{"id":{"repo_id":"uwtsd","oai_identifier":"oai:repository.uwtsd.ac.uk:3357"},"canonical_url":"https://search.dev.ndltd.org/etd/uwtsd/oai:repository.uwtsd.ac.uk:3357","repository":{"repo_id":"uwtsd","name":"University of Wales Trinity Saint David","base_url":"https://repository.uwtsd.ac.uk/cgi/oai2"},"display":{"title":"An Investigation to Understand the Role of Social Determinants in Influencing Substance Among Teenagers Living in the UK: A Systematic Review","abstract":"To better understand how social determinants—such as peer pressure, Adverse Childhood Experiences (ACEs), family dynamics, and socioeconomic status—affect substance use among teenage boys and girls in the UK, this dissertation examined these relationships. Ten quantitative studies that offered numerical data on these drivers were included in the systematic review, adhering to PRISMA principles. The results of the analysis showed that as teens get older, peer pressure becomes more important and frequently takes precedence over parental supervision. More precisely, the analysis showed that adolescents' rising independence and preference for peer approval are linked to the decreasing impact of parental monitoring. It was discovered that ACEs were crucial, with early trauma being closely linked to substance use later on. Parental supervision is important during the early stages of adolescence, but as peer-centered socialisation takes over, parental involvement declines and its influence diminishes. Risk factors are further complicated by socioeconomic status and family structure, particularly for marginalised and single-parent households. The review revealed gaps in the research, notably the paucity of studies addressing the relationship between numerous social variables and systemic inequities. It concluded that while current programs, such as the SBIRT model, are helpful, they still require improvements to fully address all pertinent variables. To better support at-risk adolescents, recommendations include incorporating preventative strategies into more comprehensive health interventions.","abstract_html":"To better understand how social determinants—such as peer pressure, Adverse Childhood Experiences (ACEs), family dynamics, and socioeconomic status—affect substance use among teenage boys and girls in the UK, this dissertation examined these relationships. Ten quantitative studies that offered numerical data on these drivers were included in the systematic review, adhering to PRISMA principles. The results of the analysis showed that as teens get older, peer pressure becomes more important and frequently takes precedence over parental supervision. More precisely, the analysis showed that adolescents' rising independence and preference for peer approval are linked to the decreasing impact of parental monitoring. It was discovered that ACEs were crucial, with early trauma being closely linked to substance use later on. Parental supervision is important during the early stages of adolescence, but as peer-centered socialisation takes over, parental involvement declines and its influence diminishes. Risk factors are further complicated by socioeconomic status and family structure, particularly for marginalised and single-parent households. The review revealed gaps in the research, notably the paucity of studies addressing the relationship between numerous social variables and systemic inequities. It concluded that while current programs, such as the SBIRT model, are helpful, they still require improvements to fully address all pertinent variables. To better support at-risk adolescents, recommendations include incorporating preventative strategies into more comprehensive health interventions.","abstract_has_math":false,"creators":["Pumbhadiya, Yagneshkumar Nandlal"],"institution":"University of Wales Trinity Saint David","degree_name":"msc","degree_level":"masters","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024-11","date_published":"2024-11","updated_at":"2026-07-24T05:53:05Z","subjects":["HQ Y teulu. Priodas. Benyw.","HV Patholeg gymdeithasol. 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