#3 Be Substance Savvy
For Youth, All Substance Use is Related
National data confirm that for teens aged 12-17, use of any one substance -- alcohol, marijuana/THC, or cigarettes/nicotine -- dramatically increase the use of using the other two substances, and other illicit drugs. Similarly, not using any one substance dramatically decreases the likelihood of using the others. This means that for many teens, substance use comes down to making One Choice.
DuPont, R. L., Han, B., Shea, C. L., & Madras, B. K. (2018). Drug use among youth: national survey data support a common liability of all drug use. Preventive Medicine, 113, 68-73.
In the graph above, the left-hand side shows substance use among youth aged 12-17 who DID NOT use any marijuana in the past month:
8.0% used alcohol
3.5% reported binge drinking
0.4% reported heavy drinking
2.7% used cigarettes
2.2% used other illicit drugs
In the graph above, the right-hand side shows substance use among youth aged 12-17 who DID use marijuana in the past month:
44.6% used alcohol
27.5% reported binge drinking
5.9% reported heavy drinking
23.6% used cigarettes
21.7% used other illicit drugs
THE CURRENT DRUG SCENE
Alcohol, Marijuana/Cannabis/THC and Nicotine are the most commonly used substances by youth because they are the most widely available
"The greatest mortality from drugs comes from legal drugs. The moment you make a drug legal, you’re going to increase the number of people who get exposed to it, and therefore you increase the negative consequences from its use. When you legalize, you create an industry whose purpose is to make money selling those drugs. And how do you sell it? Mostly by enticing people to take them and entice them to take high quantities."
Nora Volkow, MD, Director, National Institute on Drug Abuse (NIDA)
Fruity flavorings of products, including alcohol products like alcopops and hard seltzers, appeal to teens
"Binge in a can" -- a 24 ounce can of malt beverage (e.g., FourLoko) can have the same amount of alcohol as an entire bottle of wine
The national explosion of the vaping industry (e-cigs, JUUL) which has marketed its products to underage users
A single vape pod can deliver as much nicotine as a pack of cigarettes
A growing number of high-potency products with over 90% THC have flooded the market as more states have legalized commercial marijuana/cannabis
THC products are largely unregulated or regulations go unenforced; just because a product is without a warning label does not make it safe
Data from Monitoring the Future
It is in the financial interest of the alcohol, marijuana, and other drug industries to recruit and retain new users of their addictive products; profits are driven by heavy users. Consider the following:
Learn More About Individual Substances
Check out substance-specific national resources
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Underage drinking is dangerous. NIAAA reports a range of risks and negative consquences because it:
Interferes with brain development
Causes many deaths among youth, including deaths from motor vehicle crashes, homicides, alcohol overdoses, falls, burns, drowning, and suicides
Causes many injuries
Impairs judgment and can lead to poor decisions about taking risks, including unsafe sexual behavior, drinking and driving, and aggressive or violent behavior
Increases the risk of being the victim or perpetrator of physical and sexual assault
Can lead to other problems, including trouble in school or with the law.
Drinking alcohol also is associated with the use of other substances.
Increases the risk of alcohol problems later in life: Adults ages 26 and older who began drinking before age 15 are 5.6 times more likely to report having alcohol use disorder (addiction) in the past year then those who waited until age 21 or later to begin drinking
Alcohol Resources:
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Marijuana/THC Produces Short- and Long-Term Adverse Health Effects (Volkow, et al.):
Marijuana/THC Resources:
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Like cigarettes, nicotine delivery devices, including vapes/e-cigarettes are unhealthy for youth
Nicotine, like other substances, harms the developing brain
Nicotine can also worsen anxiety symptoms and amplify feelings of depression.
“No matter how it’s delivered, nicotine is harmful for youth and young adults.
— Office of the US Surgeon General
What About Vapes? It’s All Connected.
An analysis conducted by the Institute for Behavior and Health showed students who vaped were much more likely to use other substances than their peers who didn’t vape:
Among 12th graders who vaped in their lifetime, 96% used other substances
Among 12th graders who vaped in the past month, 82% used other substances
Vaping Resources:
CDC & US Surgeon General: Talk with Your Teen About E-Cigarettes: A Tip Sheet for Parents
US Surgeon General: E-Cigarette Use Among Youth and Young Adults Fact Sheet
US Surgeon General: Advisory on E-Cigarette Use Among Youth Talk with Your Teen About E-Cigarettes: A Tip Sheet for Parents
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Fentanyl is driving overdose deaths
Over 107,000 Americans died of a drug overdose in a 12-month period ending in December 2021, largely due to illicit Fentanyl
Criminal drug networks are mass-producing fake pills and falsely marketing them as legitimate prescription pills like oxycodone (Oxycontin®, Percocet®), hydrocodone (Vicodin®), and alprazolam (Xanax®); or stimulants like Adderall®
Ironically, criminal drug networks are also mass-producing fake illicit drugs. The active ingredients in common illicit drugs like cocaine, MDMA, heroin, etc. are being replaced with Fentanyl. The entire business model of the illicit drug trade has changed because of how inexpensive Fentanyl is to manufacture and distribute.
Just one of these fake pills or one snort of fake illicit drugs can be deadly
Fake prescription pills and other illicit drugs are easily accessible and often sold on social media and e-commerce platforms, making them available to anyone with a smartphone, especially youth
Fentanyl Resources:
Students in Prince George's County Public Schools in Maryland created a PSA in English and Spanish to warn their peers about fenanyl: PGCPS PSA - Fentanyl, PGCPS PSA - fentanilo
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"Misuse of prescription drugs means taking a medication in a manner or dose other than prescribed; taking someone else’s prescription, even if for a legitimate medical complaint such as pain; or taking a medication to feel euphoria (i.e., to get high)" - NIDA
Not only are legally prescribed medications diverted and misused, but illicitly produced fake pills are made to look like legal Rx drugs and in fact often contain illicit Fentanyl, which can be deadly
Take precautions in your own home by locking up medications and safely disposing of unused medications.
Find a safe disposal location near you
Misuse Of RX Drugs:
Helpful Online Links
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Know that Youth Substance Use is Not Inevitable
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Be Brain Development Savvy
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Be Substance Savvy
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Talk Early and Talk Often
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Act Quickly If You Suspect Use
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