A sample of 277 Native American students (grades 7 to 12) was surveyed to examine the age of onset, patterns of progression, and periods of risk for drug use. Results suggest that Native American youth begin smoking cigarettes and marijuana, drinking, sniffing solvents, and using cocaine as early as 10 years of age. The period of risk for initiation of drug use was between the ages of 10 and 13 years. Implications for drug use prevention-education programming are presented.

Childhood and adolescent depression has emerged as a public health concern because of its impairment of functioning, particularly in the domains of decision making and self-efficacy. The present investigation examines the association between depressive symptoms and decision coping patterns among a nonreferred, nonclinical community sample of 276 low-income African American adolescents. The students ranged in age from 12 to 17 years. The Children's Depression Inventory was used to assess participants'depressive symptomatology. The Flinders Adolescent Decision Making Questionnaire was used for assessing participants' decision coping patterns. The instrument was group administered in classroom settings by the research staff. Findings indicated a significant association between depressive symptomatology and the use of maladaptive decision coping patterns. Perhaps increasing competence in decision making may have beneficial effects on overall mood and depressive symptoms among children and adolescents.

A critical review of McGuire's Inoculation Theory, its research base and current health behavior applications in health education research is presented. Foci include research efforts in the areas of smoking, alcohol, and diabetes management. The theory and its utilization in future resistance-to-persuasion interventions in health education is exam ined.

With the advent of the Surgeon General's Report, Healthy People, a renewed interest in and concern for the health-risky practices of the school aged has emerged. Moreover, because the mortality rates for the 15 to 24 year age group continues to increase while the mortality rates for every other age group continues to decline, a school health education imperative has become prevention-based interventions. The experimental, prevention-based alcohol education program reported here describes one such intervention directed at 9th grade students. The program was grounded on the principles of Inoculation Theory and evaluated using a Solomon Four-Group Design. Results indicate that the formulation of preventive alcohol education programs utilizing Inoculation Theory in a school setting is both feasible and productive in achieving designated objectives. Longitudinal assessment of the subjects with regard to their alcohol-related behavior is continuing throughout their high school careers.

A three-year evaluation of Nebraska students ( N = 130) was conducted to gauge the long-term influence of an initial preventive alcohol education intervention. The initial intervention was developed around the inoculation model of McGuire which proposes that individuals can be inoculated against persuasive verbal appeals and thus resist specific pressures. Students in the initial program were assessed and found to be highly susceptible to peer pressure to misuse alcohol. Subjects were followed through their junior year in high school and assessed on the following self-report alcohol-related behaviors: frequency of riding with drinking drivers; frequency of drinking and, frequency of drinking to excess. Cognitive areas assessed included items assessing the concept of tolerance to alcohol. Results suggest that after three years frequency of risky alcohol-related behavior between experimental and control students was not significantly different. Assessments of cognitive items revealed no statistically significant differences between experimental and control students. When viewed in context with prior evaluations of these subjects at two-weeks and six-months time, the findings are disappointing yet informative. The claim that specific “educational inoculation” strategies play a long-term role in delaying the initiation of risky health behavior in adolescents is discussed. The judicious integration of periodic, sequential, and meaningful booster components into school-based environments is recommended as a potential way to achieve a more lasting effect in preventive inoculation efforts.