Prioritizing Alcohol Prevention: Establishing Alcohol as the Gateway Drug and Linking Age of First Drink With Illicit Drug Use.

Autor:	Barry, Adam E., King, Jessica, Sears, Cynthia, Harville, Cedric, Bondoc, Irina, Joseph, Kessy
Předmět:	SUBSTANCE abuse prevention ALCOHOL drinking prevention AGE factors in disease CANNABIS (Genus) COMPARATIVE studies ELEMENTARY schools ETHANOL HIGH school students MIDDLE schools STATISTICAL sampling STATISTICS SURVEYS TOBACCO DATA analysis EFFECT sizes (Statistics) DATA analysis software DESCRIPTIVE statistics ONE-way analysis of variance ADOLESCENCE
Zdroj:	Journal of School Health; Jan2016, Vol. 86 Issue 1, p31-38, 8p, 1 Chart, 2 Graphs
Abstrakt:	ABSTRACT BACKGROUND Given ever-reducing budgets of community and school substance use prevention programs, there is a call for identifying the first substance in the sequence leading to polydrug use. METHODS Examining data from a nationally representative sample of 2835 United States 12th graders, we sought to determine (1) the first substance adolescents use; (2) order in which adolescents progress through alcohol, tobacco, and marijuana use; and (3) impact of age of initial substance use on lifetime and frequency of illicit substance use. RESULTS Alcohol is the most commonly used substance, and the majority of polysubstance using respondents consumed alcohol prior to tobacco or marijuana initiation. Respondents initiating alcohol use in sixth grade reported significantly greater lifetime illicit substance use (M = 1.9, standard deviation [ SD] = 1.7, p < .001) and more frequent illicit substance use (M = 6.0, SD = 6.5, p < .001) than those initiating alcohol use in ninth grade or later. Overall, effect sizes for these differences were large (eta squared = 0.30 and 0.28, respectively). CONCLUSIONS Findings underscore the importance of screening for substance use, even among youth enrolled in elementary/middle school. In addition, school prevention programs should begin in elementary school (third grade) and target alcohol use. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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