Abstract

Alcohol, tobacco, and other drug (ATOD) abuse is a major social and health concern for adolescent females. For the first time, female use patterns are converging with male patterns among U.S. adolescents. Despite evidence that gender differences could be associated with ATOD origin and precipitating factors, little attention has been directed to female adolescents and ATOD use. Therefore, the purpose of this investigation was to explore the experiences of adolescent females in relation to ATOD risk and resiliency factors present in their lives. This investigation used the Neuman systems model as its theoretical framework. Grounded theory methodology was employed to collect and analyze data. Qualitative, comparative data were collected from 20 adolescent females (13 to 15 years old) who had a past experience with alcohol, marijuana, and/or other drugs. The respondents either attended an alternative school or lived in an alternative residential setting in the southeastern region of the United States at the time of this investigation. Individual and group interviews were used to collect data. In addition, written material, observation, and interviews with adult staff were incorporated for elaboration and validity. "No Way Out" was identified as the central core concept that emerged from the data. Support concepts included learned helplessness, dealing with the legal system, and a way out of the "no way out". A descriptive model was developed to depict the complexity of life for adolescent females, and the role ATOD use/abuse plays in creating and coping with the resultant stress. Recommendations included: (a) a longitudinal study of the experiences of adolescent females from traditional and alternative settings and their association with ATOD use; (b) replication of this investigation using sites throughout the U.S. and abroad; (c) developing a triangulated investigation with regard to risk and resiliency factors associated with adolescent female ATOD use; (d) educating and training for all health care and social service professionals addressing the dynamics of chemical dependency in relation to adolescent females; (e) establishing mentoring programs between women and female teens, and between female teens and female youth; (f) establishing gender specific programs for adolescent females addressing their needs and the stressors in their lives,* (g) providing adolescent, female self-help groups addressing primary, secondary, and tertiary prevention needs; (h) increasing the number of community prevention and early intervention programs for adolescent females; (i) providing parent education through community programs focusing upon adolescent females and the family; and (j) addressing negative media messages about females and chemical use through professional groups, personal contacts, and community initiatives.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9714858; ProQuest document ID: 304296882. The author still retains copyright.

Authors

Mary Bemker

Author Details

Mary Bemker, Sci.D, RN

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Grounded Theory

Research Approach

Qualitative Research

Keywords:

Adolescent Female, Alcohol and Drug Use, Risk and Resiliency Factors

Advisors

Edgil, Ann

Degree

Doctoral-Other

Degree Grantor

The University of Alabama at Birmingham

Degree Year

1996

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

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2018-12-13

Full Text of Presentation

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