Universal school-based substance abuse prevention programs: Modeling targeted mediators and outcomes for adolescent cigarette, alcohol and marijuana use

Stephens, Peggy; Sloboda, Zili; Stephens, Richard C.; Teasdale, Brent; Grey, Scott F.; Hawthorne, Richard D.; Williams, J. E. D.

doi:10.1016/j.drugalcdep.2008.12.016

Cited by 57 publications

(27 citation statements)

References 20 publications

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“…Further, significant declines in perceived risk during the 1990s appeared to explain corresponding increases in marijuana use for US middle and high school students (Bachman, Johnston, & O’Malley, 1998). Perceived risk is now recognized as an important factor for preventing adolescent marijuana use (SAMHSA 2014b; Stephens et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

Risk is still relevant: Time-varying associations between perceived risk and marijuana use among US 12th grade students from 1991 to 2016

Terry‐McElrath

O'Malley

Patrick

et al. 2017

Addictive Behaviors

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Background Perceived risk of harm has long been a key preventive factor for adolescent marijuana use. However, in recent years, perceived risk has decreased markedly and marijuana use has increased only slightly, leading to new questions about their association. This study investigates the magnitude and stability of the US adolescent marijuana risk/use association from 1991–2016, overall and by gender and race/ethnicity. Methods Self-reported data on past 12-month marijuana use, perceived risk of regular marijuana use, gender, and race/ethnicity were obtained from 275,768 US 12th grade students participating in the nationally representative Monitoring the Future study. Time-varying effect modeling (TVEM) was used to examine the marijuana risk/use association over time. Results Both before and after controlling for gender and race/ethnicity, perceived risk was a strong protective factor against adolescent marijuana use. The magnitude of the great risk/use association strengthened for Hispanic students; remained generally stable over time for 12th graders overall, males, females, and White students; and weakened for Black students. The magnitude of the moderate risk/use association strengthened for 12th graders overall, males, females, White and Hispanic students, but did not continue to strengthen for Black students from 2005 onwards. In general, marijuana use prevalence decreased over time within all levels of perceived risk. Conclusions Perceived risk remains a strong protective factor for adolescent marijuana use, and the protective association for moderate risk (vs. no/slight risk) is actually increasing over time. Results suggest that accurate and credible information on the risks associated with marijuana use should remain a key component of prevention efforts.

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Section: Introductionmentioning

confidence: 99%

Risk is still relevant: Time-varying associations between perceived risk and marijuana use among US 12th grade students from 1991 to 2016

Terry‐McElrath

O'Malley

Patrick

et al. 2017

Addictive Behaviors

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“…This finding is important since perceived harm of alcohol use is associated with individuals' intention to use alcohol. 9 In this study most Hispanic youth were aware of the dangers of alcohol and other drug use. Similar to other ethnic groups, Hispanic females were significantly more likely than Hispanic males to feel that drinking alcohol was harmful.…”

Section: Discussionmentioning

confidence: 85%

“…8 Perceived harm of alcohol use affects individuals' intention to use alcohol. 9 However, the majority of students do not perceive alcohol use as harmful. Data from the most recent Monitoring the Future Study revealed that 14.9% of 8 th graders, 11.6% of 10 th graders and 8.3% of 12 th graders drinking alcohol was harmful.…”

Section: Introductionmentioning

confidence: 99%

Recent Alcohol Use and Episodic Heavy Drinking Among Hispanic Youth

King

Vidourek

2010

American Journal of Health Education

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“…Delforterie et al showed that the more positive the beliefs to drug abuse, the higher the possibility to use drugs (28). Also, Stephens et al suggested that beliefs could be related to the process of decision making skills against drug use (29). It seems that more emphasis should be put on positive beliefs, such as excitement, relaxing, higher mental ability and forgetting the problems, while planning preventive educational intervention to drug abuse, to have better results.…”

Section: Discussionmentioning

confidence: 99%

Is Web-Based Education Effective in Reducing Belief Toward Drug Abuse Among College Students?

Jalilian

Alavijeh

Ahmadpanah

et al. 2015

Avicenna J Neuro Psych Physio

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Background: Addiction is considered a basic structural problem in modern society, and seems to reach an epidemic scale in the last decades. Choosing a method to fulfill the intervention is an important issue to conduct educational interventions to prevent addictive behaviors. In this regard, web-based education has been widely used to introduce preventive programs to risky behaviors during recent years. Objectives: The aim of the present study was to investigate the impact of web-based education intervention to decrease positive beliefs encouraging drug abuse among male medical college students. Patients and Methods:This was a prospective-retrospective intervention study that was conducted among 75 male students in Kermanshah University of Medical Sciences, Kermanshah, Iran, during 2014. t-test was used for the statistical analysis. Results: Our findings indicated that the belief toward drug abuse was significantly reduced after education (P = 0.003). In addition, compared pre and post-intervention scores on survey items showed a significant reduction in enjoyment, improve energy, attraction, higher strength, and higher self-esteem items after education (P < 0.05), whereas there was no significant reduction in excitement, relaxation, improved mental ability and forgetting problems after education (P > 0.05). Conclusions: Our findings showed that designing and implementing web-based educational intervention could be effective to reduce the positive beliefs toward drug abuse among college students.

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Universal school-based substance abuse prevention programs: Modeling targeted mediators and outcomes for adolescent cigarette, alcohol and marijuana use

Cited by 57 publications

References 20 publications

Risk is still relevant: Time-varying associations between perceived risk and marijuana use among US 12th grade students from 1991 to 2016

Risk is still relevant: Time-varying associations between perceived risk and marijuana use among US 12th grade students from 1991 to 2016

Recent Alcohol Use and Episodic Heavy Drinking Among Hispanic Youth

Is Web-Based Education Effective in Reducing Belief Toward Drug Abuse Among College Students?

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