Effectiveness of a universal drug abuse prevention approach for youth at high risk for substance use initiation

Effectiveness of a universal drug abuse prevention approach for youth at high risk for substance use initiation
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DOI:
10.1006/pmed.2002.1133
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发表时间:
2003-01-01
影响因子:
5.1
通讯作者:
Doyle, MM
Doyle, MM
中科院分区:
医学2区
文献类型:
--
作者:
Griffin, KW;Botvin, GJ;Doyle, MM

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Background. Universal school-based prevention programs for alcohol, tobacco, and other drug use are typically designed for all students within a particular school setting. However, it is unclear whether such broad-based programs are effective for youth at high risk for substance use initiation.Method. The effectiveness of a universal drug abuse preventive intervention was examined among youth from 29 inner-city middle schools participating in a randomized, controlled prevention trial. A subsample of youth (21% of full sample) was identified as being at high risk for substance use initiation based on exposure to substance-using peers and poor academic performance in school. The prevention program taught drug refusal skills, antidrug norms, personal self-management skills, and general social skills.Results. Findings indicated that youth at high risk who received the program (n = 426) reported less smoking, drinking, inhalant use, and polydrug use at the one-year follow-up assessment compared to youth at high risk in the control condition that did not receive the intervention (n = 332). Results indicate that a universal drug abuse prevention program is effective for minority, economically disadvantaged, inner-city youth who are at higher than average risk for substance use initiation.Conclusions. Findings suggest that universal prevention programs can be effective for a range of youth along a continuum of risk. (C) 2002 American Health Foundation and Elsevier Science (USA).