Abstract
The objective of this study is to examine how participation in different types of competitive sports (based on level of contact) during high school is associated with substance use 1 to 4 years after the 12th grade. The analysis uses nationally representative samples of 12th graders from the Monitoring the Future Study, who were followed 1 to 4 years after the 12th grade. The longitudinal sample consisted of 970 12th graders from six recent cohorts (2006–2011). The analyses, which controlled for 12th grade substance use, school difficulties, time with friends, and socio-demographic characteristics, found that respondents who participated in at least one competitive sport during the 12th grade had greater odds of binge drinking during the past two weeks (AOR = 2.04; 95% CI = 1.43, 2.90) 1 to 4 years after the 12th grade, when compared to their peers who did not participate in sports during their 12th grade year. Moreover, respondents who participated in high-contact sports (i.e. football, ice hockey, lacrosse, and wrestling) had greater odds of binge drinking (AOR = 1.80; 95% CI = 1.18, 2.72), and engaging in marijuana use during the past 30 days (AOR = 1.81; 95% CI = 1.12, 2.93) 1 to 4 years after the 12th grade when compared to their peers who did not participate in these types of sports during their 12th grade year. Accordingly, the findings indicate important distinctions in sport participation experiences on long-term substance use risk that can help inform potential interventions among young athletes.
| Bachman J, Wadsworth K, O’Malley P, . (1997) Smoking, Drinking, and Drug Use in Young Adulthood: The Impact of New Freedoms and New Responsibilities. Mahwah, NJ: Lawrence Erlbaum Associates. | |
| Baum A (2013) Eating disorders in athletes. In: Baron D, Reardon C, Baron S (eds) Clinical Sports Psychiatry: An International Perspective. Oxford: John Wiley & Sons, pp. 44–52. Crossref | |
| Bloom G, Smith M (1996) Hockey violence: A test of cultural spillover theory. Sociology of Sport Journal 13: 65–77. Crossref | |
| Bourdieu P (1978) Sport and social-class. Social Science Information 17: 819–840. Link | |
| Coakley J (2014) Sports in Society: Issues and Controversies. Colorado Springs, CO: McGraw-Hill. | |
| Coleman JS (1961) Athletics in high school. Annals of the American Academy of Political and Social Science 338: 33–43. Link | |
| Crosnoe R (2002) Academic and health-related trajectories in adolescence: The intersection of gender and athletics. Journal of Health and Social Behavior 43: 317–336. Crossref, Medline | |
| Damm J, Murray P (1996) Alcohol and other drug use among college student athletes. In: Etzel EF, Ferrante AP, Pinkney W (eds) Counseling College Student-Athletes: Issues and Interventions, vol. 2. Morgantown, WV: Fitness Information Technology, pp. 185–220. | |
| Darrow CJ, Collins CL, Yard EE, . (2009) Epidemiology of severe injuries among United States high school athletes: 2005–2007. American Journal of Sports Medicine 37: 1798–1805. Link | |
| Dawe S, Loxton N (2004) The role of impulsivity in the development of substance use and eating disorders. Neuroscience & Biobehavioral Reviews 24: 343–351. Crossref | |
| Denham BE (2011) Alcohol and marijuana use among American high school seniors: Empirical associations with competitive sports participation. Sociology of Sport Journal 28: 362–379. Crossref | |
| Denham BE (2014) High school sports participation and substance use: Differences by sport, race, and gender. Journal of Child and Adolescent Substance Abuse 23: 145–154. Crossref | |
| Diehl K, Thiel A, Zipfel S, . (2012) How healthy is the behavior of young athletes? A systematic literature review and meta-analyses. Journal of Sports Science and Medicine 11: 201–220. Medline | |
| Farb AF, Matjasko JL (2012) Recent advances in research on school-based extracurricular activities and adolescent development. Developmental Review 32: 1–48. Crossref | |
| Feldman A, Matjasko J (2005) The role of school-based extracurricular activities in adolescent development: A comprehensive review and future directions. Review of Educational Research 75: 159–210. Link | |
| Ferriter C, Ray L (2011) Binge eating and binge drinking: An integrative review. Eating Behaviors 12: 99–107. Crossref, Medline | |
| Ford J (2007) Substance use among college athletes: A comparison based on sport/team affiliation. Journal of American College Health 55: 367–373. Crossref, Medline | |
| Frinter MP, Rubinson L (1993) Acquaintance rape: The influence of alcohol, fraternity membership, and sports team membership. Journal of Sex Education and Therapy 19: 272–284. | |
| Hanley JA, Negassa A, Edwardes M, . (2003) Statistical analysis of correlated data using generalized estimating equations: An orientation. American Journal of Epidemiology 157: 364–375. Crossref, Medline | |
| Holland A, Andre T (1987) Participation in extracurricular activities in secondary school: What is known, what needs to be known? Review of Educational Research 57: 437–466. Link | |
| Huang DB, Cherek DR, Lane SD (1999) Laboratory measurement of aggression in high school age athletes: Provocation in a nonsporting context. Psychological Reports 85: 1251–1262. Link | |
| Hughes R, Coakley J (1991) Positive deviance among athletes: The implications of overconformity to the sport ethic. Sociology of Sport Journal 8: 307–325. Crossref | |
| Jackson JS, Keiper S, Brown KT, . (2002) Athletic identity, racial attitudes, and aggression in first year black and white intercollegiate athletes. In Gatz M, Messner M, Ball-Rokeach S (eds) Paradoxes of Youth and Sports. Albany, NY: SUNY Press, pp. 159–172. | |
| Johnston LD, O’Malley PM, Bachman JG, . (2014) Monitoring the Future National Survey Results on Drug Use, 1975-2013, volume II: College Students and Adults Ages 19–55. Ann Arbor, MI: University of Michigan Institute for Social Research. | |
| Kreager DA (2007) Unnessary roughness? School sports, peer networks, and male adolescent violence. American Sociological Review 72: 705–724. Link | |
| Kwan M, Bobko S, Faulkner G, . (2014) Sport participation and alcohol and illicit drug use in adolescents and young adults: A systematic review of longitudinal studies. Addictive Behaviors 39: 497–506. Crossref, Medline | |
| Lisha N, Sussman S (2010) Relationship of high school and college sports participation with alcohol, tobacco, and illicit drug use: A review. Addictive Behaviors 35: 399–407. Crossref, Medline | |
| McCabe SE, Schulenberg JE, O’Malley PM, . (2014) Non-medical use of prescription opioids during the transition to adulthood: A multi-cohort national longitudinal study. Addiction 109: 102–110. Crossref, Medline | |
| McNeal RB (1995) Extracurricular activities and high school dropouts. Sociology of Education 68: 62–81. Crossref | |
| Marcello RJ, Danish SJ, Stolberg AL (1989) An evaluation of strategies developed to prevent substance abuse among student-athletes. The Sport Psychologist 3: 196–211. Crossref | |
| Marsh HW (1992) Extracurricular activities: Beneficial extension of the traditional curriculum or subversion of academic goals? Journal of Educational Psychology 84: 553–562. Crossref | |
| Mays D, Gatti ME, Thompson NJ (2011) Sports participation and alcohol use among adolescents: The impact of measurement and other research design elements. Current Drug Abuse Reviews 4: 98–109. Crossref, Medline | |
| Messner MA (1990) Power at Play: Sports and the Problem of Masculinity. Boston, MA: Beacon. | |
| Messner MA, Sabo DF (1990) Sport, Men and the Gender Order. Champaign, IL: Human Kinetics. | |
| Miller KE (2009) Sport-related identities and the ‘toxic jock’. Journal of Sport Behavior 32: 69–91. Medline | |
| Miller KE, Hoffman JH, Barnes GM, . (2003) Jocks, gender, race, and adolescent problem drinking. Journal of Drug Education 33: 445–462. Link | |
| Miracle A, Rees R (1994) Lessons of the Locker Room: The Myth of School Sports. Amherst, NY: Prometheus Books. | |
| Morse ED (2013) Substance use in athletes. In: Baron DA, Reardon CL, Baron SH (eds) Clinical Sports Psychiatry: An International Perspective. Oxford: Wiley, pp.3–12. Crossref | |
| Nixon H (1997) Gender, sport, and aggressive behavior outside sport. Journal of Sport and Social Issues 21: 379–391. Link | |
| Pate RR, Heath GW, Dowda M, . (1996) Association between physical activity and other health behaviors in a representative sample of US adolescents. American Journal of Public Health 86: 1577–1581. Crossref, Medline | |
| Pate RR, Trost SG, Levin S, . (2000) Sports participation and health-related behaviors among US youth. Archives of Pediatrics and Adolescent Medicine 154: 904–911. Crossref, Medline | |
| Patrick ME, Schulenberg JE (2011) How trajectories of reasons for alcohol use relate to trajectories of binge drinking: National panel data spanning late adolescence to early adulthood. Developmental Psychology 47: 311–317. Crossref, Medline | |
| Patrick ME, Schulenberg JE (2014) Prevalence and predictors of adolescent alcohol use and binge drinking in the United States. Alcohol Research 35: 193–200. | |
| Reardon CL, Creado S (2014) Drug abuse in athletes. Substance Abuse and Rehabilitation 5: 95–105. Crossref, Medline | |
| Sabo D, Veliz P (2008) Go Out and Play: Youth Sports in America. East Meadow, NY: Women’s Sports Foundation. | |
| Segrave J, Hastad D (1984) Interscholastic athletic participation and delinquent behavior: An empirical assessment of relevant variables. Sociology of Sport Journal 1: 117–137. Crossref | |
| Sokol-Katz J, Kelley MS, Basinger-Fleischman L, . (2006) Re-examining the relationship between interscholastic sport participation and delinquency: Type of sport matters. Sociological Focus 39: 173–192. Crossref | |
| Staff J, Schulenberg JE, Maslowsky J, . (2010) Substance use changes and social role transitions: Proximal developmental effects on ongoing trajectories from late adolescence through early adulthood. Development and Psychopathology 22: 917–932. Crossref, Medline | |
| Substance Abuse and Mental Health Services Administration (2014) Results From the 2013 National Survey on Drug Use and Health: Detailed Tables. Rockville, MD: Substance Abuse and Mental Health Services Administration. | |
| The National Federation of State High School Associations (2015) Mission statement. Available at: https://www.nfhs.org/who-we-are/missionstatement | |
| Tricker R, Cook DL, McGuire R (1989) Issues related to drug abuse in college athletes: Athletes at risk. The Sport Psychologist 3: 155–165. Crossref | |
| Veliz P, Boyd CJ, McCabe SE (2013a) Playing through pain: Sports participation and nonmedical use of opioid medications among adolescents. American Journal of Public Health 103: e28–e30. Crossref, Medline | |
| Veliz P, Boyd CJ, McCabe SE (2013b) Adolescent athletic participation and nonmedical Adderall use: An exploratory analysis of a performance-enhancing drug. Journal of Studies on Alcohol and Drugs 74: 714–719. Crossref, Medline | |
| Veliz P, Boyd CJ, McCabe SE (2015) Competitive sport involvement and substance use among adolescents: A nationwide study. Substance Use & Misuse 50: 156–165. Crossref, Medline | |
| Veliz P, Epstein-Ngo Q, Meier E, . (2014) Painfully obvious: A longitudinal examination of medical use and misuse of opioid medication among adolescent sports participants. Journal of Adolescent Health 54: 333–340. Crossref, Medline | |
| Veliz P, McCabe SE (in press) Examing potential substance use disorders among former interscholastic athletes. Substance Abuse. | |
| Zeger SL, Liang KY, Albert PS (1988) Models for longitudinal data – A generalized estimating equation approach. Biometrics 44: 1049–1060. Crossref, Medline |

