Spatial patterns of adolescent drug use

Adolescent drug use is individually and socially harmful in terms of disrupting adolescent development and social cohesion. Prior research has identified populations at risk and risk factors for adolescent drug use. This research sought to contextualize adolescent drug use by examining this behavior from a geographic perspective. The specific objectives were to identify patterns, local clusters and excess spatial risk for 5-digit zip codes within the 5-county Cincinnati, Ohio region. Adolescents (n = 57,241) were recruited within local schools by the Coalition for a Drug-free Greater Cincinnati. Results of this research show spatial clusters for perceived safety of marijuana; peer approval of alcohol, tobacco and marijuana; and age of onset for other drugs. The location and nature of these clusters are discussed and displayed in-text. Further, zip codes that were in excess risk compared to the 5-county region were identified. The utility of this research is two-fold: (1) It identifies the geographic variability in adolescent drug use and correlated factors of use, and (2) It provides a methodological framework for future research in spatial epidemiology of drug use.