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Early-onset substance abuse (usually defined as initiation before age 15) is a widespread public health epidemic that has devastating consequences for long-term neurological, psychological, and social development. This paper considers the crossing and often conflicting influences on early-onset substance abuse among male adolescents, centering on perhaps the two most formidable psychosocial influences: peer pressure and parental monitoring. Male adolescents are a particularly vulnerable demographic group because of a combination of neurobiological development, socialization by society (masculinity), and an increased tendency for externalizing behaviours. By synthesizing established sociological and psychological frameworks, namely Social Learning Theory, Social Control Theory, Ecological Systems Theory, etc., this paper examines the role of peer socialization and deviancy training as key catalyst agents in substance initiation, coupled with parental monitoring, especially through the mechanism of child disclosure as an important protective buffer. The paper concludes with an examination of evidence-based interventions and implications for future research in sociology and Psychiatric Social Work.
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Kumar et al. (2026) studied this question.
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