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Adolescent Substance Abuse

Cigarette Use among Adolescents

· In 1995, 34% of seniors, 28% of tenth grader's, and 19% of a eighth grader's smoked regularly.

· This represents the highest rate of use since 1979.

· Rates are increasing for all racial and 

Marijuana Use Among Adolescents

· Since 1990, annual use by 6-8th graders has risen 200% (to 13.6%), and by 110% in high school seniors (to 35%)

· Young blacks are most often affected by the surge in marijuana use, females are affected more than

· 17% of seniors use marijuana weekly and 7% use marijuana daily

Users Also Involved with Other Drugs

· 69% of marijuana users also drank alcohol (vs. 7.4% of non-users)

· 13% of marijuana users also used cocaine monthly (vs. 0.1% of non-users)

· 19% of marijuana users used hallucinogens monthly (vs. 0.2% of non-users)

Drug Use Among 8th Graders marijona

· 21% used an illicit drug in last year

· 16% used marijuana in last year

· 22% used inhalants in lifetime

· 34% used alcohol in past month

· 26% have binge drunk in last two weeks

· 16% used cigarettes in last month

Predisposing Risk Factors for Adolescent Drug Use

· Family history of drug use

· Psychopathology

· Low self-esteem

· Poor social skills

· School problem

Problems in Major Life Areas Associated with Drug Use

· Poor relationships with parents

· Lack of bonding to social groups

· Lack of conformity to social rules

· School, job, ir legal difficulties

· Health problems

Protective Factors Against Drug Use

· Clear parent-defined conduct norms

· Parenting style that includes praise, encouragement, trust, advice, guidance

· Parental monitoring

· Siblings and peers are non-users

· Social bonding

· Positive temperament

· External support system reinforces coping and strengths

· Repertoire of problem solving skills

· Belief in self-efficacy

· Resilient youth

Progression of Adolescent Drug Use

1. No use of alcohol/tobacco/drugs

2. Initial use of beer or wine

3. Use of cigarettes or liquor

4. Use of marijuana

5. Other illicit drugs - cocaine, LSD

Stages of Adolescent Drug Use

Stage 1: Learning the Mood Swing

Mood: Normal - euphoria - normal

Feelings: Feel good, few consequences

Drugs: Alcohol, tobacco

Behavior: Little detectable change

Frequency: Weekend and party use

Stages of Adolescent Drug Use

Stage 2: