title: Substance use, social networks, and the geography of urban adolescents.
abstract: This article demonstrates a research strategy and prevention methodology for substance using urban youth that incorporates individual, social, and geographical parameters to systematically understand the ecology of risk and protection for urban youth. The primary goal of this study was to describe and analyze substance using and nonusing urban adolescents' social networks; risky and protective settings where they socialize; and the relationship to health outcomes such as substance use, depression, and stress. Geographic Information Systems (GIS) derived spatial relationships and analyses between the specific locations where the teens are active, their subjective ratings of these locations, and objective environmental risk data. These social network and GIS data were merged to form a detailed description and analysis of the social ecology of urban adolescent substance use. A case study was constructed to illustrate the methodology of creating a three-dimentional ecological profile that helps explain these relationships and provides preventive applications. Linear distances were computed between the homes of the users and the risky and safe places that they identified. On average, the distance between users' homes and their identified safe places was three times the distance between their homes and their identified risky places. This study provides support for understanding urban adolescent substance use through the detailed and multiple dimensional analysis of teens' social ecologies.
authors.affiliation: Department of Psychiatry, Georgetown University Medical Center, Washington, District of Columbia 20007-2197, USA. Mjm66@georgetown.edu
authors.forename: Michael
authors.initials: M
authors.lastname: Mason
authors.forename: Ivan
authors.initials: I
authors.lastname: Cheung
authors.forename: Leslie
authors.initials: L
authors.lastname: Walker
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003863:Depression; D005260:Female; D040362:Geographic Information Systems; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D018570:Risk Assessment; D013315:Stress, Psychological; D019966:Substance-Related Disorders / Q000523:psychology*; D014505:Urban Population