Substance use, risky sexual behavior, and employment among young people Public Deposited

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  • March 21, 2019
  • Keeler, Courtney McCole Wicher
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
  • Using data from the National Longitudinal Study of Adolescent Health, this work examines the impact of individual substance use, peer substance use, and depression on risky sexual behaviors, rape victimization among women, and labor market outcomes. The data are nationally representative of American youth. Although Fagan (1993) hypothesized that substance use not only increases the probability of perpetrating violent crimes but also the probability of becoming a victim of violent crime, the impact of substance use and depression on rape victimization remains largely uninvestigated. Previous research often neglects the concurrent impact of depression and the role of peer substance use in shaping the outcomes of interest. I fill these gaps by controlling for individual and peer substance use as well as depression. I use zero-inflated negative binomial, linear probability, and two-part models to investigate these relationships. Given the endogeneity of depression and substance use, analyses incorporate instrumental variable approaches. The results suggest that neither substance use nor depression have a causal impact on the risky sexual behavior, rape, or labor market outcomes. The analyses do indicate, however, that peer substance use influences the observed health and employment outcomes. As a result, health providers may want to consider a patient's social environment when devising prevention and treatment plans.
Date of publication
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Rights statement
  • In Copyright
  • Domino, Marisa
  • Doctor of Philosophy
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2012

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