#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

1


Know that Youth Substance Use is Not Inevitable

2


Be Brain Development Savvy

3


Be Substance Savvy

4


Talk Early and Talk Often

5


Act Quickly If You Suspect Use

Like what you see? Support Our Work!

Support the One Choice prevention initiative of the Institute for Behavior and Health, Inc., a 501(c)3 non-profit organization, with a tax-deductible donation.