the Dynamic Social Context of Adolescent and Young Adult Marijuana Use
Pamela A. Matson1; Sarah Flessa1; Ivana Stankov2; J. Dennis Fortenberry3; Maria Trent1; Leah Frerichs4; Kristen Hassmiller Lich4
Prevention Science, v26 n1 p122-137 2025
Marijuana use in adolescence is associated with significant adverse outcomes. Romantic relationships are an important context for marijuana use. Prior research suggests a bi-directional relationship between marijuana use and relationship functioning; however, the complex interplay between adolescent relationship dynamics and marijuana use remains unclear. We engaged youth to participate in group model building, a system science approach, to understand from their perspective how social complexities influence the uptake, continuation, and escalation of marijuana use. Two independent groups of clinic and community-recruited youth aged 15-20 participated in a series of four 2-h workshops. Through structured activities, participants generated a causal loop diagram (CLD) representing critical features of the complex and dynamic social system impacting marijuana use for youth in their community. The CLD that emerged represents the mental models of youth and features fourteen feedback loops, including balancing and reinforcing loops, across three domains. These interrelated domains span within-relationship behaviors, factors proximal to marijuana use, and influences on the partner pool, which impact the quality of adolescent romantic relationships and contribute to a high prevalence of marijuana use among youth. Applying a system perspective offers new insights on how stress, and behaviors within relationships in response to stress, feed back to magnify relationship dysfunction and fuel marijuana use. This model provides a new foundation for future research and data collection to better understand and test the identified relationships and feedback loops. Our findings further underscore the importance of educational programs that teach youth about healthy relationship dynamics and stress-coping approaches that do not involve substance use. Understanding how factors function "as a system" provides important information toward illuminating relationship dynamics and designing more impactful and synergistic interventions.
Descriptors: Marijuana, Drug Use, Interpersonal Relationship, Intimacy, Adolescents, Young Adults, Attitudes, Workshops, Social Influences, Stress Variables, Behavior, Stress Management, Coping, Health Education, Health Behavior
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Authoring Institution: N/A
Grant or Contract Numbers: K01DA035387
Author Affiliations: 1Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, USA; 2UniSA Allied Health and Human Performance, University of South Australia, SAHMRI, North Tce, Adelaide, Australia; 3Indiana University School of Medicine, Department of Pediatrics, Indianapolis, USA; 4University of North Carolina Chapel Hill Gillings School of Global Public Health, Department of Health Policy and Management, Chapel Hill, USA