Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression

Background: This study assesses the relevance of several factors that the literature on the substance use of adolescents considers relevant. The factors embed individual variables, such as gender or age; factors linked with parental style; and variables that are associated with the teenager’s social...

Full description

Bibliographic Details
Main Authors: Jorge de Andres-Sanchez, Angel Belzunegui-Eraso
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/4/669
_version_ 1797434624409862144
author Jorge de Andres-Sanchez
Angel Belzunegui-Eraso
author_facet Jorge de Andres-Sanchez
Angel Belzunegui-Eraso
author_sort Jorge de Andres-Sanchez
collection DOAJ
description Background: This study assesses the relevance of several factors that the literature on the substance use of adolescents considers relevant. The factors embed individual variables, such as gender or age; factors linked with parental style; and variables that are associated with the teenager’s social environment. Methods: The study applies complementarily ordered logistic regression (OLR) and fuzzy set qualitative comparative analysis (fsQCA) in a sample of 1935 teenagers of Tarragona (Spain). Results: The OLR showed that being female (OR = 0.383; <i>p</i> < 0.0001), parental monitoring (OR = 0.587; <i>p</i> = 0.0201), and religiousness (OR = 0.476; <i>p</i> = 0.006) are significant inhibitors of cannabis consumption. On the other hand, parental tolerance to substance use (OR = 42.01; <i>p</i> < 0.0001) and having close peers that consume substances (OR = 5.60; <i>p</i> < 0.0001) act as enablers. The FsQCA allowed for fitting the linkages between the factors from a complementary perspective. (1) The coverage (<i>cov</i>) and consistency (<i>cons</i>) attained by the explanatory solutions of use (<i>cons</i> = 0.808; <i>cov</i> = 0.357) are clearly lower than those obtained by the recipes for nonuse (<i>cons</i> = 0.952; <i>cov</i> = 0.869). (2) The interaction of being male, having a tolerant family to substance use, and peer attitudes toward substances are continuously present in the profiles that are linked to a risk of cannabis smoking. (3) The most important recipe that explains resistance to cannabis is simply parental disagreement with substance consumption. Conclusions: On the one hand, the results of the OLR allow for determining the strength of an evaluated risk or protective factors according to the value of the OR. On the other hand, the fsQCA allows for the identification not only of profiles where there is a high risk of cannabis use, but also profiles where there is a low risk.
first_indexed 2024-03-09T10:35:38Z
format Article
id doaj.art-e50991ad3b344158a827ddfd255379aa
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-09T10:35:38Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-e50991ad3b344158a827ddfd255379aa2023-12-01T20:59:01ZengMDPI AGHealthcare2227-90322022-04-0110466910.3390/healthcare10040669Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic RegressionJorge de Andres-Sanchez0Angel Belzunegui-Eraso1Social and Business Research Laboratory, Campus Catalunya, University Rovira i Virgili, 43002 Tarragona, SpainSocial and Business Research Laboratory, Campus Catalunya, University Rovira i Virgili, 43002 Tarragona, SpainBackground: This study assesses the relevance of several factors that the literature on the substance use of adolescents considers relevant. The factors embed individual variables, such as gender or age; factors linked with parental style; and variables that are associated with the teenager’s social environment. Methods: The study applies complementarily ordered logistic regression (OLR) and fuzzy set qualitative comparative analysis (fsQCA) in a sample of 1935 teenagers of Tarragona (Spain). Results: The OLR showed that being female (OR = 0.383; <i>p</i> < 0.0001), parental monitoring (OR = 0.587; <i>p</i> = 0.0201), and religiousness (OR = 0.476; <i>p</i> = 0.006) are significant inhibitors of cannabis consumption. On the other hand, parental tolerance to substance use (OR = 42.01; <i>p</i> < 0.0001) and having close peers that consume substances (OR = 5.60; <i>p</i> < 0.0001) act as enablers. The FsQCA allowed for fitting the linkages between the factors from a complementary perspective. (1) The coverage (<i>cov</i>) and consistency (<i>cons</i>) attained by the explanatory solutions of use (<i>cons</i> = 0.808; <i>cov</i> = 0.357) are clearly lower than those obtained by the recipes for nonuse (<i>cons</i> = 0.952; <i>cov</i> = 0.869). (2) The interaction of being male, having a tolerant family to substance use, and peer attitudes toward substances are continuously present in the profiles that are linked to a risk of cannabis smoking. (3) The most important recipe that explains resistance to cannabis is simply parental disagreement with substance consumption. Conclusions: On the one hand, the results of the OLR allow for determining the strength of an evaluated risk or protective factors according to the value of the OR. On the other hand, the fsQCA allows for the identification not only of profiles where there is a high risk of cannabis use, but also profiles where there is a low risk.https://www.mdpi.com/2227-9032/10/4/669adolescencesubstance usecannabis useordered logistic regressionfuzzy set theoryfuzzy set qualitative comparative analysis
spellingShingle Jorge de Andres-Sanchez
Angel Belzunegui-Eraso
Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression
Healthcare
adolescence
substance use
cannabis use
ordered logistic regression
fuzzy set theory
fuzzy set qualitative comparative analysis
title Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression
title_full Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression
title_fullStr Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression
title_full_unstemmed Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression
title_short Explaining Cannabis Use by Adolescents: A Comparative Assessment of Fuzzy Set Qualitative Comparative Analysis and Ordered Logistic Regression
title_sort explaining cannabis use by adolescents a comparative assessment of fuzzy set qualitative comparative analysis and ordered logistic regression
topic adolescence
substance use
cannabis use
ordered logistic regression
fuzzy set theory
fuzzy set qualitative comparative analysis
url https://www.mdpi.com/2227-9032/10/4/669
work_keys_str_mv AT jorgedeandressanchez explainingcannabisusebyadolescentsacomparativeassessmentoffuzzysetqualitativecomparativeanalysisandorderedlogisticregression
AT angelbelzuneguieraso explainingcannabisusebyadolescentsacomparativeassessmentoffuzzysetqualitativecomparativeanalysisandorderedlogisticregression