Deficits and other economic issues facing the federal and many state and local governments, reductions in aid at all levels of social organization (i.e., school, community, and state) have occurred and are expected to continue. Initiatives that focus on preventing and treating adolescent substance use behaviors are typically prime candidates for spending cuts, which makes research on their effectiveness especially timely. We have outlined a set of analyses that will provide critical guidance for evidence-based efforts to curb adolescent substance use behaviors and close gaps in understanding the effectiveness of key environmental strategies for reducing adolescent substance use. This proposal will provide an in-depth investigation of the processes through which school-based and state-level penalties for adolescent substance use behaviors reduce the substance use behaviors they target. We will further account for community-level exposure to anti- tobacco/drug media campaigns that are designed to also influence adolescent substance use behaviors. Specifically, in Aim #1 we will assess the effectiveness of school-based penalties for adolescent substance use behaviors (i.e., for tobacco, alcohol, and marijuana we will examine current use, excessive use, school use) across a large number of: a) schools (n= ~130 schools every 2 years), b) 12th grade students (n = ~11,800 students/year), and c) data-points (11 years of data: 1997-2007).
In Aim #2 we will investigate the effectiveness of state-level penalties towards adolescent substance use behaviors (i.e., legal penalties for: a) adolescent use of tobacco, b) underage alcohol violations, and c) marijuana possession) and their relationship with complementary school-based penalties (perceived and actual).
In Aim #3, we will examine the effectiveness of community-level and student report of exposure to anti-tobacco/drug media campaigns and their interrelationships with complementary policies identified in Aims #1 and #2. Our findings will better enable stakeholders to set substance use prevention policy priorities at school, community, and state levels. These activities will become increasingly important as lawmakers in our nation work to fund only effective substance use prevention programs. In addition, the work proposed here will make cost-efficient use of existing, integrated data. Accomplishment of these aims will be facilitated by a strong-interdisciplinary research team and a rich collaborative environment.

Public Health Relevance

Substance misuse is a major national public health problem that most often begins in adolescence. We will examine school and state-level penalties towards adolescent substance use as well as anti-tobacco/drug media campaigns. Our study will help lawmakers understand which strategies successfully reduce adolescent substance use. This is important so that funds can be directed to the key programs that effectively reduce adolescent substance use.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA032843-02
Application #
8513961
Study Section
Community Influences on Health Behavior (CIHB)
Program Officer
Deeds, Bethany
Project Start
2012-08-01
Project End
2016-07-31
Budget Start
2013-08-01
Budget End
2014-07-31
Support Year
2
Fiscal Year
2013
Total Cost
$352,881
Indirect Cost
$80,091
Name
Washington University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Cavazos-Rehg, Patricia A; Krauss, Melissa J; Sowles, Shaina J et al. (2016) Marijuana-Related Posts on Instagram. Prev Sci 17:710-20
Cabrera-Nguyen, E Peter; Cavazos-Rehg, Patricia; Krauss, Melissa et al. (2016) Awareness and Use of Dissolvable Tobacco Products in the United States. Nicotine Tob Res 18:857-63
Plunk, Andrew D; Krauss, Melissa J; Syed-Mohammed, Husham et al. (2016) The Impact of the Minimum Legal Drinking Age on Alcohol-Related Chronic Disease Mortality. Alcohol Clin Exp Res 40:1761-8
Cavazos-Rehg, Patricia A; Sowles, Shaina J; Krauss, Melissa J et al. (2016) A content analysis of tweets about high-potency marijuana. Drug Alcohol Depend 166:100-8
Cavazos-Rehg, Patricia A; Housten, Ashley J; Krauss, Melissa J et al. (2016) Selected State Policies and Associations With Alcohol Use Behaviors and Risky Driving Behaviors Among Youth: Findings from Monitoring the Future Study. Alcohol Clin Exp Res 40:1030-6
Cavazos-Rehg, Patricia A; Krauss, Melissa J; Sowles, Shaina et al. (2016) A content analysis of depression-related Tweets. Comput Human Behav 54:351-357
Cabrera-Nguyen, E Peter; Cavazos-Rehg, Patricia; Krauss, Melissa et al. (2016) Young Adults' Exposure to Alcohol- and Marijuana-Related Content on Twitter. J Stud Alcohol Drugs 77:349-53
Cavazos-Rehg, Patricia A; Krauss, Melissa J; Sowles, Shaina J et al. (2016) An Analysis of Depression, Self-Harm, and Suicidal Ideation Content on Tumblr. Crisis :1-9
Krauss, Melissa J; Sowles, Shaina J; Mylvaganam, Shalinee et al. (2015) Displays of dabbing marijuana extracts on YouTube. Drug Alcohol Depend 155:45-51
Cavazos-Rehg, Patricia A; Krauss, Melissa J; Sowles, Shaina J et al. (2015) ""Hey Everyone, I'm Drunk."" An Evaluation of Drinking-Related Twitter Chatter. J Stud Alcohol Drugs 76:635-43

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