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    Compound Risk: An Analysis of Biocultural, Familial, and Structural Risks Among Substance Using Adolescent Girls

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    Author
    Hedges, Kristin Elizabeth
    Issue Date
    2012
    Keywords
    Puberty
    Risk and Vulnerability
    Structural Violence
    Substance Abuse
    Anthropology
    Adolescent Females
    Familial Addiction
    Advisor
    Pike, Ivy L.
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Adolescent substance abuse represents a complex, difficult challenge in the United States. Substance addiction research requires rich contextualization that takes into account individual, familial, and community experiences. This project focuses on how adolescent girls' substance use interacts with risk and vulnerability. More specifically, how the social and biological body influences substance initiation and how local contexts and constraints effects recovery from addiction. The sample includes adolescent girls who are enrolled in substance abuse treatment programs. The methodological approach encompasses a mixture of quantitative and qualitative, including analysis of a nation-wide dataset, narrative interviews, participant observation, and case following. While the quantitative analysis was with the nation-wide dataset, the qualitative data are derived from a sample of adolescent girls in Tucson, Arizona. Risk is assessed along three axes, biocultural, familial, and structural. Biocultural risk examines the influence that an early pubertal developmental trajectory has on substance initiation. Familial risk analyzes how the culture and habitus of the family affects youth initiation of substance use. Structural risk highlights the continued vulnerability that youth who are raised in the `system' face and specifically their challenges to recovery after substance abuse treatment. Findings from the nation-wide sample include a significant relationship between pubertal timing and age of onset of substance use. In the Tucson sample, familial immersion in substance use was so extensive that girls were not only expected to begin using but also initiation of use became a 'rite of passage' within the family. Finally this research documents the unintended role the child welfare system plays as a structural impediment to girls' recovery from substance abuse.
    Type
    text
    Electronic Dissertation
    Degree Name
    Ph.D.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Anthropology
    Degree Grantor
    University of Arizona
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