Other Titles

An Ecological Mediation Model of Adolescent Marijuana Use [Poster Title]

Other Titles

Rising Star Poster/Presentation

Abstract

Purpose: This study explores how activity space collective efficacy strengthens families to buffer against depressive symptoms, which may lead to substance use. By identifying these pathways, we aim to improve prevention strategies.

Methods: Data from the Adolescent Health Development in Context study (n = 1,538) were used for mediation models with 10,000 bootstrap draws. The main predictor was activity space collective efficacy. Mediators were family support and depressive symptoms. The outcome was marijuana use. Models controlled for age, sex, race, caregiver education, and baseline marijuana use.

Results: Collective efficacy predicted increased family support (cross-sectional β = 0.134, 95% CI [0.065, 0.204]; longitudinal β = 0.141, 95% CI [0.036, 0.241]). Higher family support predicted decreased depressive symptoms (cross-sectional β = -0.448, 95% CI [-0.499, -0.398]; longitudinal β = -0.430, 95% CI [-0.514, -0.351]). Depressive symptoms were associated with marijuana use (cross-sectional β = 0.231, 95% CI [0.146, 0.315]; longitudinal β = 0.238, 95% CI [0.003, 0.459]). The indirect collective efficacy path bypassing family support was significant longitudinally (β = -0.032, 95% CI [-0.085, -0.004]). Notably, the collective efficacy indirect effect via family support and depressive symptoms was negatively associated with marijuana use (cross-sectional β = -0.014, 95% CI [-0.025, -0.006]; longitudinal β = -0.014, 95% CI [-0.041, -0.001]).

Conclusions: These findings show that collective efficacy in activity spaces protects adolescents. While family reduces mental health and substance use risks, where youth spend time influences internalizing symptoms. Prevention should strengthen family protection and collective efficacy.

Notes

Funding Acknowledgement:

Work supported by: National Institute on Drug Abuse (R01DA032371; R01DA042080; R21DA034960); the Eunice Kennedy Shriver National Institute on Child Health and Human Development (the Ohio State University Institute for Population Research, P2CHD058484), the W.T. Grant Foundation, and the National Science Foundation (SES 2029043).

References:

1. Browning, C. R., Calder, C. A., Boettner, B., Tarrence, J., Khan, K., Soller, B., & Ford, J. L. (2021). Neighborhoods, activity spaces, and the span of adolescent exposures. American Sociological Review, 86(2), 201–233. https://doi.org/10.1177/0003122421994219

2. Buttazzoni, A., Doherty, S., & Minaker, L. (2022). How do urban environments affect young people’s mental health? A novel conceptual framework to bridge public health, planning, and neurourbanism. Public Health Reports®, 137(1), 48–61. https://doi.org/10.1177/0033354920982088

3. Hoeben, E. M., & Bernasco, W. (2025). Beyond the borders of the residential neighborhood: Unstructured socializing, collective efficacy, and adolescent delinquency. Justice Quarterly, 0(0), 1–23. https://doi.org/10.1080/07418825.2025.2551793

4. Lawrence, T. I., Otto, E., Brown, D., Belle, A., Amador, B., & Smith, M. (2025). Measuring the longitudinal and reciprocal associations of adolescent alcohol, cannabis use, and depressive symptoms across four time points. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-025-01562-7

5. Lee, J., Matsuda, Y., Messinger, D. S., O’Shea, T. M., Pan, Y., & Jr, H. P. S. (2026). Neighborhood collective efficacy and children and adolescents’ externalizing behaviors across development: A systematic review. PLOS ONE, 21(1), e0337512. https://doi.org/10.1371/journal.pone.0337512

6. Hoeben, E. M., & Bernasco, W. (2025). Beyond the borders of the residential neighborhood: Unstructured socializing, collective efficacy, and adolescent delinquency. Justice Quarterly, 0(0), 1–23. https://doi.org/10.1080/07418825.2025.2551793

Description

This poster examines how collective efficacy in places where youth frequently spend time strengthens family support and reduces depressive symptoms to prevent marijuana use. Using longitudinal data, we identify prevention pathways that integrate family processes with the youth's everyday social environments.

Author Details

Ricardo Zamarripa Ortega, DNP, MS, College of Nursing; Christopher Browning, PhD, Department of Sociology; Jodi L. Ford, PhD, RN, FAAN, College of Nursing

Sigma Membership

Epsilon

Lead Author Affiliation

The Ohio State University, Columbus, Ohio, USA

Type

Poster

Format Type

Text-based Document

Study Design/Type

Longitudinal Study

Research Approach

Quantitative Research

Keywords:

Marijuana, Marijuana Abuse, Teenagers, Ecological Models, Substance Use of Youth, Depression in Adolescence, Mental Illness Risk Factors

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Invited Presentation

Acquisition

Proxy-submission

Date of Issue

2026-09-16

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Ecological Determinants of Youth Marijuana Use: A Longitudinal Mediation Model

Toronto, Ontario, Canada

Purpose: This study explores how activity space collective efficacy strengthens families to buffer against depressive symptoms, which may lead to substance use. By identifying these pathways, we aim to improve prevention strategies.

Methods: Data from the Adolescent Health Development in Context study (n = 1,538) were used for mediation models with 10,000 bootstrap draws. The main predictor was activity space collective efficacy. Mediators were family support and depressive symptoms. The outcome was marijuana use. Models controlled for age, sex, race, caregiver education, and baseline marijuana use.

Results: Collective efficacy predicted increased family support (cross-sectional β = 0.134, 95% CI [0.065, 0.204]; longitudinal β = 0.141, 95% CI [0.036, 0.241]). Higher family support predicted decreased depressive symptoms (cross-sectional β = -0.448, 95% CI [-0.499, -0.398]; longitudinal β = -0.430, 95% CI [-0.514, -0.351]). Depressive symptoms were associated with marijuana use (cross-sectional β = 0.231, 95% CI [0.146, 0.315]; longitudinal β = 0.238, 95% CI [0.003, 0.459]). The indirect collective efficacy path bypassing family support was significant longitudinally (β = -0.032, 95% CI [-0.085, -0.004]). Notably, the collective efficacy indirect effect via family support and depressive symptoms was negatively associated with marijuana use (cross-sectional β = -0.014, 95% CI [-0.025, -0.006]; longitudinal β = -0.014, 95% CI [-0.041, -0.001]).

Conclusions: These findings show that collective efficacy in activity spaces protects adolescents. While family reduces mental health and substance use risks, where youth spend time influences internalizing symptoms. Prevention should strengthen family protection and collective efficacy.