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| CA Strategic Plan |
| Recommendations |
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Public Support |
Youth Involvement & Development |
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Access to Care |
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Service Coordination |
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Families |
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Communities |
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Schools |
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Data |
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| Outcome Areas |
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Injury Prevention |
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Mental Health and Suicide |
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Nutrition & Physical Activity |
Alcohol, Tobacco & Other Drugs |
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Teen Pregnancy & STIs |
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Oral Health |
Environmental & Occupational Health |
Out of Home Youth –
Resources on Mental Health |
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Alcohol, Tobacco and Other Drugs
| Overview |
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Alcohol, tobacco
& other drugs |
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| This is Chapter 3, Outcome Area
4 of California's adolescent health strategic plan. To
view the full plan, click
here. |
For the majority of adolescents, experimentation with tobacco,
alcohol, and drugs represents a brief period of testing limits
that is often characteristic of adolescence. For some teens,
however, experimentation with alcohol and drugs leads to negative
consequences including direct physiological harm, impaired
judgment leading to risk-taking and violence, disengagement
from school, and the support of illegal drug trafficking that
has a profound effect on community life. In addition, adolescent
substance use, particularly tobacco, can pave the way for
adult addictions. |
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Ninety percent of current adult smokers start smoking during
adolescence. Long-term use of tobacco, alcohol, and other drugs
can lead to serious illness and death, increased medical care
utilization, and higher health care costs.103 |
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Data snapshot |
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Tobacco |
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Between 1990 and 1993, when Californias tobacco control
program (funded by Proposition 99) took effect, teen smoking
prevalence (defined as smoking at least one cigarette within
the past 30 days) remained relatively constant while it was
increasing across the nation. However, between 1993 and 1995,
teen smoking in California rose from 9.1% to 11.9%, after which
it fell, reaching 6.9% in 1999 (Figure 3.9). The Monitoring
the Future study puts smoking prevalence among Californias
10th grade students at 25.7%.104 |
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There are significant ethnic differences in tobacco use
(Figure 3.10). Although white youth smoke more than any other
ethnic group, recent data indicate that Latinos and Asians are
approaching com-parable levels. Asian teens have had the greatest
increase in tobacco use since 1990, whereas African Americans
continue to have the lowest rates of tobacco use. |
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Cigar and smokeless tobacco use are
more common among whites and among males. The 1999 California
Youth Risk Behavior Survey (YRBS) found that boys were twice
as likely to have tried cigars as girls, 20% versus 9% respectively.
Approximately 12% of white male adolescents reported smokeless
tobacco use within the previous month.73 |
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Alcohol and Illicit Drug Use |
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Alcohol continues to be the most popular drug among California
youth. The 1999-2000 California Student Substance Use Survey
(CSS) found that 44% of students in 11th grade and 16% of those
in 7th grade reported drinking alcohol within the past 30 days
(Figure 3.11). These figures reflect a downward trend since
the early 1990s. However, there has been little change in the
percentage of youth who engage in binge drinkingfive
or more drinks within a two hour period during the preceding
two weeks. This level of drinking has been reported by approximately
one-quarter of 11th grade students and between 5% and 10% of
7th grade students since the early 1990s.23
Data from the California YRBS show similarly high levels of
binge drinking (Indicator box). Drinking causes problems in
daily life for some teens. For example, the CSS found that 6%
of 11th grade students say they that drinking has hurt their
school work or caused them to be arrested. |
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Twenty percent of 7th grade students and 39% of 11th grade students
report having used any illicit drug at least once in
the past six months (Table 3.3).23
The reported use of illicit drugs in 1999-2000 is considerably
lower than 1997-1998 levels after remaining fairly constant
since the early 1990s. Marijuana remains the most commonly used
illicit drug. Approximately one quarter of high school students
responding to the 1999 YRBS reported using marijuana within
the past 30 days (Indicator box) and the CSS found that almost
13% of students in 11th grade reported weekly use. However among
younger adolescents, inhalants have rivaled or surpassed marijuana
in terms of popularity during the 1990s. |
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Data from the CSS can be used to calculate
the proportion of adolescents who are high-risk illicit drug
users. These are youth who, in the past six months, have
engaged in: cocaine or crack use, frequent polydrug use (three
or more times), weekly marijuana use, or high frequency use
of other drugs. In 1999-2000, 11% of 9th and 21% of 11th grade
students were classified as high-risk drug users. |
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Factors Related to Substance Use |
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According to the CSS, teens' reasons for using alcohol and drugs
changed little during the 1990s. In 1999-2000, the reasons most
commonly endorsed by 11th grade students were to have fun (67%),
to see what it is like (57%), because friends are using (52%),
and to avoid problems (47%). Only 36% reported using alcohol
and drugs because they were bored or had nothing to do. Use
of alcohol and drugs also is influenced by their availability.
Significant percentages of 11th grade students believe that
it is easy to obtain alcohol (81%), marijuana (78%), and methamphetamines
(39%). One-third of the students responding to the 1999 California
YRBS reported being offered, sold, or given an illegal drug
on school property.73 |
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A review of the content of the most popular
rental movies and songs from 1996 and 1997 found that of the
200 movies studied, alcohol appeared in 93%, tobacco in 89%,
and illicit drugs in 22%.83
Slightly more than one-fourth (27%) of the 1,000 songs surveyed
contained a direct reference to alcohol, tobacco, or illicit
drugs (75% of Rap songs, 20% of Hot-100, 20% of Alternative
Rock, 14% of Country Western, and 12% of Heavy Metal). |
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Examples of current efforts |
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- Proposition 99, which was approved by California
voters in 1988, added an additional 25-cent tax to each
pack of cigarettes, and has made an average of $74 million
available each year to Californias Tobacco Control
Program. The program implemented a major statewide anti-smoking
media campaign beginning in the early 1990s.
- Californias Tobacco Control Program allocates funding
to the California Department of Education for school-based
Tobacco-Use Prevention Education (TUPE) programs,
locally designed for students in grades four through twelve.
- In 1994, Californias Tobacco Control Program developed
the Operation Storefront campaign to stem the proliferation
of tobacco advertising and promotion in communities.
- The STAKE (Stop Tobacco Access to Kids Enforcement)
Act prohibits the sale of or furnishing of tobacco to anyone
under 18, requires retailers to check ID of anyone under
18 and post warning signs at sales counters, and authorizes
$6,000 fines for violations.
- Title IV-Safe and Drug-free Schools and Communities
provides funding for age-appropriate drug and violence prevention
and education programs for all K-12 students through linkages
between schools and communities.
- The California Mentoring Initiative (CMI), through
the California Department of Alcohol and Drug Programs (ADP)
was initiated in 1995. CMI works in partnership with many
community-based organizations to reduce four major problem
areas: alcohol/drug use, teen pregnancy, educational failure,
and gangs and violence.
- The California Friday Night Live (FNL) Program,
funded by ADP, was established in 1984 to promote a teenage
lifestyle free of alcohol and other drugs. FNLs mission
is to build partnerships for positive and healthy youth
development which engage youth as active leaders and resources
in their communities.
- Club Live is a prevention program aimed at middle
school students in California and is an extension of the
successful FNL program. It assists students in developing
alternatives to using alcohol, tobacco, and other drugs.
- TEENWORK, INC., is a private agency working to
provide a forum for youth to share ideas and discuss solutions
to the critical issues facing teens today. Every year since
1984, California high school students spend seven months
planning a training institute that focuses on substance
use prevention and includes broader issues such as pregnancy,
gangs, suicide, HIV/AIDS, and recovery. Special consideration
is given to recruiting high-risk students. The discussions
initiated through this process result in the implementation
of programs and activities at the local level.
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Strategies to reduce teens use of alcohol,
tobacco & other drugs |
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1. Raise awareness
of the harms of substance use. |
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- Use educational strategies to help youth improve critical
life and social skills, including decision making and refusal
skills.
- Distribute useful, relevant and effective information
to targeted populations, such as policymakers, health providers,
health plans, individuals, families, and communities to
help them make wise decisions about strategies to prevent
youth substance use.
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2. Combat advertising
which promotes the use of alcohol, tobacco, or other drugs,
especially advertising aimed at youth. |
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- Continue and intensify mass media campaigns, including
Proposition 99 funded anti-tobacco advertisements, to counteract
the image appeal of pro-tobacco messages aimed at children
and youth.
- Prohibit the sale or giveaway of tobacco products like
caps, jackets, or gym bags that carry cigarette or smokeless
tobacco product brand names or logos.
- Negotiate with billboard companies to reduce the number
of alcohol billboards. Encourage the federal government
to address the expansion of alcohol advertising on television
and radio stations.
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3. Limit youth access
to alcohol, tobacco, and other drugs. |
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- Reduce youth access to tobacco and alcohol by licensing
tobacco vendors; limiting vending machine sales and self-service
displays to places where minors are not allowed, such as
certain bars and nightclubs; and prohibiting the sale of
single cigarettes.
- Mobilize communities to counter drug activity, especially
where youth might be present. Advocate for positive community-wide
change through legal and regulatory initiatives, such as
lowering legal blood alcohol limits for drivers, limiting
bar hours, and restricting the number of alcoholic beverage
outlets in any given area.
- Establish hotel networks to intervene when underage youth
attempt to rent rooms for parties.
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4. Provide substance-free
environments and alternatives for youth. |
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- Encourage activities and initiatives that will change
community standards and emphasize healthy lifestyles. Promote
sobriety as a positive lifestyle choice.
- Provide for the participation of targeted adolescent populations
in activities that exclude alcohol, tobacco, and other drug
use by youth.
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5. Improve substance
treatment and promote harm-reduction approaches for adolescents
unique needs. |
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- Develop sufficient resources to meet community needs for
appropriate levels of treatment for youth, and special populations
of adolescents.
n Identify and remove barriers that inhibit adolescents
from entering treatment.
- Use relevant research to identify and incorporate key
variables that contribute to successful treatment outcomes
for youth.
- Address the treatment needs of youth in the criminal justice
system.
- Improve assessment and early intervention strategies in
schools, primary care, family planning, after-school programs,
probation, and foster care.
- Encourage the use of comprehensive harm reduction approaches.
Promote the use of designated drivers and safe ride programs
that provide free or low cost transportation to a safe destination
(usually home).
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Additional resources |
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Preventing Tobacco Use Among Young People:
A Report of the Surgeon General. U.S. Department of Health
and Human Services, Public Health Service, Centers for Disease
Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health,
Atlanta, GA, 1994. |
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Reducing the Health Consequences of Smoking:
25 Years of Progress. A Report of the Surgeon General. U.S.
Department of Health and Human Services, Centers for Disease
Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health,
1989. |
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Youth Smoking Trends in California Fact
Sheet. California Department of Health Services, Tobacco
Control Section, Sacramento, CA, 1998. |
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Seventh Biennial Student Substance Use
Survey. Grades 7, 9 and 11. 1997-98. Austin, G. and Skager,
R. Sacramento: California Department of Justice, Office of the
Attorney General, 2000. |
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Toward a Tobacco-Free California: Renewing
the Commitment 1997-2000. Tobacco Education and Research
Oversight Committee, California Department of Health Services,
Tobacco Control Section, January, 2000. |
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A Model for Change: The California Experience
in Tobacco Control. California Department of Health Services,
Tobacco Control Section. October, 1998. |
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Preventing Drug Use Among Children and
Adolescents: A Research Based Guide. National Institute
on Drug Abuse. National Institutes of Health. 1997. http://www.nida.nih.gov |
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Drug Abuse Prevention for At-Risk Individuals.
National Institute on Drug Abuse. National Institutes of Health.
1997. http://www.nida.nih.gov |
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Click
here to view references |
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