Sexual and Physical Victimization and Health Correlates Among Norwegian Adolescents.

Large-scale epidemiological studies have documented that many children and adolescents are exposed to different forms of victimization experiences. However, such population-based studies have rarely examined how specific types of victimization are correlated with health indicators. Thus, we investigated sexual victimization, physical victimization by parents, and physical victimization by peers and their associations with sexual health, mental health, and substance use. We gathered data from a nationally representative sample of Norwegian 18-19-year-old students in their final year of senior high school (N = 2075; 59.1% girls). The analyses showed that 12.1% of the adolescents reported sexual victimization experiences. Physical victimization was more prevalent: 19.5% of the respondents had been exposed to victimization from parents and 18.9% from peers. Multivariate analyses revealed specific associations between sexual victimization and a range of sexual health indicators, such as early sexual intercourse debut, many sexual partners, engaging in sex without contraception while intoxicated, and participating in sexual acts for payment. Neither physical victimization from parents nor from peers were correlated with these variables. However, all three forms of victimization were associated with impaired mental health and potential substance use problems. We conclude that a variety of victimization experiences should be addressed in policies for prevention of adolescent mental health and substance use problems. In addition, a special emphasis is warranted regarding sexual victimization: Sexual health policies should address such potential experiences in addition to more traditional themes such as reproductive health and should also include low-threshold services for young victims of sexual victimization.

Adolescent and Young Adult Drunkenness and Future Educational Attainment and Labor Market Integration: A Population-Based Longitudinal Study.

OBJECTIVE: Drunkenness is common among youth and has been linked to injuries and other acute consequences as well as subsequent alcohol problems. Less is known about the long-term consequences of drunkenness regarding future education and labor market integration, and how risk changes during the developmental course. We identified trajectories of drunkenness from early adolescence to young adulthood and examined how drunkenness was associated with subsequent outcomes in the domains of education, income, unemployment, and disability. METHOD: We used four-wave longitudinal data from 3,116 participants (1,428 men; 1,688 women) from the population-based Young in Norway Study (ages 13 to 31). Questionnaire data on drunkenness were linked to register data on subsequent educational and occupational outcomes. RESULTS: The frequency of drunkenness during the past 12 months increased from ages 13 to 21, followed by a levelling off and decline from age 25 to 31. Early drunkenness (at age 13) was related to lower educational attainment, lower income, and higher risk for disability and unemployment at age 32; yet, after control for covariates, most of these associations became nonsignificant. Later drunkenness (>21 years) was either not associated or inversely associated with educational and employment outcomes. CONCLUSIONS: Our results indicate that the effect of drunkenness changes during the developmental course. In early teenage years, drunkenness seems to be a marker of risk and is linked to poor educational outcomes and weak labor market integration. From the early twenties, drunkenness instead seems to be related to positive educational and work-related outcomes.

Sexual Victimization in the Digital Age: A Population-Based Study of Physical and Image-Based Sexual Abuse Among Adolescents.

Adolescents increasingly use social media platforms, and these practices open up new forms of sexual victimization, in particular image-based sexual abuse (IBSA). Few studies have examined prevalence rates and correlates of both physical sexual victimization (PSV) and these new forms of victimization in representative samples. We used data from 5,245 adolescent girls (53%) and 4,580 adolescent boys (47%) from the population-based Young in Oslo Study (mean age 17.1 years, SD = 0.9). Of all respondents, 2.9% had experienced IBSA, 4.3% PSV, and 1.7% both IBSA and PSV in the course of the previous 12 months. Multivariate analyses revealed that PSV victims, after control for other variables, had many characteristics described in previous studies of sexual victimization. Girls had higher prevalence rates than boys, many had been victims of other types of violence, and were part of peer groups with much use of alcohol and drugs. PSV victims also reported early intercourse onset and a higher proportion had been commercially sexually exploited. Lesbian, gay, and bisexual adolescents had higher victimization rates. Victims of both PSV and IBSA had a similar but even more pronounced profile. The IBSA victims were different: They lacked many of the traditional risk factors for sexual victimization, there were no significant gender differences in this group, and IBSA victims more often came from high socioeconomic backgrounds. In conclusion, we observe a reconfigured landscape of sexual victimization patterns among Norway adolescents due to their increasing participation on social media and digital platforms.

Blowing in the wind? Testing the effect of weather on the spatial distribution of crime using Generalized Additive Models.

Oslo, the capital of Norway, is situated in a North European cool climate zone. We investigate the effect of weather on the overall level of crime in the city, as well as the impact of different aspects of weather (temperature, wind speed, precipitation) on the spatial distribution of crime, net of both total level of crime, time of day and seasonality. Geocoded locations of criminal offences were combined with data on temperature, wind speed, and precipitation. Generalized Additive Models (GAMs) allowed us to map level of and the spatial distribution of crime, and how it was impacted by weather, in a more robust manner than in previous studies. There was slightly more crime in pleasurable weather (i.e. low precipitation and wind speed and high temperatures). However, neither temperature, precipitation nor wind speed impacted the spatial distribution of crime in the city. Supplementary Information: The online version contains supplementary material available at 10.1186/s40163-022-00171-2.

Cannabis and Tobacco Use Among Young People and Labor Market Outcomes in Midlife: A 23-Year Population-Based Longitudinal Study.

OBJECTIVE: Research suggests an association between cannabis use and adverse labor market outcomes, but the mechanisms are unknown. We studied the nature of this association by comparing the relative roles of cannabis and tobacco use in predicting midlife outcomes. METHOD: We analyzed data from the Young in Norway Study, a 23-year longitudinal investigation (N = 2,550; 56% female). Cannabis and tobacco use, potential confounders, and mediators were assessed by self-report. We used register data on income, years Not in Education, Employment or Training (NEET), and welfare benefits. RESULTS: We compared cannabis users (7%) and regular tobacco users (15%) with nonusers. After confounders were controlled for, cannabis users had lower income (income decile difference = -1.31; 95% CI [-1.83, -0.80]), had more NEET years (incidence rate ratio [IRR] = 1.87; 95% CI [1.34, 2.61]), and received welfare benefits more often (odds ratio [OR] = 2.84; 95 % CI [1.56, 5.17]). Tobacco users also earned less (income decile difference = -0.51; 95% CI [-0.86, -0.17]) and received welfare benefits more often (OR = 1.74; 95 % CI [1.14, 2.66]) but did not have more NEET years (IRR = 1.22; 95% CI [0.94, 1.59]). The reduction when controlling for confounders was larger for tobacco than for cannabis. Including mediators further reduced the associations for tobacco use considerably, whereas only slight reductions were observed for cannabis. CONCLUSIONS: The robust associations of cannabis use with poor labor market outcomes, even after adjustments, seem to differ from how tobacco use is related to such outcomes. More knowledge is needed about causal effects of cannabis use on important life domains.

Privileged background protects against drug charges: A long-term population-based longitudinal study.

BACKGROUND: We investigated the importance of indicators of parental socio-economic status (SES) for getting an official drug charge, while we controlled for self-reported drug law infractions (use of illegal drugs and/or drug trafficking) and potential variables confounding the association. METHODS: We used data from the long-term, population based longitudinal Young in Norway Study (N = 2,549). Participants were followed up over four survey-based data collections with linkages to crime registers from adolescence to adulthood. Data on drug charges were assessed based on official registers. The use of illegal substances, involvement with drug trafficking and potential covariates such as involvement with other types of crime, academic resources, and risk factors in the family, were assessed by means of self-reports. RESULTS: Two per cent had been charged for drug-related offences, and 37% reported drug offending. Use of cannabis was the primary infraction statistically related to a criminal charge. Having parents with 4+ years university education (14% of the sample) was associated with lower risk for being charged than having parents with no higher education (OR 4.87; 95% CI: 1.16-20.52) or with a short university education (OR 4.76; 1.05-21.48). The association between parental education and drug charges remained stable when controlling for self-reported drug law infractions and other potential covariates. CONCLUSION: In Norway, adolescents who have parents with higher university education, may be protected from getting a drug charge, even though they report similar levels of drug law infractions as other adolescents.

Help-seeking behaviour among illegal substance users. / Hjelpesøkende atferd blant brukere av illegale rusmidler.

BACKGROUND: The purpose of the study was to investigate health-related help-seeking behaviour among illegal substance users. MATERIAL AND METHOD: Data were collected on the website Rusopplysningen.no. Questions were asked about use of illegal substances and openness with healthcare personnel regarding this use. Only respondents who reported having used illegal substances were included, and missing responses to particular questions were excluded from the percentage calculations. RESULTS: Altogether 2 485 respondents had used illegal substances. A total of 880 (39 %) had told healthcare/social care personnel about their substance use, of which 506 (68 %) reported that they had no need of help. Altogether 802 (36 %) had avoided telling healthcare/social care personnel about their use of illegal substances in relevant situations, while 309 (14 %) believed that they needed treatment for substance use, and 202 of these (65 %) had avoided or postponed seeking such treatment. Among the 815 who had been in an acute medical situation related to substance use, 82 (10 %) had delayed calling an ambulance, and 330 (41 %) had avoided calling an ambulance altogether. Among these, fear of being reported to the police was the most frequently reported reason (n = 280, 71 %), while 216 (55 %) reported that they had considered an ambulance to be unnecessary. INTERPRETATION: Many users of illegal substances do not reveal this to healthcare personnel. Some also avoid calling an ambulance in acute substance-related situations. Fear of police sanctions appears to be a plausible contributory factor.

Intelligence, alcohol consumption, and adverse consequences. A study of young Norwegian men.

AIMS: Research suggests that intelligence is positively related to alcohol consumption. However, some studies of people born around 1950, particularly from Sweden, have reported that higher intelligence is associated with lower consumption and fewer alcohol-related problems. We investigated the relationships between intelligence, alcohol consumption, and adverse consequences of drinking in young men from Norway (a neighboring Scandinavian country) born in the late 1970s. METHODS: This analysis was based on the population-based Young in Norway Longitudinal Study. Our sample included young men who had been followed from their mid-teens until their late 20s (n = 1126). Measures included self-reported alcohol consumption/intoxication, alcohol use disorders (AUDIT), and a scale measuring adverse consequences of drinking. Controls included family background, parental bonding, and parents' and peers' drinking. Intelligence test scores-scaled in 9 "stanines" (population mean of 5 and standard deviation of 2)-were taken from conscription assessment. RESULTS: Men with higher intelligence scores reported average drinking frequency and slightly fewer adverse consequences in their early 20s. In their late 20s, they reported more frequent drinking than men with lower intelligence scores (0.30 more occasions per week, per stanine, age adjusted; 95% CI: 0.12 to 0. 49). Intelligence was not associated with intoxication frequency at any age and did not moderate the relationships between drinking frequency and adverse consequences. CONCLUSIONS: Our results suggest that the relationship between intelligence and drinking frequency is age dependent. Discrepancies with earlier findings from Sweden may be driven by changes in drinking patterns.

Making "bad trips" good: How users of psychedelics narratively transform challenging trips into valuable experiences.

BACKGROUND: We study the significance of stories about bad trips among users of psychedelics. Drawing on narrative theory, we describe the characteristics of such stories and explore the work they do. METHODS: In-depth qualitative interviews with 50 Norwegian users of psychedelics. RESULTS: Almost all participants had frightening experiences when using psychedelics and many described these as bad trips. The key feature of a bad trip was a feeling of losing oneself or going crazy, or ego dissolution. Most users said that these experiences could be avoided by following certain rules, based on tacit knowledge in the subcultures of users. Possessing such knowledge was part of symbolic boundary work that distinguished between drug culture insiders and outsiders. Some also rejected the validity of the term bad trip altogether, arguing that such experiences reflected the lack of such competence. Finally, and most importantly, most participants argued that unpleasant experiences during bad trips had been beneficial and had sometimes given them deep existential and life-altering insights. CONCLUSION: Bad trip experiences are common among users of psychedelics. Such experiences are often transformed into valuable experiences through storytelling. Bad trip narratives may be a potent coping mechanism for users of psychedelics in non-controlled environments, enabling them to make sense of frightening experiences and integrate these into their life stories. Such narrative sense-making, or narrative work, facilitates the continued use of psychedelics, even after unpleasant experiences with the drugs.

Delinquency abstainers in adolescence and educational and labor market outcomes in midlife: A population-based 25-year longitudinal study.

Research has suggested that adolescent delinquency abstainers might have unfavorable characteristics, impeding their access to peer networks. However, recent studies have emphasized the possible heterogeneity of abstainers. We know little about the long-term adaption of delinquency abstainers. We identify subtypes of delinquency abstainers and investigate subsequent adult academic careers, income levels, and possible marginalization in the labor market. We use the population-based Young in Norway Longitudinal study, where participants (N = 2,494) are followed up by surveys and registers from their teens until their mid-30s. By means of latent class analysis, abstainers were divided in three groups according to degree of social integration. Results showed that delinquency abstainers performed as well or better in adulthood than those with moderate delinquency involvement and markedly better than the highly delinquent. Lonely abstainers performed just as well as all other groups when it comes to higher education and earnings. However, they had a higher probability of marginalization in the labor market than the social abstainers. We conclude that no group fared better than delinquency abstainers with strong social ties. The outcomes of the lonely abstainers were close to those of the majority. Thus, in this cohort who came of age in the 1990s, delinquency abstainers are not particularly vulnerable, and theory about abstainers needs to be modernized. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Compliance with infection control rules among adolescents in Oslo during the COVID-19 pandemic. / Smittevern blant Oslo-ungdom under covid-19-pandemien.

BACKGROUND: Effective infection control is crucial for combatting the COVID-19 pandemic. We investigated whether adolescents in Oslo reported compliance with the Norwegian infection control rules during the pandemic and whether compliance with the rules was associated with sociodemographic characteristics, trust in the authorities and acceptance of the infection control rules. MATERIAL AND METHOD: Students in lower and upper secondary schools completed an electronic questionnaire (N = 12 686, 37 % response rate) during a period with strict infection control measures in force. We used self-reporting of compliance with the infection control rules, sociodemographic characteristics, trust in the authorities and people in general, and acceptance of the infection control rules. We used logistic regression analysis. RESULTS: The majority reported that they always or to a large extent complied with the rules for hand washing (n = 9 915, 84 %), refrained from shaking hands/hugging (n = 8 730, 74 %) and avoided large groups (n = 8 565, 73 %). Fewer reported to maintain physical distance (n = 5 859, 50 %). The level of trust in the government (n = 8 742, 80 %) and health authorities (n = 9 962, 92 %) was high. The highest compliance with the rules was among girls, adolescents from immigrant backgrounds, those with a high level of trust in the authorities and people in general, and those who showed acceptance of the infection control rules. INTERPRETATION: A large proportion reported to comply with the infection control rules. Adolescents from immigrant backgrounds and those who were living in the outer eastern suburbs of Oslo also more frequently reported to comply with the rules. Trust and acceptance of the rules were also important factors.

Life satisfaction among adolescents before and during the COVID-19 pandemic. / Livstilfredshet blant ungdom før og under covid-19-pandemien.

BACKGROUND: The COVID-19 pandemic in the spring of 2020 involved closure of schools and strict limitations on social contact. The study examines whether this had an effect on the life satisfaction and subjective well-being among adolescents. MATERIAL AND METHOD: An online survey among students in lower secondary schools in Oslo (N = 8 116, 46 % response rate) was conducted during the period with closed schools and strict infection control measures. The results were compared to equivalent surveys conducted in Oslo in 2018 (N = 13 790, 83 % response rate) and several other counties in 2020 before the COVID-19 restrictions were introduced (N = 19 799, 49 % response rate). Identical measurements were used for life satisfaction, subjective well-being and background factors. We used logistic regression analysis and corrected for sociodemographic differences. RESULTS: Among boys, the proportion reporting high life satisfaction (a score of 6 or higher on a scale from 0 to 10) declined markedly, from 88 % in 2018 and 92 % in 2020 before the COVID-19 restrictions to 71 % during the period of restrictions (p < 0.001). The equivalent figures for girls were 78 %, 81 % and 62 % (p < 0.001). The social inequality in life satisfaction was smaller during the restrictions than in other periods. Concerns about illness and infection were associated with lower life satisfaction. INTERPRETATION: The reduction in life satisfaction and subjective well-being can most likely be explained by the heavy restrictions placed on activities that promote well-being and by concerns about infection. The results also indicate that resourceful adolescents experienced an especially strong reduction in their life satisfaction.

'Locker room talk': male bonding and sexual degradation in drinking stories.

This paper explores alcohol-related sexual storytelling. In a qualitative study of more than 100 male participants in the night-time economy in Norway, many told animated and cheerful stories laced with erotic excitement. However, a minority of men also told sex stories characterised by aggressive, belittling and degrading language. We propose that this minority of men may employ such locker room talk to: (i) achieve male bonding and intimacy, (ii) explore ambiguous and confusing sexual experiences and/or (iii) excuse sexual events characterised by overt aggression. We draw on theories of masculinity and homosociality and a narrative framework and show that for some men, sexual relationships with women are strongly influenced by their relations with other men. We discuss how these stories reflect degrading attitudes towards women and how they produce and legitimise sexual violence.

The discreet charm of the children of the bourgeoisie: economic capital and its symbolic expressions at an elite business school.

We address a largely neglected issue in contemporary research on cultural class divisions: economic capital and its associated lifestyles and symbolic expressions. Using qualitative interviews, we explore how adolescents from wealthy elite backgrounds, namely students at Oslo Commerce School (OCS), traditionally one of the most prestigious upper-secondary schools in Norway, demarcate themselves symbolically from others. They draw symbolic boundaries against students at other elite schools in Oslo, more characterized by backgrounds with high cultural capital, accusing them of mimicking a 'hipster' style. Within the OCS student body, we describe identity work centring on styles of material consumption and bodily distinctions. The most salient dividing line is between those who manage to master a 'natural' style, where expensive clothes and the desired bodily attributes are displayed discreetly, and those who are 'trying too hard' and thus marked by the stigma of effort. We also show some interesting intersections between class and gender: girls aspiring to the economic elite obey the 'rules of the game' by exercising extensive control over their bodies and adhering to demanding bodily norms for their weight and slimness. Such rules are less evident among the boys, where a lack of discipline, unruliness, hard partying and even fighting constitute parts of the lifestyle valued. This article contributes to the field of cultural stratification, highlighting the importance of the 'hows' of material consumption when expressing elite distinction. It also adds new insight to the research field of elite education by showing how a mastery of 'high-end' consumer culture is involved in fostering favourable dispositions at elite schools.

Immigration and the decline in adolescent binge drinking.

BACKGROUND: Adolescent alcohol consumption has fallen in most Western countries over the past two decades, while immigrants and children of immigrants from low-consumption countries constitute a growing proportion of teenagers in many Western nations. We investigate the extent to which immigrants and children of immigrants have contributed to the decline in adolescent heavy episodic drinking in Oslo, the capital of Norway. METHODS: We use repeated cross-sectional survey data on adolescents in grades 9-11 in Oslo (aged around 14-16, N = 54,474) from 1996 to 2018. We use data on heavy episodic drinking/intoxication in the past 12 months (dichotomized), immigrant background, sex and grade. We decompose the trend into components attributable to changes in the demographic composition of the adolescent population (by immigrant background, grade and sex), and to changes in drinking patterns within different groups. Confidence intervals (CIs) are obtained by bootstrap resampling. RESULTS: The proportion of adolescents with immigrant backgrounds increased from 21% to 35% over the time span. The proportion reporting having been intoxicated fell from 42% to 25%. Most of the decline stems from reduced heavy episodic drinking in the majority population, accounting for 70.8% of the reduction (95% CI: 67.5-74.2). The increased proportion of adolescents with an immigrant background accounts for 21.4% of the decline (95% CI: 19.2-23.8). CONCLUSIONS: An increasing proportion of immigrants and children of immigrants with low alcohol consumption explains one-fifth of the decline in the prevalence of adolescent heavy episodic drinking in Oslo.

"Cloud chasers" and "substitutes": e-cigarettes, vaping subcultures and vaper identities.

The use of e-cigarettes is increasing, a practice denoted as vaping. We explore user motives, self-identity as vapers and involvement in vaping subcultures, drawing on sociological theory of stigma, subcultures and symbolic boundaries. Based on analyses of semi-structured interviews with 30 Norwegian vapers, we find that there is a vaping subculture in Norway. We identify two dominant vaper identities. The first is labelled cloud chasers. These were dedicated vapers who identified with symbols and values in the subculture. Many were politically engaged in improving vaping regulation regimes and felt a sense of belonging to a vaping community. The second group is labelled substitutes. These were former daily smokers who used e-cigarettes for smoking cessation in a more pragmatic and defensive manner, to avoid health risks, to escape the stigma of smoking and to manage nicotine addiction. In this group, self-identity as a vaper was generally lacking. Vaping was often symbolically linked to the stigmatised smoker identity they wanted to escape, and was restricted to private contexts. The perceived symbolic meaning of e-cigarettes varies: for some, they are a symbol of pleasure and community. For others, they connote the stigmatised status of the addicted smoker seeking an alternative to cigarettes.

Fatal attraction: A narrative of early opioid addiction.

Norway's first clinic to treat drug abuse was established in 1961. Most patients had been initiated into drug use through the healthcare system, i.e., in an iatrogenic manner. However, we know little about the drug users from this period. Here, we present an in-depth interview with a woman born into a wealthy family in the early 1920s who developed a heavy morphine addiction. In the course of the interview, she gradually reveals how her husband, who was a physician, as well as two other physicians, who were also erotically attracted to her, had key roles in this development. The narrative illustrates and elaborates how females from the upper strata of society with close links to male physicians may have been at particular risk of opioid misuse in the period before 1960. We now witness a new wave of iatrogenic drug abuse, particularly in the USA. We suggest that experiences from this period may again be relevant.

Neighborhood or School? Influences on Alcohol Consumption and Heavy Episodic Drinking Among Urban Adolescents.

Little is known about the relative influences of neighborhood and school on the alcohol socialization process. Survey data from the Young in Oslo Study (N = 10,038, mean age 17.1 years, 52% girls) were used to investigate the details of such influences, using cross-classified multilevel models. School and neighborhood contexts were equally important for ordinary alcohol use; however, neighborhood influences were mainly explained by individual and family factors, whereas peer-based sociocultural processes played a key role in explaining school effects. Neither context had much impact on heavy episodic drinking. The study suggests that "privileged" youth may be at risk of high alcohol consumption. Parental influences and peer-based sociocultural aspects of the school milieu should be considered in prevention efforts.

From ecstasy to MDMA: Recreational drug use, symbolic boundaries, and drug trends.

BACKGROUND: Ecstasy pills with MDMA as the main ingredient were introduced in many European countries in the 1980s, and were often linked to the rave and club scenes. However, use gradually levelled off, in part as a response to increased concerns about possible mental health consequences and fatalities. Extensive use of MDMA now seems to be re-emerging in many countries. In this study, we investigated the cultural and social meaning associated with MDMA use in Oslo, Norway, with an emphasis on how users distinguish MDMA crystals and powder from "old ecstasy pills". METHODS: Qualitative in-depth interviews (n=31, 61,3% males) were conducted with young adult party-goers and recreational MDMA/ecstasy users (20-34 years old, mean age 26.2 years). RESULTS: Research participants emphasised three important perceived differences between the MDMA crystals and ecstasy pills: (i) The effects of MDMA were described as better than ecstasy; (ii) MDMA was regarded as a safer drug; (iii) Users of MDMA crystals were described as more distinct from and less anchored in out-of-fashion rave culture than those using ecstasy. These differences were an important part of the symbolic boundary work MDMA users engaged in when justifying their drug use. CONCLUSION: MDMA has re-emerged as an important psychoactive substance in Oslo's club scene. One important reason for this re-emergence seems to be its perceived differentiation from ecstasy pills, even though the active ingredient in both drugs is MDMA. This perceived distinction between MDMA and ecstasy reveals the importance of social and symbolic meanings in relation to psychoactive substance use. Insights from this study can be important in terms of understanding how trends in drug use develop and how certain drugs gain or lose popularity.

The pleasures of drunken one-night stands: Assemblage theory and narrative environments.

BACKGROUND: In this study, we use assemblage theory to investigate the link between alcohol use and one-night stands. METHODS: The data come from qualitative interviews conducted with 104 young participants in the night-time economy. RESULTS: We show that: (i) alcohol-fuelled sexual explorations (e.g. erotic fantasizing, flirting and sex) are of paramount importance for young partygoers; (ii) sexualized territories (e.g. private parties, rural feasts and the backseat of cars) significantly shape the experience and performance of one-night stands; and (iii) contrary to previous research, one-night stands are to a large degree associated with pleasure-the immediate pleasure of having sex and the long-term pleasure of telling about it to others. CONCLUSION: We argue that drunken one-night stands are part and parcel of a drinking culture that places high value on sexual encounters and personal sex stories.