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 #
5R01DA032843-03
Application #
8699742
Study Section
Community Influences on Health Behavior (CIHB)
Program Officer
Deeds, Bethany
Project Start
2012-08-01
Project End
2016-07-31
Budget Start
2014-08-01
Budget End
2015-07-31
Support Year
3
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Washington University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Bierut, Tatiana; Krauss, Melissa J; Sowles, Shaina J et al. (2017) Exploring Marijuana Advertising on Weedmaps, a Popular Online Directory. Prev Sci 18:183-192
Krauss, Melissa J; Sowles, Shaina J; Stelzer-Monahan, Haley E et al. (2017) ""It Takes Longer, but When It Hits You It Hits You!"": Videos About Marijuana Edibles on YouTube. Subst Use Misuse 52:709-716
Cavazos-Rehg, Patricia A; Krauss, Melissa J; Sowles, Shaina J et al. (2017) An Analysis of Depression, Self-Harm, and Suicidal Ideation Content on Tumblr. Crisis 38:44-52
D'Agostino, Alexandra R; Optican, Allison R; Sowles, Shaina J et al. (2017) Social networking online to recover from opioid use disorder: A study of community interactions. Drug Alcohol Depend 181:5-10
Krauss, Melissa J; Sowles, Shaina J; Sehi, Auriann et al. (2017) Marijuana advertising exposure among current marijuana users in the U.S. Drug Alcohol Depend 174:192-200
Krauss, Melissa J; Grucza, Richard A; Bierut, Laura J et al. (2017) ""Get drunk. Smoke weed. Have fun."": A Content Analysis of Tweets About Marijuana and Alcohol. Am J Health Promot 31:200-208
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; Krauss, Melissa J; Sowles, Shaina J et al. (2016) Marijuana-Related Posts on Instagram. Prev Sci 17:710-20
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

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