A typology of drug resistance strategies

Alberts, Jess K.; Miller-Rassulo, Michelle; Hecht, Michael L.

doi:10.1080/00909889109365299

Cited by 63 publications

(57 citation statements)

References 35 publications

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“…For example, one model prevention program for youth, keepin' it REAL (Marsiglia and Hecht 2005), is based on the four successful drug resistance strategies used commonly by multi-ethnic samples of adolescents: refuse, explain, avoid, and leave (Alberts et al 1991;Alberts et al 1992;Hecht et al 1992). The success and importance of drug resistance skills-based training is well documented in the prevention literature, both in influencing substance use behaviors and key norms and attitudes toward substance use that are important mediators in substance use etiology (Botvin et al 1994;Griffin et al 2004a, b).…”

Section: Drug Resistance Strategies In Prevention Programmingmentioning

confidence: 99%

“…In a study on tobacco refusal strategies, Reardon (1989) found that five strategies accounted for 80% of the refusals of tobacco: simple rejection, statement of typical behaviors, expression of attitude/belief, rejection of the person, and walking away. Similar research on the strategies used most commonly by adolescents to resist use of alcohol, tobacco and other drugs led to the identification of four principal strategies: reject, explain, avoid, and leave (Alberts et al 1991). The refuse strategy involves straightforward verbal or non-verbal refusals without explanation.…”

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confidence: 98%

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Drug Resistance Strategies and Substance Use among Adolescents in Monterrey, Mexico

et al. 2008

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This study examined drug resistance strategies and substance use among adolescents from Monterrey, Mexico. The focus was strategies that U.S. adolescents use most often to resist using substances, including refuse (saying no), explain (declining with an explanation), avoid (staying away from situations where drugs are offered), and leave (exiting situations where drugs are offered). Using self-administered questionnaire data from a convenience sample of 327 Mexican students enrolled at two secondary schools (preparatorias), we tested whether frequent use of particular drug resistance strategies predicted actual substance use. Multiple regression results showed that different strategies were effective for different substances, that some effects were mediated by number of offers received, and that certain effects were stronger for females than for males. Students using the refuse strategy reported less cigarette use and less binge drinking; those using the avoid strategy reported less alcohol and cigarette use; and those using the leave strategy reported less binge drinking and, for females only, less marijuana use. Use of the explain strategy was not significantly related to substance use after controlling for use of other strategies. Findings are discussed in terms of Mexican cultural values and their implications for the design of prevention programs for Mexican youth. KeywordsAdolescents; Substance use; Substance use offers; Mexican youth; Drug resistance Research on substance use among Mexican youth provides growing evidence that prevalence rates, the types of substances used, social risk factors for use, and the health and social problems associated with use are assuming patterns similar to those reported by youth Correspondence to: Stephen Kulis, Kulis@asu.edu. (Medina-Mora Cravioto 2003;Villatoro et al. 2004). Of growing concern are increases in illicit drug use among Mexican youth, who until recently have consistently reported lower rates of consumption of illicit drugs than U.S. youth, and a decrease in the typical age of initiation of substance use from 15 to 8 years of age (FelixOrtiz et al. 2001; Tapia-Conyer et al. 2001;Villareal et al. 2004;Villatoro et al. 1998). NIH Public AccessDespite the upward trend in drug use among Mexican youth and expanding research on its etiology, there are large gaps in the knowledge needed to inform the design of effective prevention efforts in Mexico. One relatively neglected research area is the strategies that Mexican adolescents actually use when confronted with substance use opportunities and the relative effectiveness of these strategies for resisting use of different substances. This study investigated whether the strategies used most commonly by U.S. adolescents to resist offers of alcohol, tobacco, and marijuana are used with apparent success by Mexican youth, and whether use of particular strategies depends on the gender of the youth and the frequency with which the youth encounters offers of substances. We used data from a sample of Mexican secondar...

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Section: Drug Resistance Strategies In Prevention Programmingmentioning

confidence: 99%

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confidence: 98%

Drug Resistance Strategies and Substance Use among Adolescents in Monterrey, Mexico

et al. 2008

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“…Social skills training compared with pharmacotherapy and psychotherapy in the treatment of unipolar depression. which is designed to equip youth in middle school with a repertoire of skills to resist substance use offers (Gosin, Marsiglia, & Hecht, 2003 (Alberts, Miller-Rassulo, & Hecht, 1991;Kulis, Marsiglia, Castillo, Becerra, & Nieri, 2008;Kulis, Marsiglia, Ayers, Calderón-Tena, & Nuño-Gutierrez, 2011;Marsiglia, Kulis, Martinez Rodriguez, Becerra, & Castillo, 2009). The L2W curriculum is designed to reflect the social contexts in which UAI youth are exposed to substances and culturally influenced ways of responding to offers to use them.…”

Section: Resultsmentioning

confidence: 99%

Consistency in the Reporting of Sensitive Behaviors by Adolescent American Indian Women: A Comparison of Interviewing Methods

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Barlow

Neault

et al. 2013

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“…The data for this enterprise emerged from a larger research program designed in part to elicit refusal strategies employed by high school students when confronted with offers of alcohol and other kinds of drugs (see Alberts, Hecht, Miller-Rassulo, & Krizek, 1992;Alberts, Miller-Rassulo, & Hecht, 1991;Hecht, Alberts, & MillerRassulo, 1992;Hecht & Driscoll, in press). The methodology consisted of oral interviews with 59 teenagers conducted in a high school setting in a metropolitan area of the Southwestern United States.…”

Section: Methods and Analysismentioning

confidence: 99%