This article examines the deterrent effects of mandatory drug testing of high school athletes in relation to student use of both illicit drugs and performance-enhancing substances through a critical review of relevant literature on the topic. It explores student use of both illicit drugs and performance-enhancing substances, as well as how…

The study's aim was to determine the association between school-based violence and being under the influence of drugs/alcohol during the last sexual intercourse among US high-school adolescents. A total of 3136 students from the 2019 Youth Risk Behavior survey were included. Multivariate logistic regression models were conducted to examine…

Youth vaping is a concern and schools may use many approaches to discipline students caught vaping at school. This study identified the prevalence of school staff seeing vaping in schools and the measures used to discipline students. A state-wide sample of 7,938 staff from 255 middle and high schools reported whether they saw any students vaping…

We investigate the mechanisms by which a student's age relative to classmates (i.e., relative age) influences risky health behaviors among European adolescents. Using a two-stage least squares approach, we show that relatively young students are more prone to engage in risky behaviors. These results hold after controlling for absolute age, country…

The current study assessed whether risk factors associated with vaping were distinct from risk factors associated with other substance use (e.g., alcohol, cannabis) during adolescence. Participants (N = 848, ages 10-16 years) completed a self-report survey to assess frequency and age of onset of substance use, risk perceptions of use, risk factors…

Alaska's alternative high schools use trauma-engaged practices in their education model. Thirteen focus groups with 100 alternative high school educators, staff and administrators were conducted. The study sought to describe the Alaska alternative high school staffs' perspectives on effective practices and impact of alternative education on drug…

This occasional paper presents national demographic subgroup data for the 1975-2022 Monitoring the Future (MTF) national survey results on 8th, 10th, and 12th graders' use of drugs, alcohol, and tobacco. The study covers all major classes of illicit and licit psychoactive drugs for an array of population subgroups. The 2020 subgroup data presented…

Background: Comprehensive health education in schools can effectively prevent drug use and related outcomes, but successful implementation remains challenging. Contextual determinants, including intervention-setting compatibility, focus on the intervention, available resources, and leadership support, influence implementation success. This study…

Using data from a regional census survey of high school students, we compared substance use patterns between transgender and cisgender students, and students who did not know if they are transgender (DKT). Data from more than 23,000 youth from 26 high schools were used to compare alcohol-related behaviors, marijuana use, and non-medical use of…

Objectives: More than 2.5 million middle and high school students in the United States reported current use of e-cigarettes in 2022. With continued curiosity and initiation of e-cigarette use among youth, it is critical to explore new and innovative ways to communicate about the dangers of e-cigarettes. The purpose of this study was to determine…

A primary community prevention approach in Iceland was associated with strong reductions of substance use in adolescents. Two years into the implementation of this prevention model in Chile, the aim of this study was to assess changes in the prevalence of adolescent alcohol and cannabis use and to discuss the impact of the COVID-19 pandemic on the…

Background: We assessed whether self-descriptions, self-perceptions, perceived substance use of friends, and actual substance use were associated with high school girls' frequency of making social comparisons to peers. Methods: We analyzed data from the Adolescent Health Risk Behavior Survey data for 357 high school girls using multinomial…

We describe the conceptual framework and practitioner-based study outcomes of a school-based substance use prevention intervention focused on strengthening student commitment to their personal vision. This study found increases related to goal clarity and identification of a mentor following the intervention. We suggest implications for future…

The Youth Risk Behavior Survey (YRBS) is an epidemiologic surveillance system that was established by the U.S. Centers for Disease Control and Prevention (CDC) to help monitor the prevalence of behaviors that not only influence youth health but also put youth at risk for the most significant health and social problems that can occur during…

Reducing youth cannabis use in Canada is a public health priority with schools of interest as a potential modifier of behavior and as a venue for prevention programming. This work aimed to provide a basis for future policy and programming by evaluating pre-legalization cannabis use change patterns in schools and the impact of school…