(An item from the ISHN Member information service) An article in Issue #6, 2013 of Prevention Science presents a portrait of substance abuse prevention programs in US schools from 2001-07. "Based on school administrators’ reports, schools and school districts offer students an average of 1.62 prevention programs during their school years from elementary through high school. Bivariate and multivariate regression analyses were conducted with school demographic characteristics public versus private, size, population density, region of the country, school race/ethnic composition, and socioeconomic status of the student body (SES) as predictors of total number of programs that students received and of the relative use of local, state, and commercial programs. Schools in the West had significantly fewer prevention programs than those in other regions of the country. Students in predominantly White and in higher SES schools received significantly more prevention programs than students in majority African American, majority Hispanic, or in lower SES affluent schools. The most frequently reported programs that students received were locally developed. D.A.R.E. was the most widely adopted prevention program. Findings from this study suggest that schools often develop their own curriculum to suit their students’ needs, and students are exposed to multiple prevention programs through their school years, making it difficult to examine the effectiveness of any single program." Read more>>
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(From Prevention Plus Wellness) Helping children, adolescents and young adults understand how health risk behaviors and health enhancing behaviors influence each other is critical to them making effective decisions for enhancing their whole health. In particular, youth need to know how substance abuse and health promoting habits affect each other to either enhance or interfere with their physical and mental health, perceived self-image, and achieving important life goals. In the past, health behaviors were viewed as being largely independent of each other. We now know that it is more common for youth to experience a number of co-existing unhealthy behaviors rather than a single behavior problem. These co-occurring behaviors influence each other both directly, as well as indirectly through common underlying risk and protective factors such as self-image and self-regulation skills. Effective prevention programs should therefore help young people identify how multiple areas of their lives interconnect to influence their future health, well-being and happiness. Below we provide some tips for teachers and parents on how to communicate with youth to help them make the connection between substance abuse and healthy behaviors. Read more>>
An item from the ISHN Member information service) There is a long standing consensus in the behavioural research that suggests that behaviours are the result of complex interactions between an individual's genetics, intelligence, personality traits, various social influences like family/parents, schools, the media, underlying social determinants such as socio-economic status, gender, culture, race and others. However, there are few examples of research that seeks to unravel or unpack these interactions in a way that can inform the development of realistic policy or program interventions. On exception to this general lack of practical analysis can be found in an articles in Issue #5, 2013 of Journal of Adolescence, where the personality trait of impulsiveness is examined in conjunction with family influences, gender and substance use. The authors report that " contemporary models of impulsivity argue against a unitary construct and propose at least two potential facets of impulsivity: reward drive and disinhibition. This study investigated the mediating role of prosocial risk-taking in the association between these two facets of impulsivity, family environment, and substance use in Grade 8 students, age 12–14 years (N = 969). For girls, traits related to disinhibition referred to as rash impulsivity were directly associated with greater substance use and, unexpectedly, reward drive was indirectly associated with greater substance use through participation in physical-risk activities, which itself predicted greater use. For boys, participation in physical-risk activities was the only direct predictor of substance use and, as in girls, reward drive conveyed indirect risk through this pathway. Family environment, reward drive, and rash impulsivity were associated with participation in performance-risk activities, and prosocial behavior more generally, but neither of these hypothesized mediators was related to substance use". Read more>>
(An item from the ISHN Member information service) Family dinners have recently been highlighted as a way of promoting health of children and adolescents as well as preventing different health problems. However, an article in Issue #3, 2013 of the Journal of Health & Social Behavior reports that an analysis of the 1997 US National Longitudinal Study of Youth (n = 5,419) suggests that dinners have little effect on substance use and may actually cause an increase. The authors report that "The results indicate that family dinners are not generally associated with alcohol or cigarette use or with drug use initiation. However, a continuous measure of family dinners is modestly associated with marijuana frequency, thus suggesting a potential causal impact. These results show that family dinners may help prevent one form of substance use in the short term but do not generally affect substance use initiation or alcohol and cigarette use." Read more>>
(An item from the ISHN Member information service) The research about the importance of the transition in adolescent development has been confirmed again in two longitudinal studies reported in Issue #3, Journal of Adolescence. One article reports on a British study that concludes that "Depressive symptoms, school liking and conduct problems predicted lower attainment across time having controlled for the temporal stability in psychological functioning and attainment. School concerns predicted lower attainment for boys only, and the effects of depressive symptoms on later attainment were significantly stronger for boys compared to girls. School liking – and school concerns for boys – remained significant predictors of attainment when controlling for conduct problems." The Australian study correlated cannabis use with depression at all ages during the transition into adulthood. Read More>>
(An item from the ISHN Member information service) An article in the May 2013 issue of MBC Public Health may suggest that school health promotion efforts be more focused on students in vocational courses and alternative schools. This study aimed at investigating hazardous drinking, tobacco smoking and physical inactivity as well as their associations and demographic predictors in vocational school students.Out of 57 contacted vocational schools in Switzerland, a total of 24 schools participated in a survey assessing gender, age, immigrant background, educational attainment and vocational field as well as the their smoking, drinking and other behaviours. The authors report that "Of the surveyed students, 79.4% showed at least one risk factor, 43.6% showed two or more and 9.6% showed all three health risk factors. Hazardous drinking was more prevalent in male, physical inactivity was more prevalent in female vocational school students. The proportion of students with low physical activity and tobacco smoking increased with increasing age. While the combination of hazardous drinking and tobacco smoking was higher in males, the other risk factor combinations were observed particularly among females. Read more>>
(An item from ISHN Member information service) An updated systematic review of school-based smoking prevention programs paradoxically shows a long-term effect of those programs but only certain types had a short term effect within one year. The authors report that " We identified 49 randomised controlled trials (over 140,000 school children) of interventions aiming to prevent children who had never smoked from becoming smokers. At longer than one year, there was a significant effect of the interventions in preventing young people from starting smoking. Programmes that used a social competence approach and those that combined a social competence with a social influence approach were found to be more effective than other programmes. However, at one year or less there was no overall effect, except for programmes which taught young people to be socially competent and to resist social influences. A smaller group of trials reported on the smoking status of all people in the class, whether or not they smoked at the start of the study. In these trials with follow-up of one year or less there was an overall small but significant effect favouring the controls. This continued after a year; for trials with follow-up longer than one year, those in the intervention groups smoked more than those in the control groups.When trials at low risk of bias from randomisation, or from losing participants, were examined separately, the conclusions remained the same. Programmes led by adults may be more effective than those led by young people. There is no evidence that delivering extra sessions makes the intervention more effective. Read more>>
(An item from ISHN Member information service) Working across multiple systems to prevent a problem or promote health is not easy, even with collaboration mandated from above. An article in Issue #1, 2013 of Critical Public Health describes some of those challenges in an analysis of alcohol abuse prevention partnerships in England. The authors report that: "Tackling alcohol-related harms crosses agency and professional boundaries, requiring collaboration between health, criminal justice, education and social welfare institutions. It is a key component of most multi-component programmes in the United States, Australia and Europe. The findings are based on a mix of open discussion interviews with key informants and on semi-structured telephone interviews with 90 professionals with roles in local alcohol partnerships. Interviewees reported the challenges of working within a complex network of interlinked partnerships, often within hierarchies under an umbrella partnership, some of them having a formal duty of partnership. The new alcohol strategy has emerged at a time of extensive reorganisation within health, social care and criminal justice structures. Further development of a partnership model for policy implementation would benefit from consideration of the incompatibility arising from required collaboration and from tensions between institutional and professional cultures. A clearer analysis of which aspects of partnership working provide ‘added value’ is needed. Read more>
(An item from ISHN Member information service) An article in the December 2012 Issue of the Journal of Youth & Adolescence reports that different forms of religiosity will positively affect youth behaviours in regards to substance use, violence and delinquency. The researchers report that " Results revealed a five class solution. Classes were identified as religiously disengaged (10.76 %), religiously infrequent (23.59 %), privately religious (6.55 %), religious regulars (40.85 %), and religiously devoted (18.25 %). Membership in the religiously devoted class was associated with the decreased likelihood of participation in a variety of substance use behaviors as well as decreases in the likelihood of fighting and theft. To a lesser extent, membership in the religious regulars class was also associated with the decreased likelihood of substance use and fighting. However, membership in the religiously infrequent and privately religious classes was only associated with the decreased likelihood of marijuana use. Findings suggest that private religiosity alone does not serve to buffer youth effectively against involvement in problem behavior, but rather that it is the combination of intrinsic and extrinsic adolescent religiosity factors that is associated with participation in fewer problem behaviors." Read more.
(An item from ISHN Member information service) An article in the December 2012 Issue of the Archives of Pediatrics & Adolescent Medicine analyzes the influences of the mother of your child`s friends, an expansion of the peer influence discussion in substance abuse prevention. The authors conclude that `If an adolescent had a friend whose mother was authoritative, that adolescent was 40% less likely to drink to the point of drunkenness, 38% less likely to binge drink, 39% less likely to smoke cigarettes, and 43% less likely to use marijuana than an adolescent whose friend's mother was neglectful. The study controlled for the parenting style of the adolescent's own mother, school-level fixed effects, and demographics. Read more.
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