Environment Alcohol Abuse Prevention--Drug Abuse Effect

描述(申请人提供)：0 大麻和其他非法药物使用与酒精和烟草并存的模式已经确立。尽管如此，尽管有证据表明酒精和烟草可能是非法物质使用的入口药物，但人们对预防计划对各种物质的影响知之甚少。具体地说，我们不知道接受了成功的酒精滥用预防计划的年轻人的吸毒情况是否有所下降，或者受此类计划影响的年轻人是否在酒精变得更难获得和更难接受的情况下转向毒品。这项研究测试了在接受了一项成功的环境酒精滥用预防计划的大学生中，大麻和其他药物使用的模式是否有所下降，该计划减少了消费和危害。具体目标是：1)描述参加了为期4年的社区环境酒精滥用预防计划的10所大学的学生在大麻、非法药物使用和获得或吸食大麻方面的趋势；2)与32所比较大学进行10次干预，比较学生中大麻和其他非法药物使用的趋势；3)评估学生报告随着时间的推移药物使用显著下降的大学是否是酒精使用和危害显著下降的大学；4)评估非法药物使用的下降是否与实施的针对酒精滥用和危害的环境导向预防策略相对应。重复测量小组数据来自哈佛大学酒精研究和哈佛大学公共卫生学院学位项目评估，该项目在参与全国AMOD示范的10所中科院学院进行密集的行为监测研究，并收集与酒精相关的预防努力的观察数据。与单一机构和/或横断面研究相比，纵向多点设计是一个重大进步，有望扩大我们对影响大学生吸毒的因果过程和保护机制的理解，以改善在这种情况下的预防。

DESCRIPTION (provided by applicant):0 Co-occurring patterns of marijuana & other illicit drug use with alcohol & tobacco are well established. Despite this & despite evidence that alcohol & tobacco may serve as gateway drugs for illicit substance use little is known about the impacts of prevention programs across substances. Specifically, we do not know whether there are declines in drug use among young people exposed to successful alcohol abuse prevention programs or alternatively whether young people affected by such programs turn toward drugs when alcohol becomes harder to obtain & less acceptable. This study tests whether patterns of marijuana & other drug use decline among college youth exposed to a successful environmental alcohol abuse prevention program that has reduced consumption & harm. Specific aims are to: 1) Describe trends in marijuana, illicit drug use, & acquisition or uptake of marijuana use among students from 10 colleges that participated in a community wide 4 year environmental alcohol abuse prevention program; 2) Compare trends in marijuana & other illicit drug use among students at 10 intervention with 32 comparison colleges; 3) Evaluate whether colleges whose students report significant declines in drug use over time are those with significant declines in alcohol use & harms; 4) Assess whether declines in illicit drug use correspond to exposure to environmental versus individually oriented prevention strategies implemented for alcohol abuse & harms. Repeated measure panel data are drawn from the Harvard College Alcohol Study and Harvard School of Public Health A Matter of Degree program evaluation which conducts intensive behavioral surveillance studies at 10 CAS colleges participating in the national AMOD demonstration & collects observational data about their alcohol-related prevention efforts. The longitudinal multi-site design is a significant advance over single institution and/or cross-sectional studies, & promises to expand our understanding about causal processes & protective mechanisms affecting drug use among college youth to improve prevention in this setting.