Table 3.
Criterion Validity of the CTC-YS Risk and Protective Factors: Associations with Substance Use
| Domain | Regular Drinking
|
Daily Smoking
|
Current Marijuana
|
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| National | AI/AN | National | AI/AN | National | AI/AN | |||||||
|
|
|
|
||||||||||
| OR | CI | OR | CI | OR | CI | OR | CI | OR | CI | OR | CI | |
| Community | ||||||||||||
| + Opportunities | 0.90a | (0.89 – 0.91) | 0.97ns | (0.89 – 1.06) | 0.78a | (0.77 – 0.79) | 0.82a | (0.74 – 0.91) | 0.83a | (0.82 – 0.84) | 0.85a | (0.78 – 0.92) |
| + Rewards | 0.79a | (0.78 – 0.80) | 0.79 a | (0.72 – 0.87) | 0.74a | (0.73 – 0.76) | 0.76 | (0.68 – 0.85) | 0.73 a | (0.72 – 0.74) | 0.77 a | (0.70 – 0.84) |
| Low attachment | 1.08a | (1.07 – 1.09) | 0.97ns | (0.89 – 1.06) | 1.17a | (1.15 – 1.19) | 1.03ns | (0.93 – 1.14) | 1.12 a | (1.11 – 1.14) | 1.00ns | (0.92 – 1.0) |
| Disorganization | 1.33a | (1.31 – 1.34) | 1.46a | (1.35 – 1.59) | 1.41a | (1.39 – 1.43) | 1.35a | (1.22 – 1.48) | 1.41 a | (1.40 – 1.43) | 1.56 a | (1.44 – 1.69) |
| Transitions & mobility | 1.14a | (1.12 – 1.15) | 1.20a | (1.10 – 1.30) | 1.28a | (1.26 – 1.30) | 1.36 a | (1.24 – 1.49) | 1.23 a | (1.21 – 1.24) | 1.21 a | (1.12 – 1.32) |
| Laws & norms | 2.04a | (2.02 – 2.07) | 2.00a | (1.81 – 2.21) | 2.06a | (2.02 – 2.09) | 1.93 a | (1.73 – 2.16) | 2.20 a | (2.17 – 2.23) | 2.07 a | (1.88 – 2.28) |
| Availability of drug/arms | 2.60a | (2.56 – 2.63) | 2.49a | (2.25 – 2.76) | 2.48a | (2.44– 2.53) | 2.20a | (1.97 – 2.47) | 2.89 a | (2.85– 2.94) | 2.62 a | (2.37 – 2.89) |
| Family | ||||||||||||
| Family attachment | 0.75a | (0.74 – 0.76) | 0.82a | (0.74 – 0.90) | 0.70a | (0.69 –0.71) | 0.70a | (0.63 –0.78) | 0.71 a | (0.82 –0.84) | 0.78 a | (0.65 –0.78) |
| + Family opportunities & rewards | 0.72a | (0.71 – 0.73) | 0.80a | (0.73 – 0.87) | 0.69a | (0.68 – 0.70) | 0.73a | (0.66 – 0.81) | 0.70 a | (0.72 – 0.74) | 0.79 a | (0.66 – 0.79) |
| Family rewards + involvement | 0.72a | (0.71 – 0.73) | 0.76a | (0.69 – 0.83) | 0.67a | (0.66 – 0.68) | 0.69 a | (0.62 – 0.77) | 0.69 a | (1.11 – 1.14) | 0.77 a | (0.64 – 0.77) |
| − Family support | 1.62a | (1.60 – 1.64) | 1.52a | (1.39 – 1.66) | 1.54a | (1.52 – 1.56) | 1.54 a | (1.39 – 1.70) | 1.60 a | (1.40 – 1.43) | 1.83 a | (1.54 – 1.83) |
| − Family discipline | 1.89a | (1.87 – 1.92) | 1.84 a | (1.66 – 2.03) | 1.70a | (1.67 – 1.73) | 1.65 a | (1.47 – 1.84) | 1.96 a | (1.21 – 1.24) | 2.07 a | (1.71 – 2.07) |
| Family conflict | 1.41a | (1.39 – 1.43) | 1.37 a | (1.25 – 1.50) | 1.41a | (1.39 – 1.44) | 1.38 a | (1.24 – 1.53) | 1.43 a | (2.17 – 2.23) | 1.48 a | (1.25 – 1.48) |
| Family history of antisocial behavior | 2.28a | (2.25 – 2.31) | 2.33 a | (2.10 – 2.57) | 2.48a | (2.44 – 2.52) | 2.19 a | (1.96 – 2.46) | 2.84 a | (2.85 – 2.94) | 3.39 a | (2.74 – 3.39) |
| Parent attitudes to ATOD use | 1.86a | (1.84 – 1.88) | 1.86 a | (1.72 – 2.01) | 1.92a | (1.89 – 1.94) | 1.87a | (0.63 – 0.78) | 1.90 a | (0.82 – 0.84) | 2.13 a | (1.82 – 2.13) |
| Parent attitudes to antisocial behavior | 1.62a | (1.61 – 1.64) | 1.61 a | (1.49 – 1.74) | 1.52a | (1.50 – 1.54) | 1.55a | (0.66 – 0.81) | 1.64 a | (0.72 – 0.74) | 1.88 a | (1.62 – 1.88) |
| Peer/individual | ||||||||||||
| Social skills | 0.32a | (0.32 – 0.33) | 0.30 a | (0.27 – 0.33) | 0.36a | (0.35 –0.37) | 0.39a | (0.35 –0.43) | 0.33 a | (0.33 –0.34) | 0.34 a | (0.31 –0.38) |
| Belief in the moral order | 0.40a | (0.40 – 0.41) | 0.39a | (0.35 – 0.43) | 0.46 a | (0.46 – 0.47) | 0.46 a | (0.41 – 0.51) | 0.40 a | (0.39 – 0.40) | 0.39 a | (0.35 – 0.43) |
| − Perceived risk for drug use | 1.90a | (1.88 – 1.92) | 1.81 a | (1.54 – 1.83) | 2.18 a | (2.15 – 2.21) | 1.68 a | (1.64 – 2.00) | 2.37 a | (2.34 – 2.39) | 2.05 a | (1.89 – 2.23) |
| Initiation of drugs & antisocial behavior | 3.12a | (3.08 – 3.17) | 2.79 a | (2.88 – 3.52) | 3.12 a | (3.07 – 3.17) | 3.19 a | (2.51 – 3.09) | 3.23 a | (3.18 – 3.27) | 3.11 a | (2.83 – 3.43) |
| Sensation seeking | 2.70a | (2.67 – 2.74) | 2.19 a | (2.55 – 3.09) | 2.35 a | (2.31 – 2.38) | 2.81 a | (1.98 – 2.42) | 2.53 a | (2.49 – 2.56) | 2.35 a | (2.15 – 2.56) |
| Gang involvement | 1.41a | (1.39 – 1.42) | 1.39 a | (1.54 – 1.77) | 1.43 a | (1.42 – 1.45) | 1.65 a | (1.29 – 1.51) | 1.47 a | (1.45 – 1.48) | 1.59 a | (1.49 – 1.71) |
| Rebelliousness | 1.92a | (2.00 – 2.04) | 1.97 a | (2.01 – 2.42) | 1.92 a | (1.89 – 1.95) | 2.20 a | (1.78 – 2.18) | 1.93 a | (1.91 – 1.96) | 2.11 a | (1.93 – 2.30) |
| Friends’ delinquent behavior | 1.79a | (1.72 – 1.75) | 1.67 a | (1.77 – 2.05) | 1.79 a | (1.77 – 1.81) | 1.90 a | (1.55 – 1.80) | 2.00 a | (1.98 – 2.02) | 2.05 a | (1.90 – 2.22) |
| Friends’ use of drugs | 3.97a | (3.23 – 3.31) | 3.13 a | (2.93 – 3.58) | 3.97 a | (3.90 – 4.04) | 3.24 a | (2.81 – 3.50) | 4.70 a | (4.62 – 4.77) | 4.12 a | (3.71 – 4.58) |
| Peer rewards for antisocial behavior | 1.63a | (1.70 – 1.73) | 1.74 a | (1.66 – 1.93) | 1.63 a | (1.61 – 1.65) | 1.79 a | (1.60 – 1.88) | 1.75 a | (1.73 – 1.77) | 1.86 a | (1.72 – 2.00) |
| + Attitudes to antisocial behavior | 2.09a | (2.19 – 2.25) | 2.11 a | (2.26 – 2.69) | 2.09 a | (2.06 – 2.12) | 2.47 a | (1.93 – 2.32) | 2.32 a | (2.29 – 2.35) | 2.52 a | (2.31 – 2.75) |
| + Attitudes to ATOD use | 3.30a | (3.12 – 3.20) | 3.09 a | (3.07 – 3.72) | 3.30 a | (3.25 – 3.35) | 3.38 a | (2.79 – 3.42) | 3.94 a | (3.88 – 3.99) | 3.47 a | (3.15 – 3.81) |
| School | ||||||||||||
| School opportunities + involvement | 0.73a | (0.72 – 0.74) | 0.74 a | (0.68 – 0.81) | 0.71 a | (0.70 – 0.72) | 0.79 a | (0.72 – 0.87) | 0.71 a | (0.71 – 0.72) | 0.77 a | (0.71 – 0.84) |
| School rewards + involvement | 0.69a | (0.68 – 0.70) | 0.62 a | (0.57 – 0.68) | 0.69 a | (0.68 – 0.70) | 0.70 a | (0.63 – 0.77) | 0.68 a | (0.67 – 0.69) | 0.67 a | (0.62 – 0.73) |
| − Academic performance | 1.48a | (1.46 – 1.50) | 1.39 a | (1.27 – 1.51) | 2.07 a | (2.04 – 2.11) | 1.89 a | (1.71 – 2.10) | 1.73 a | (1.71 – 1.76) | 1.67 a | (1.54 – 1.82) |
| Low school commitment | 1.96a | (1.94 – 1.99) | 1.93 a | (1.76 – 2.11) | 2.15 a | (2.11 – 2.18) | 1.86 a | (1.68 – 2.06) | 2.08 a | (2.05 – 2.11) | 1.87 a | (1.71 – 2.04) |
Note. ATOD= Alcohol, tobacco and other drugs; AI/AN = American Indian/Alaska Native. The models include age and gender as covariates. The coefficients listed are odds ratios,
= p <.001;
= p <.01;
= p<.05;
= p ≥ .05.
= Protective factor;
= Risk factor.