A comparison of alcohol, tobacco and drug use as determined from household and school surveys

Comparisons of results from different types of surveys are necessary to establish the best and cheapest methods of assessing drug use. This paper reports results from a school survey and a household survey conducted in Ontario. Both surveys were done in 1983 and used unbiased samples of the population in the same age groups. There are some methodological differences between the two studies. Younger students were more likely to report the use of tobacco, alcohol and cannabis in the student survey than in the household survey. Similarly, older students (18 and 19) reported more alcohol use in the student survey. In general, the results indicate that respondents are more likely to give socially desirable answers to questions answered at home than at school. Also, alcohol and drug users may be more likely to be missed in household than in school studies as the former have a much higher non-response rate.     

Adolescent drug use in Zimbabwe assessed by their teachers

OBJECTIVES: To obtain secondary school teachers' assessment of adolescent drug use in Zimbabwe. Secondly, to compare this assessment with some of the results from student drug use surveys undertaken in 1990 and 1994. DESIGN: Cross sectional. SETTING: 17 secondary schools in Harare, Mashonaland East and West and Matabeleland North Provinces (including Bulawayo). SUBJECTS: 442 secondary school teachers, of whom half were males. MAIN OUTCOME MEASURES: Teachers' assessment of how serious a problem adolescent drug use is in Zimbabwe in general and at the teachers' own school. Secondly, whether adolescent drug use is currently on the increase or decrease. RESULTS: The teachers assessed alcohol use as the most serious drug problem among secondary school students in Zimbabwe, followed in descending order by cannabis, tobacco, inhalants and other drugs. Drug use was considered less serious at the teachers' own school as compared to the assessment of the general situation. Student drug use is largely stable or increasing moderately. Alcohol appears to be increasing the most. Although partly corresponding with previous studies, the situation was assessed as more serious than what appeared from the student drug use surveys in 1990 and 1994. The largest gap between teachers' assessment and students' self-reported drug use was found for cannabis and inhalants. CONCLUSIONS: The study among teachers concur to some extent with results from previous studies among students. There are, however, variations in the assessment of drug use among secondary school students that do not correspond completely with the picture drawn by previous student surveys. It is argued that some of the variation in the assessment may in part be explained by sociocultural and normative differences between different sociocultural segments of Zimbabwean society.     

School-Level Correlates of Adolescent Tobacco,Alcohol, and Marijuana Use

Background: School-level characteristics are related to students’ substance use, but little research systematically examined multiple school characteristics in relation to different types of substance use across grade levels. Objectives: This study examines multiple school-level characteristics as correlates of students’ tobacco, alcohol, marijuana, and combined substance use across three grade levels. Methods: Students (N = 23,615) from 42 urban and suburban middle schools and 24 high schools in the U.S. reported on their tobacco, alcohol, and marijuana use. Students’ mean age was 14 years; 47% were male, 53% African American, and 41% Caucasian. School-level data included poverty, racial composition, academic achievement, student-teacher ratio, absenteeism, and school size. Multilevel logistic and Poisson regressions tested associations between school-level predictors and adolescent substance use in middle school, early high school, and late high school. Results: School-level poverty, more ethnic minority students, low achievement, and higher absenteeism were related to alcohol, marijuana, and combined substance use, particularly at lower grade levels. By contrast, cigarette smoking was more prevalent in more affluent high schools with more White students. After adjusting for other school characteristics, absenteeism emerged as the most consistent predictor of student substance use. Conclusions/Importance: Interventions addressing absenteeism and truancy in middle and high schools may help prevent student substance use. Schools serving poor, urban, and mostly minority students may benefit from interventions targeting alcohol and marijuana use, whereas interventions focusing on tobacco use prevention may be more relevant for schools serving more affluent and predominantly White students.     

Polydrug Use Among Secondary School Students: combinations, prevalences and risk profiles

The aim is to describe polydrug use among secondary school students: combinations of substances, number of students per user type and corresponding risk profiles. The method employed was as follows. Data were derived from the 1999 sample of the Dutch National School Survey on Substance Use. The analysis was limited to secondary school students between 12 and 16 years, at which age it is still compulsory to attend school (N = 6236). Studied substances are alcohol, tobacco, cannabis, ecstasy, amphetamines, opiates and cocaine. Of the students, 56.7% used one or more substances. Among the users, 41.8% were polydrug users in the sense that they had used more than one substance during the previous 4 weeks. In the student population concerned of about 1 000 000, 243 000 were polydrug users of whom 146 000 use only alcohol and tobacco, 67 000 combine alcohol or tobacco with cannabis, and 21 000 combine alcohol, tobacco or cannabis with at least one hard drug such as ecstasy, cocaine, amphetamines or heroin. The risk of polydrug use increased with increasing age. Prevalence rates were highest among ethnic Dutch students, very low among Moroccan students and high at the lower educational levels. By comparison with girls, boys had a specific risk of becoming the type of polydrug user using soft or hard drugs. The high prevalence of polydrug use among young students makes this an important topic for research, monitoring and prevention.     

Polydrug Use Among Secondary School Students: combinations,prevalences and risk profiles

The aim is to describe polydrug use among secondary school students: combinations of substances, number of students per user type and corresponding risk profiles. The method employed was as follows. Data were derived from the 1999 sample of the Dutch National School Survey on Substance Use. The analysis was limited to secondary school students between 12 and 16 years, at which age it is still compulsory to attend school (N = 6236). Studied substances are alcohol, tobacco, cannabis, ecstasy, amphetamines, opiates and cocaine. Of the students, 56.7% used one or more substances. Among the users, 41.8% were polydrug users in the sense that they had used more than one substance during the previous 4 weeks. In the student population concerned of about 1 000 000, 243 000 were polydrug users of whom 146 000 use only alcohol and tobacco, 67 000 combine alcohol or tobacco with cannabis, and 21 000 combine alcohol, tobacco or cannabis with at least one hard drug such as ecstasy, cocaine, amphetamines or heroin. The risk of polydrug use increased with increasing age. Prevalence rates were highest among ethnic Dutch students, very low among Moroccan students and high at the lower educational levels. By comparison with girls, boys had a specific risk of becoming the type of polydrug user using soft or hard drugs. The high prevalence of polydrug use among young students makes this an important topic for research, monitoring and prevention.     

The relationship between club drug use and other drug use: a survey of New York City middle school students

In order to explore the relationship between use of club drugs (crystal methamphetamine, ecstasy, GHB, ketamine), and use of other drugs, survey data collected from 23,780 middle school students in New York City during 2002-2003 was examined. Results of HGLM analyses (a generalization of HLM to accommodate nonlinear outcomes), controlling for the effect of school, indicate that Black students are less likely than White students to use club drugs depending on the timeframe of use. The use of alcohol and/or marijuana predict club drug use regardless of the timeframe of use, and lifetime cigarette use predicts lifetime club drug use. Recommendations for future research and prevention efforts are discussed.     

The Relationship Between Club Drug Use and Other Drug Use: A Survey of New York City Middle School Students

In order to explore the relationship between use of club drugs (crystal methamphetamine, ecstasy, GHB, ketamine), and use of other drugs, survey data collected from 23,780 middle school students in New York City during 2002–2003 was examined. Results of HGLM analyses (a generalization of HLM to accomodate nonlinear outcomes), controlling for the effect of school, indicate that Black students are less likely than White students to use club drugs depending on the timeframe of use. The use of alcohol and/or marijuana predict club drug use regardless of the timeframe of use, and lifetime cigarette use predicts lifetime club drug use. Recommendations for future research and prevention efforts are discussed.     

Alcohol and drug problems in the schools: results of a national survey of school administrators

A mail survey of public high-school administrators in the United States was conducted to gather information about the nature and extent of school problems with student alcohol and drug use. Of the 728 schools selected for the national metropolitan probability sample, 543 (75%) returned a completed questionnaire. The results indicated that from 1980 to 1985, about one in six students attended schools that reported a serious problem with student alcohol use. In contrast, the proportion of students attending schools with a serious drug problem decreased from about one in four in 1980-81 to about one in seven in 1984-85. The most common explanation provided for a decreasing student alcohol or drug problem was changes in the school's discipline policy or increased enforcement of the existing policy. Few respondents attributed a reduction in student alcohol or drug problems to prevention or treatment programs. Limitations of the survey data are discussed as well as directions for future research.     

Who cares if college and drinking are synonymous? Identification with typical students moderates the relationship between college life alcohol salience and drinking outcomes

There is considerable research demonstrating that college life alcohol salience is associated with alcohol use among undergraduates. However, the strength of this association may depend on whether students self-identify with other students on their campus; self-identification with other students may indicate how influential other students are on an individuals' drinking. As such, the current research investigated whether identification with the “typical student” moderated the relationship between college life alcohol salience beliefs and alcohol-related outcomes. Five-hundred and eleven undergraduates reported their alcohol use, how closely they identified with other students, as well as their college life alcohol salience beliefs. Poisson moderated regression models and negative binomial moderation regression models were employed. Results indicated that self-identification with other students was a significant moderator of the association between college life alcohol salience beliefs and frequency of drinking as well as peak number of drinks, but not drinks per week or alcohol-related problems. Findings suggest that it may be important to shift students' perceptions surrounding drinking as being an important part of the college experience, particularly for those who identify with their peers.     

School spirits: alcohol and collegiate sports fans

While studies have addressed alcohol use and related problems among college athletes, little is known about the drinking patterns of non-athletes who are sports fans. This study examines the relationship between alcohol use and interest in collegiate sports on two levels. First, do sports fans in college binge drink more and exhibit more negative alcohol-related outcomes than other students? Second, do colleges with large numbers of sports fans have higher rates of heavy drinking and accompanying secondhand effects affecting other students? The study analyzed the responses of a nationally representative sample of students who completed questionnaires in the spring of 1999 regarding their extracurricular activities and substance use. The responses of 3445 student sports fans were compared to those of 8405 students who were not sports fans. More sports fans drank alcohol, engaged in binge drinking, had a heavy drinking style and reported alcohol-related problems than nonfans. The percentage of sports fans at a school was associated with binge drinking rates and the secondhand effects. The implications for those working with college athletics and for alcohol prevention personnel are discussed.     

Early alcohol or tobacco onset and transition to other drug use among students in the state of Morelos, Mexico

In this study, we explored if patterns in the transition from alcohol/tobacco in the Mexican State of Morelos, Mexico are similar to those observed in other countries. METHODS: The data were from a representative sample of youth age 11-21 years (n = 13,105), who participated in a paper-and-pencil survey in middle schools, high schools, and colleges in the State of Morelos, Mexico. Drug use was assessed via the standardized instrument mostly used in Mexican student surveys. Cox's models for discrete time-survival analyses, stratified by school and age group were used to estimate the risk of drug use in relation to age of alcohol and tobacco use initiation by gender, while accommodating the complex survey design. RESULTS: About 5% of the students were estimated to have used drugs in their life. Male early users of alcohol or tobacco were more likely to use other drugs, compared to students who did not have an early alcohol or tobacco onset. COMMENT: Further studies on social mechanisms might help to account for observed similarities in patterns of drug involvement in different countries, even in the context of important differences in rates of drug use.     

Characteristics of Students and Services in New York State Student Assistance and Prevention Counseling Programs

This article reports on a review of selected New York State school prevention program student case records. Methods: Data were extracted from Office of Alcoholism and Substance Abuse Services (OASAS) standardized Prevention Activity Summary forms. A total of 407 records from 12 high schools throughout New York State were reviewed. Results: The age range of students in this sample was 12 to 18 years old with a mean age of 15.5 years in an approximately normal distribution. Students in this sample were typically referred to services by school sources or were self-referred. The most frequently cited reasons for admission were personal problems, family problems, and alcohol or substance use or abuse. The majority of students are referred to individual sessions. Counselors rated services as producing positive change in all problem areas, with the largest change for adolescents whose parents used alcohol or other substances. Conclusions: Findings suggest positive outcomes for prevention counseling. Severity of alcohol and drug use decreased and severity of risk factors for alcohol and drug use likewise decreased.     

Polydrug use among 15- to 16-year olds: Similarities and differences in Europe

Aims: We describe types of polydrug use among school students across Europe and explore differences between high, medium and low drug prevalence countries.

Method: Analysis is based on survey data from over 70,000 15- to 16-year-old school students in 22 European countries. Polydrug use (defined as the use of two or more listed substances during the last 30 days) is compared across three country clusters based on drug prevalences by hierarchical cluster analysis. Affinity between substances is measured by pairwise associations and regression analysis was used to assess the differences in rate ratio across the country clusters.

Results: A third of all school students had consumed two or more substances. The most common combinations were: alcohol and cigarettes, followed by alcohol or cigarettes combined with cannabis, followed by alcohol or cigarettes, cannabis and at least one other illegal drug. Pairwise associations show that cannabis and cocaine users are more likely to use illegal drugs than the general student populations but least likely to do so in countries with high prevalence levels (p < 0.0005).

Conclusion: Consideration of country differences and objective measures for the concept of normalization could help to inform more holistic prevention initiatives that respond to country-specific contexts.     

Effects of identification and usefulness of the Lie Scale of the Drug Use Screening Inventory (DUSI-R) in the assessment of adolescent drug use

OBJECTIVES: The main objectives of this study were to evaluate the effects of subject identification versus anonymity on adolescents' drug use assessment using the Drug Use Screening Inventory-R and to assess the usefulness of the "Lie Scale" of that instrument. METHODS: Six hundred and fifty-five Brazilian students (5th to 11th graders) from a public school of S?o Paulo participated in the study. One third of them were instructed to put their names on the questionnaire, one third answered it anonymously and the remaining ones were partially identified according to a code list that was kept by one student who represented his classmates. The answers of the identified groups of students were compared with those from the anonymous group. According to their scores in the Lie Scale, the students were divided into two groups: low and high score groups. RESULTS AND CONCLUSIONS: No significant differences were found among anonymous, identified and partially identified groups regarding alcohol or drug consumption report, or in the density of problems in all drug use screening inventory (DUSI) areas. Regarding the Lie Scale, the high score group reported lower alcohol or drug consumption and fewer alcohol or drug related problems in all DUSI areas when compared to the low score group. The results suggest that identification or anonymity does not affect the students' answers to the DUSI and point out the usefulness of the Lie Scale of DUSI-R.     

Does heavy drinking affect academic performance in college? Findings from a prospective study of high achievers

OBJECTIVE: This study examined the effects of heavy drinking, alcohol-related problems and drinking opportunities on academic performance (grade point average [GPA]) in a prospective cohort of college students attending the University of California at Berkeley. METHOD: Several waves of survey data were collected from 465 students beginning in the summer prior to their freshman year. Cross-sectional and regression analyses were conducted to determine whether heavy alcohol use, alcohol-related problems and drinking opportunities were associated with college GPA before and after controlling for demographics and high school GPA. RESULTS: Cross-sectional analyses generally revealed modest and nonsignificant associations between college GPA and measures of heavy alcohol use, alcohol-related problems and drinking opportunities in the first year of college. High school GPA was modestly associated with both heavy alcohol use and college GPA. Only a summative measure of alcohol-related academic problems was significantly associated with college GPA, but this relationship did not persist in a regression model that included high school GPA and student demographic characteristics as control variables. CONCLUSIONS: Heavy alcohol use, alcohol-related problems and drinking opportunities do not appear to have an important effect on students' academic performance, but additional research with longitudinal data from representative student samples is needed to confirm these findings.     

Relationship Between School Administrators’ Reports of Parental Involvement in School and Students’ Substance Use: A National Study

This study examines the relationship between student substance use and school-level parental involvement as reported by administrators. Questionnaires were administered to school administrators and 111,652 students in 1,011 U.S. schools. Hierarchical logistic regression analyses conducted on 1998–2003 data from students and administrators indicate significantly lower prevalence of alcohol use among eighth-graders in schools where administrators reported high parental involvement. Overall, administrators’ reports of high parental involvement were unrelated to prevalence of substance use among tenth-graders and were associated with higher prevalence of alcohol use among twelfth-graders. Implications and limitations are discussed, along with suggestions for future research.