Risk and protection factors for different intensities of adolescent substance use: when does the Prevention Paradox apply?
MetadataShow full item record
Originally published in Drug and Alcohol Review 2004 23 (1) pp. 67-77
Copyright Taylor and Francis
A link at the Taylor and Francis web site available at http://www.tandf.co.uk
The 'Prevention Paradox' applies when low-risk individuals in a population contribute the most cases of a condition or problem behaviour by virtue of their being in the majority, thereby recommending a universal or whole of population approach to prevention. The applicability of a universal as opposed to a targeted high-risk approach to the prevention of youth substance use was examined in two studies of children and adolescents conducted in Victoria, Australia. These studies were reanalysed by recombining developmental, social and individual measures to form cumulative risk indices for substance use. In Study 1, a crosssectional survey of students, most regular tobacco, alcohol and cannabis use by 15/16-year-olds occurred in the moderate and lowrisk groups, recommending a universal prevention strategy . However, the majority of illicit drug use occurred in the highest-risk group (top 15%). Furthermore, in younger age groups both legal and illegal drug use was concentrated mainly in the highest risk group. Study 2 used data from a major longitudinal study where risk factors at around age 11/12 years were used to predict substance use at age 17/18 years. Most students who admitted involvement in frequent smoking, heavy drinking and, although to a lesser degree, cannabis were classified as low or average risk. It is concluded that universal prevention strategies are needed for late adolescent alcohol, tobacco and cannabis use and more targeted strategies for addressing harm related to early age drug use, frequent cannabis use and illegal drug use.
Showing items related by title, author, creator and subject.
Jongenelis, Michelle; Pettigrew, S.; Lawrence, D.; Rikkers, W. (2019)Poly drug use in adolescents represents a significant public health issue, heightening risk for abuse, dependency, and a variety of short- and long-term psychological, psychosocial, and health consequences. However, past ...
Evaluating the long-term effectiveness of school-based depression, anxiety, and substance use prevention into young adulthood: Protocol for the climate school combined studyBirrell, L.; Newton, N.; Slade, T.; Chapman, C.; Mewton, L.; McBride, Nyanda; Hides, L.; Chatterton, M.; Allsop, Steve; Healy, A.; Mather, M.; Quinn, C.; Mihalopoulos, C.; Teesson, M. (2018)Background: Mental health and substance use disorders are the leading causes of global disability in children and youth. Both tend to first onset or escalate in adolescence and young adulthood, calling for effective ...
Zeisser, C.; Thompson, K.; Stockwell, Tim; Duff, C.; Chow, C.; Vallance, K.; Ivsins, A.; Michelow, W.; Marsh, D.; Lucas, P. (2012)The 'standard drink' concept is widely used as a standardized measure of alcohol consumption. There is no equivalent measure of cannabis consumption, perhaps due to challenges such as varied joint size, tetrahydrocannabinol ...