Skip to main content
NCBI home page
American Journal of Public Health logoLink to American Journal of Public Health
. 1998 Jun;88(6):944–948. doi: 10.2105/ajph.88.6.944

Effects of a community-based prevention program on decreasing drug use in high-risk adolescents.

C P Chou 1, S Montgomery 1, M A Pentz 1, L A Rohrbach 1, C A Johnson 1, B R Flay 1, D P MacKinnon 1
PMCID: PMC1508235  PMID: 9618626

Abstract

OBJECTIVES: This study investigated the secondary prevention effects of a substance abuse primary prevention program. METHODS: Logistic regression analyses were conducted on 4 waves of follow-up data from sixth- and seventh-grade baseline users of cigarettes, alcohol, and marijuana taking part in a school-based program in Indianapolis. RESULTS: The program demonstrated significant reductions in cigarette use at the initial follow-up (6 months) and alcohol use at the first 2 follow-ups (up to 1.5 years). Models considering repeated measures also showed effects on all 3 substances. CONCLUSIONS: Primary prevention programs are able to reach and influence high-risk adolescents in a nonstigmatizing manner.

Full text

PDF
944

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Botvin G. J., Baker E., Dusenbury L., Botvin E. M., Diaz T. Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. JAMA. 1995 Apr 12;273(14):1106–1112. [PubMed] [Google Scholar]
  2. Botvin G. J. Substance abuse prevention research: recent developments and future directions. J Sch Health. 1986 Nov;56(9):369–374. doi: 10.1111/j.1746-1561.1986.tb05775.x. [DOI] [PubMed] [Google Scholar]
  3. Ellickson P. L., Bell R. M. Drug prevention in junior high: a multi-site longitudinal test. Science. 1990 Mar 16;247(4948):1299–1305. doi: 10.1126/science.2180065. [DOI] [PubMed] [Google Scholar]
  4. Ellickson P. L., Bell R. M., McGuigan K. Preventing adolescent drug use: long-term results of a junior high program. Am J Public Health. 1993 Jun;83(6):856–861. doi: 10.2105/ajph.83.6.856. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ennett S. T., Tobler N. S., Ringwalt C. L., Flewelling R. L. How effective is drug abuse resistance education? A meta-analysis of Project DARE outcome evaluations. Am J Public Health. 1994 Sep;84(9):1394–1401. doi: 10.2105/ajph.84.9.1394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Flay B. R., Koepke D., Thomson S. J., Santi S., Best J. A., Brown K. S. Six-year follow-up of the first Waterloo school smoking prevention trial. Am J Public Health. 1989 Oct;79(10):1371–1376. doi: 10.2105/ajph.79.10.1371. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hansen W. B., Collins L. M., Malotte C. K., Johnson C. A., Fielding J. E. Attrition in prevention research. J Behav Med. 1985 Sep;8(3):261–275. doi: 10.1007/BF00870313. [DOI] [PubMed] [Google Scholar]
  8. Hansen W. B., Malotte C. K., Fielding J. E. The bogus pipeline revisited: the use of the threat of detection as a means of increasing self-reports of tobacco use. J Appl Psychol. 1985 Nov;70(4):789–792. [PubMed] [Google Scholar]
  9. Hansen W. B. School-based substance abuse prevention: a review of the state of the art in curriculum, 1980-1990. Health Educ Res. 1992 Sep;7(3):403–430. doi: 10.1093/her/7.3.403. [DOI] [PubMed] [Google Scholar]
  10. Johnson C. A., Pentz M. A., Weber M. D., Dwyer J. H., Baer N., MacKinnon D. P., Hansen W. B., Flay B. R. Relative effectiveness of comprehensive community programming for drug abuse prevention with high-risk and low-risk adolescents. J Consult Clin Psychol. 1990 Aug;58(4):447–456. doi: 10.1037//0022-006x.58.4.447. [DOI] [PubMed] [Google Scholar]
  11. Murray D. M., Davis-Hearn M., Goldman A. I., Pirie P., Luepker R. V. Four- and five-year follow-up results from four seventh-grade smoking prevention strategies. J Behav Med. 1988 Aug;11(4):395–405. doi: 10.1007/BF00844938. [DOI] [PubMed] [Google Scholar]
  12. Murray D. M., O'Connell C. M., Schmid L. A., Perry C. L. The validity of smoking self-reports by adolescents: a reexamination of the bogus pipeline procedure. Addict Behav. 1987;12(1):7–15. doi: 10.1016/0306-4603(87)90003-7. [DOI] [PubMed] [Google Scholar]
  13. Murray D. M., Pirie P., Leupker R. V., Pallonen U. Five- and six-year follow-up results from four seventh-grade smoking prevention strategies. J Behav Med. 1989 Apr;12(2):207–218. doi: 10.1007/BF00846551. [DOI] [PubMed] [Google Scholar]
  14. Pechacek T. F., Murray D. M., Luepker R. V., Mittelmark M. B., Johnson C. A., Shutz J. M. Measurement of adolescent smoking behavior: rationale and methods. J Behav Med. 1984 Mar;7(1):123–140. doi: 10.1007/BF00845351. [DOI] [PubMed] [Google Scholar]
  15. Pentz M. A., Dwyer J. H., MacKinnon D. P., Flay B. R., Hansen W. B., Wang E. Y., Johnson C. A. A multicommunity trial for primary prevention of adolescent drug abuse. Effects on drug use prevalence. JAMA. 1989 Jun 9;261(22):3259–3266. [PubMed] [Google Scholar]
  16. Simpson J. M., Klar N., Donnor A. Accounting for cluster randomization: a review of primary prevention trials, 1990 through 1993. Am J Public Health. 1995 Oct;85(10):1378–1383. doi: 10.2105/ajph.85.10.1378. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Walter H. J., Hofman A., Vaughan R. D., Wynder E. L. Modification of risk factors for coronary heart disease. Five-year results of a school-based intervention trial. N Engl J Med. 1988 Apr 28;318(17):1093–1100. doi: 10.1056/NEJM198804283181704. [DOI] [PubMed] [Google Scholar]
  18. Williams C. L., Eng A., Botvin G. J., Hill P., Wynder E. L. Validation of students' self-reported cigarette smoking status with plasma cotinine levels. Am J Public Health. 1979 Dec;69(12):1272–1274. doi: 10.2105/ajph.69.12.1272. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Zeger S. L., Liang K. Y. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986 Mar;42(1):121–130. [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES