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LITERATURE REVIEW
ON
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 2
INTRODUCTION
psychological, and social changes. It is a period many parents perceive as very volatile stage.
A period of storm and stress where relationships between both parties are tested and can be
threatened (Özdemir, Utkualp, & Pallos, 2016; Windle, 2000). Since adolescence is a
developmental stage that launches adolescents into adulthood, it is also a period when
identities are formed and behavioural patterns are established (Özdemir et al., 2016). Studies
show that during puberty period, various neurodevelopmental changes take place. This
includes the synaptic pruning of unused synapses in the cerebral cortex, which supports
various cognitive skills. Myelination of stimulated neural fibres, which accelerates and
strengthens connection among various brain regions also occurs. Adolescents also experience
events, intensely experience pleasurable stimuli and drive for novel experiences which
include substance use and abuse (Patalay & Gaye, 2019). Statistics show that adolescents
substance use is a common and pervasive risky behaviour in industrialized countries. Recent
nationally representative survey of US high school students shows that 40% of U.S 10th
grade adolescents have tried smoking cigarette, 63% have tried drinking and 38% have tried
at least one illegal drug usually marijuana (Arnett, 2018). By the end of high school, 17%
reported to smoke cigarette regularly, 28% engaged in heavy drinking and 40% have
experimented with illegal drug (Arnett, 2018). About 20% have tried at least one highly
addictive substance.
By scholastic definition and use, substance use refers to alcohol and other drug use
including cigarettes, illegal drugs such as marijuana, LSD, Ecstasy (MDMA), sedatives,
heroin, OxyContin (a natural pain killer) or cocaine (Arnett, 2018). Due to adolescents’
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 3
biological make-up and the uniqueness of the changes going on in their bodies, are
adolescents naturally predisposed to risky novel experiences including alcohol and substance
use and abuse or there are other factors that preclude their dispositions? Multiple researches
involvement in substance use and abuse. Furthermore, because parental substance use could
be related to poor monitoring and parent–adolescent relationships, this paper looks into the
role each may play in discouraging or potentiating substance use among early adolescents
and how it influence their choices of friends. It also considers quality of relationship among
peers, social groups effects and bullying and their influence on adolescent’s substance use.
Gaining better understanding of these factors and how they increase adolescents’
susceptibility to substance use and abuse would help policymakers, and other stakeholders in
adolescent’s lives, make more informed decisions in the development of enlightenment and
intervention programmes. This would have the ripple effect of reducing the risk associated
with engaging in other common risky behaviours that culminate into delinquent acts, sexual
The primary purpose of this paper is to explore the influence of peers on adolescents use and
the social issue of identity formation. They work at refining and defining themselves. They
try out different “selves” in various contexts and are often grappled with the question of
which self they should be, who they are and who they should be with (social identity). As
adolescents try to answer these questions and many more about identity and social identity,
most adolescents in Western cultures begin a gradual pull, away from their parents. Conflicts
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 4
increase between parents and adolescents and much argument ensued even on mundane
things like bedtime, chores, and more important issues like homework completion. Despite
these differences, majority of parents reported that most disagreements are at the level of
and peer relationship. Adolescents who feel close to their parents often enjoy a healthy and
happy relationship and tend to do well in school. This correlation can also be stated in
reversal that adolescents who misbehave are likely to have tense relationship with parents and
other adults. However, no matter the level of closeness between adolescents and parents,
adolescence is a period of diminishing parental influence and growing peer influence. This is
because adolescents depend more on friends than on their parents or siblings for
companionship and intimacy. During adolescence, friends become increasingly important and
they are source of adolescent’s happiest experiences. Adolescents view their friends as people
with whom they feel most comfortable with and can openly talk to. Also, the desire to be
popular and conform to peers and social acceptance could also be the driving force behind
indicative of the patterns of interactions that occur between parents and adolescents. These
factors also determine the quality of relationship between parents and adolescents (Rusby et
al., 2018). Study by Rusby et al., (2018) to examine the quality of parent-adolescents
relationship as a predictive factor to adolescent’s substance use and abuse reveals that
relationship between parents and adolescents during transitional period of early adolescence
to late adolescence show that many adolescents during this transition period began the use of
alcohol and marijuana for the first time. Early initiation into alcohol intake and substance use
is found to continue into later years of adolescence and could lead to dependency (Hoffman
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 5
et al., 2006). Within a one-year period of study of 8th grade student to the end of their ninth
grade, alcohol initiation had increased from 40% to 65%, binge drinking initiation tripled in
rate from 10% to 30%, and marijuana use initiation doubled from 20% to 40% (Rusby et al.,
2018). Result further indicates that adolescents’ ratings of parent relationship quality and
monitoring were significant predictors of alcohol use, binge drinking, and marijuana use
initiation (Weymouth et al., 2016). Adolescents who perceive poor relationship with parents
and who think their parents do not know what they are doing are likely to engage in alcohol
and substance use and abuse regardless of whatever their parents think. Well of course, this
Consequent studies also indicate that parents who spend quality time with their
adolescents, set realistic rules and boundaries, communicate their preferences, encourage
openness and are authoritative, raise adolescents who are prosocial, confident and perform
very well in their academics. Going by homophily principles such adolescents are often likely
to choose friends that share similar values and are deemed similar to them.
Parental Monitoring
parents can still shape their adolescents’ peer relationship indirectly by choosing where to
live, schools to send their adolescents to (e.g., public schools vs. private schools) and where
to attend religious services if at all they would. By doing this, parents influence the peer
networks their adolescents are likely to experience and the pool of peers their adolescents are
likely to choose their friends (Arnett, 2018). Also, parental influence on their adolescents’
personality and behavior through their practices can influence adolescents’ choices of friends.
For instance, in a study of 3,700 adolescents, it was found out that adolescents of parents who
monitor their adolescents activities, and encourage academic achievement achieve higher
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 6
grades in school and have lower levels of engaging in substance use and abuse (Brown et al.,
1993). Furthermore, parents can protect their adolescents from early exposure to substance
use by monitoring their adolescents’ movement: where their children are, who they are with,
Wang et al., (2013) in their studies conceptually classified parental monitoring into
different categories (parental knowledge, youth disclosure, and parental rules) and found that
open parent–adolescent communication and rules about curfew were associated with lower
room for their adolescents’ feedbacks is a critical aspect of good quality parent–adolescent
relationships. Likewise, it is crucial for effective parental monitoring (Wang et al., 2013).
Further studies show that the concurrence of increased time with peers and decreased parental
monitoring increases adolescents’ chances of engaging in alcohol use and other substances
(Lam et al., 2014; Rusby et al., 2018). Although adolescents increasingly affect each other’s
behavior during early adolescence, parental influences remain very crucial. For instance, peer
Greenan, Rusby, Nies, & Snijders, 2013) and low parental monitoring is associated with
use and it influences an adolescent’s decision to engage or refrain from substance use (Kirby
et al., 2008). According to Bandura (1977) established Social Learning Theory (SLT),
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 7
adolescents may be influenced in their decision to engage in substance use and abuse through
observing role models in their environment and perceiving social norms in relation to
substance use. Adolescents simply by watching significant others in their environment can
assess the consequences of the behaviour and discern hurdles associated with engaging in
such practices and rewards (Kirby et al., 2008). This subsequently, may reinforce their
decision either smoke or not to smoke, drink alcohol or engage in drugs use or not (Kirby et
al., 2008). Parental substance use also may increase the availability of that substance to their
adolescent. Studies on parent alcohol and substance use (marijuana) indicate that parent
alcohol use is associated with early adolescent consumption of alcohol which continues into
later adolescence (Brook et al., 2010). Moreover, parent alcohol consumption is found to be
predictive of early adolescent and the adolescent’s friends use (Rusby et al., 2018, Hoffman
et al., 2006). Parent marijuana use is found to be associated with adolescent onset of
marijuana and this relationship is mediated by parent attitudes about marijuana (Miller,
Siegel, Hohman, & Crano, 2013) and by low parental monitoring and greater exposure to
Capaldi, Tiberio, Kerr, and Pears (2016) also found that independent of parents’ alcohol use,
mothers’ tobacco use and fathers’ marijuana use predicted earlier onset of adolescent alcohol
use. Further, findings show that adolescents with this parental influence are very likely to
choose friends with similar parental influence. Recognizing the importance of these findings
for prevention, is integral into understanding the primary aim of this study. The focus of this
friends influence is more accurate term than peer. Arnett (2018) described peers as
anonymous group of other people who are of the same age and grade. Friends on the other
hand, are emotionally connected to each other, provide social support and connection in a
way peers’ do not. In most cases when people especially adolescents talk about peers, they
are referring to their friends, people of the same peer group whom they are intimate with and
are socially connected to. Most research works on friends and peers have also used the word
characterized by the tendencies to adopt risky behaviors, such as substance use and abuse,
and other delinquent acts (WHO, 2020). Adolescents choose friends who are similar to them
in age, gender, educational orientations, share the same media preferences and leisure
activities. The most concerned and common similarity found among adolescent friends is in
their drive for risky activities. Adolescents tend to choose friends whom they perceive are
similar to them in their drive for novel and risky adventures. However, several evidences
suggest that adolescents also choose friends who have positive influence on them. Friends
that discourage risky behavior, give emotional support and help them cope with stressful life
situations (Arnett, 2018; Muchiri & Santos, 2018). Adolescents friends influences begin in
early adolescence, peaks by mid-teens and declines in late adolescence. There is an existing
correlation between rates of risky behavior adolescent report for themselves and that of their
friends. However, because correlation does not mean causation, reports from several studies
conducted on how adolescents perceived themselves and friends in relation to substance use
show that adolescents due to their egocentric nature, reported that their friends are more
similar to them than they are in reality in their use of alcohol, cigarette and substance use
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 9
(Arnett, 2018). This consequently inflates the correlations in the risk behavior they report for
either positive or negative behaviours, they perceive their family and peers are involved in
(Muchiri & Santos, 2018; Schuler, Tucker, Pedersen, & Amico, 2019). They have also been
changes occurring in the prefrontal cortex and limbic system of their brains, which makes
them high sensation and novel experiences seekers (Özdemir et al., 2016; Whitesell et al.,
2013).
Most times, adolescents first contact with drugs generally occurs in familiar settings,
comprising of people who are significant or stakeholders in the lives of the adolescent. This
makes monitoring of indicators of drug use among adolescents increasingly important (Jorge
et al., 2018). Early detection of vulnerable adolescents to substance use can contribute to the
establishment of public policies that consider the school setting as a favorable environment
for preventive programs (Jorge et al., 2018). External factors, such as family, friends,
siblings, social economic status can be potential risk or protective factors. Several studies
have shown that having friends who use drugs and who are more susceptible to peer pressure
are the strongest predictors of adolescent substance use (Jorge et al., 2018). Peer pressure
exerts a very powerful influence on behavior, especially in young adolescent. Some risk
factors for adolescence substance use influenced by peers include peer group structure/the
quest for popularity, peer substance use, quality of friendship, and bullying are subsequently
Peer groups are a type of social group that consist of people with similar interests,
social status, and are in the same age group. People who make up of a peer group social
interact and can influence themselves both positively and negatively. The social influence
theory as proposed by Kelman (1958) states that an individual’s attitudes, beliefs, and
internalization. Relating this to peer influence on substance use, social influence theory posits
that deviant peers directly and indirectly influence illicit drug use and other risk behaviors
during adolescence through peer pressure, modelling and behavioral reinforcement (Jorge et
al., 2018).
Various studies conducted on social influence theory assert that some young people
change their behaviour to fit into a desired network, as well as gain or maintain popularity
(Kirby et al., 2008). Diego, Field, & Sander, 2003 examined the pattern of cigarette, alcohol,
marijuana, and cocaine use by 89 high school students in Florida, USA. They measured the
effects of academic performance, self-rating of popularity, and depression indices on the use
of these substances and found in agreement with the social influence theory, that, students
who had low GPAs, high depression indices and considered themselves popular, were more
at risk to smoke cigarettes and marijuana, as well as drink alcohol (Kirby et al., 2008). Also,
those who had low GPAs and perceived themselves as unpopular, were more likely to use
cocaine. It has also been deduced that adolescents who hope to become group leaders are
more inclined to smoking whereas those who just want to become members of a group are at
higher risks of drinking alcohol. This demonstrates the fact that the effect of peer influence
The social selection theory states that adolescents search for deviant friends based on
pre-existing deviant tendencies they already have (Jorge et al., 2018, Kirby et al., 2008)).
Because adolescents often form heterogenous friendship groups, they are therefore exposed
to both deviant and non-deviant influences. It is right to concede that adolescents actively
seek out friends whom they perceive are similar to them. Study carried out by Hoffman, et
al., (2006) shows that smoking adolescents make friends with other smokers. This lends to
support the findings from a Scotland study about smoking behavior of its 106 participants,
between ages 15 to 16 years old. Finding shows a strong positive correlation between that of
group, they are also exposed to non-deviant behaviors. Study conducted on Brazilian
adolescents indicated that adolescents who participates in structured activities and are linked
to each other based on religious, sporting or cultural interests were at a lower risk of illicit
drug use, probably due to the risk of incurring the disapproval of their peers and the ill-effects
these substances have on competitive sport performance (Jorge et al., 2018). These findings
correlate with the notion that emphasizes unstructured socialisation among adolescents
increases their opportunities for substance and alcohol use. This is argued to be due to the
fact that engaging in these activities in the presence of their peers and the absence of an
authority figure makes it more ‘rewarding’ and less punishable (Wesche, Kreager, &
Lefkowitz, 2018).
This implies that there is an existing correlation between adolescents’ risk behaviours
and friend’s thrill to engage in risk behavior because selection has been made based on
similarities and not because they influence each other (Arnett, 2018). Additionally, some
longitudinal studies indicate that both selection and influence contribute to similarities in risk
behavior before they become friends. However, if they stay as friends’ they tend to become
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 12
more similar, increasing or decreasing their rates of participation in risk behavior so that they
more closely match each other. Hoffman et al., (2007) in their study found this assertion to be
true for cigarette use, alcohol use, other drug use (la Haye et al., 2013), delinquency and
Schuller et al., (2019) in their study highlighted that adolescent alcohol, cigarette and
marijuana use is positively associated with corresponding perceived use by friends and family
members in their social network throughout middle and high school. However, concordance
varied across grades, by peer relationship and substance use (Schuller et al., 2019).
Concordance between adolescent and best friend use was positive for alcohol, cigarettes and
marijuana in all grades 6-12. It also reflects both social conformity pressures and peer
homophily due to peer selection processes (Burk, van der Vorst, Kerr, & Stattin, 2012;
Steinberg & Silverberg, 1986). Thus, showing the enduring influence of peers across middle
and high school. Consistent with prior studies, associations with perceived best friend use
were stronger than those with older siblings and adults for all substances. However,
concordances with best friend use did not consistently increase across grades for all
substances as hypothesized (Schuller et al., 2019). For alcohol, cigarettes and marijuana,
concordance with best friend use was very strong in 6th grade and then declined across
middle school. This peak is in accordance with adolescence developmental stage that posit
that younger adolescents are more influenced by peer behaviour, because they have not fully
developed skills to resist peer pressure and sensual gratification (Steinberg & Monahan,
2007). Alcohol, which is the most prevalent substance, was seen to have lowest concordance
with best friend use. Alcohol concordance remained steady across high school and then
declined in 12th grade (Schuller et al., 2019). Smoking and marijuana use were seen to be
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 13
significantly less prevalent than alcohol use, while concordance rates with best friend use
were notably higher than for alcohol. Furthermore, for marijuana use, rate of concordance
substance use, as studies indicate that friends are major source of guidance during the
adolescent years. They provide quick access to substance, and help shape attitudes and beliefs
around substance use (Branstetter, Low, & Furman, 2011; Musher-Eizenman, Holub, &
Arnett, 2003). Study by Windle, 2000 showed that compared to parental influence, peer
substance use was a more significant risk factor for adolescent alcohol problems. This could
be due to the fact that peer groups tend to amongst other things, share information and values
about drug use (Scull et al., 2010). Another study by Bahr, Hoffmann, & Yang, 2005 which
sought to address the possibility that peer influences were being overestimated, also found
that the use of drugs by peers had greater influence on adolescent substance use than other
variables (level of parental tolerance for drug use, sibling use, attachment to mother/father,
monitoring by parents) considered in the study. One of the significant findings of this study
was that peers also had a partial influence on the effects of the family variables considered. It
Quality of Friendship
Although the impact of this dimension of peer influence has not being well examined
and there are some contrasting findings, it is worthy of consideration when examining the
influence that peers have on themselves with regards to substance use. Branstetter et al., 2011
in an attempt to address these contrasts, examined the effect of friendship quality, peer
behaviour and parent-child relationship on adolescent substance use over a year. Their results
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 14
use by a friend greatly influenced the behaviour of adolescents to said substances. They also
showed the levels of influence varied depending on the specific substance being considered;
peer influence had greater impact on tobacco and alcohol use while, an increase in
adolescents’ use of marijuana and hard drugs were less dependent on this variable
Bullying
middle and high school (Livingston et al., 2018). It is estimated that approximately 20% of
US public school students have reported being bullied in 2015 (Kann et al. 2016). Bully is
hitting, kicking, pushing, shoving), verbal (e.g., name-calling, teasing), and/or social (e.g.,
spreading rumours, social exclusion) aggression toward one’s peers to inflict physical,
psychological, social, or educational harm” (Livingston et al., 2018, p. 2558). Bullying peaks
amplifies the importance of peer acceptance and rejection as well as the allure of risky
activities (Steinberg 2008; 2014). As such, negative social interactions can have a devastating
impact on psychological adjustment, spur involvement in high risk activities, and disrupt
victim, or bully-victim has been associated with various long-term negative health outcomes
including depression, anxiety trauma symptoms, and substance use (Livingston et al., 2018).
More concerning is the potential for bullying to contribute to adolescent substance use.
Several researches have been able to associate substance use to substance use disorders, and
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 15
other risky behaviour. While it is considered a norm for adolescents to experiment with
tobacco, alcohol, and marijuana; bullies, victims, and bully-victims may be more likely to use
these substances in riskier ways (i.e., earlier or heavier use) that contribute to the
development of substance use problems and other negative health outcomes (e.g., accidents
relationship between bullying and substance use. However, the nature and timing of this
association is not well understood. Furthermore, there are important question that trail the
research and many more of its kind which include whether substance use occurs as an acute
response to a bullying event or whether it develops over time. Having a clearer understanding
of timing of these outcomes is crucial to developing effective intervention plan for those
involved in bullying (Livingston, et al., 2018). It is also important to consider the bivariate
acute, negative emotional responses which may spur use of substances as a means of
hypothesized to report greater negative affect and have higher odds of using substances on
days they experienced more peer bullying. Consistent with this hypothesis, findings show that
adolescents who reported to be more bullied by a peer than normal on a given day reported
feeling more sad and were more likely to use cigarettes compared to days they were less
victimized. Such adolescents also reported to be angrier on days they felt more victimized.
was not significantly linked with same day changes in negative affect or substance use.
Nevertheless, Livingston et al., (2018) in their studies were able to establish proximal
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 16
associations among victimization, negative affect, and cigarette use, that are consistent with
theories of emotional regulation. But it is still unclear the exact order of these events in a day.
To collaborate these findings Luk et al., (2010) & Topper et al., (2011) in their study on the
bullied use of alcohol to cope with distress associated with victimization show no relation
between victimization and daily alcohol use. Therefore, it was concluded that the relation
between alcohol use and victimization does not happen at the same period. This effect was
significantly observed among young adolescents in 8th and 9th grades. They were observed to
likely smoke cigarette than engage in alcohol drinking. Nevertheless, it was also observed
that alcohol use increases with age and exceeds smoking among older adolescents (Johnson
et al., 2017).
There is possibility that if similar study were conducted on adolescents, it may yield
different outcomes. Future researches therefore need to consider if being victimized and sad
consistently over multiple days is prospectively associated with depression and substance use
over time. Although, findings show that bully perpetration was not associated with negative
affect or use of any substances on the day of perpetration. Also, “peer aggression perpetrators
substance use may not be proximally linked to perpetration, but rather may be associated
more globally through associating with delinquent, substance using peers, and engaging in
other externalizing behaviours” (Livingston et al., 2018, p. 2567). These findings somewhat
contradict some other researches that suggest that bullies are at greater risk of smoking and
drinking alcohol, and that the bullied have a lower association with alcohol consumption and
cigarette smoking, but are more likely to use marijuana which is globally associated with
bully perpetration and other forms of hard drugs (Kaltiala-Heino, Rimpelä, Rantanen, &
It is still very much unclear why the use of marijuana and cigarette decline following
bully perpetration as against prior findings. More research is needed to shed more light on
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 17
this. Furthermore, more research is needed to understand the mechanism and timing bully
perpetration and substance use is associated, in order to be able to identify adolescents at risk
and mitigate against it by making intervention plans. Also, contextual factors like presence of
others, response to others proximal to the aggressive incident to determine role of social
factors in substance use and bully perpetration should also be considered in future researches.
Conclusion
factors and on many environmental factors ranging from parental monitoring and quality of
relationship, parental substance use and abuse and risk factors mainly influenced by peers
which include include peer group structure/the quest for popularity, peer substance use,
quality of friendship, and bullying. Based on social learning theory, adolescents can be easily
influenced in their decision to engage in substance use and abuse just by observing these role
models in their environment and perceiving social norms in relation to substance use.
Adolescents simply by watching significant others in their environment can assess the
consequences of the behaviour and discern hurdles associated with engaging in such practices
and rewards (Kirby et al., 2008). Thus, may reinforce their decision either smoke or not to
smoke, drink alcohol or engage in drugs use or not (Kirby et al., 2008).
However, it was seen that among all externalizing factors, friends do play crucial
roles in adolescents spur for substance use and abuse. They can either be a risk factor or a
protective factor. In order words, friends do not always promote and encourage risky
behaviour among adolescents. Studies show that friends can also influence non-deviant
behaviour and such individuals tend to seek company of adolescents with similarities. Prior
findings also show that adolescents who engaged in structured activities are at low risk of
illicit drug use. Thus, it is safe to concede to the notion that emphasizes that unstructured
PEER INFLUENCE ON ADOLESCENT’S SUBSTANCE USE 18
socialization among friends’ places adolescents at risk of substance use and abuse. It was also
found that selection and influence theory contribute to similarities in risk behaviours before
adolescents become friends. Adolescents may only become similar in behaviour if they
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