Abstract：
OBJECTIVE: Prevention efforts are critical to avoid the negative consequences of substance use in adolescents. This study aimed to examine national trends and sociodemographic differences in adolescents\' participation in school-based substance use prevention (SUP) education, community-based SUP programs, as well as family conversations about substance use.
METHODS: Publicly available data for adolescents aged 12-17 from the annual cross-sectional surveys of the National Survey on Drug Use and Health 2011-2019 were analyzed.
RESULTS: Across the survey years, up to 74.9%, 12.2%, and 58.1% of adolescents reported having participated in school-based SUP education, community-based SUP programs, and family conversations about the danger of substance use in the past-year, respectively. From 2011 to 2019, statistically significant decreases were observed in adolescents\' participation in school-based SUP education (OR = 0.97, 95% CI: 0.96, 0.98, p < 0.001) and community-based SUP programs (OR = 0.98, 95% CI: 0.97, 0.99, p < 0.001). Meanwhile, no significant changes were observed in adolescents\' participation in family conversations about the dangers of substance use. Overall, lower levels of participation in school-based and community-based SUP programs were found in adolescents aged 16-17. Adolescents living in rural areas showed lower levels of participation in school-based SUP programs and family conversations about SUP. Racial/ethnic minority adolescents overall were less likely to participate in conversations with parents about SUP than Whites.
CONCLUSIONS: Further development and implementation of developmentally appropriate, gender-specific, culturally sensitive, and contextually informed SUP programs at school, community, and family levels are needed.
METHODS: Publicly available data for adolescents aged 12-17 from the annual cross-sectional surveys of the National Survey on Drug Use and Health 2011-2019 were analyzed.
RESULTS: Across the survey years, up to 74.9%, 12.2%, and 58.1% of adolescents reported having participated in school-based SUP education, community-based SUP programs, and family conversations about the danger of substance use in the past-year, respectively. From 2011 to 2019, statistically significant decreases were observed in adolescents\' participation in school-based SUP education (OR = 0.97, 95% CI: 0.96, 0.98, p < 0.001) and community-based SUP programs (OR = 0.98, 95% CI: 0.97, 0.99, p < 0.001). Meanwhile, no significant changes were observed in adolescents\' participation in family conversations about the dangers of substance use. Overall, lower levels of participation in school-based and community-based SUP programs were found in adolescents aged 16-17. Adolescents living in rural areas showed lower levels of participation in school-based SUP programs and family conversations about SUP. Racial/ethnic minority adolescents overall were less likely to participate in conversations with parents about SUP than Whites.
CONCLUSIONS: Further development and implementation of developmentally appropriate, gender-specific, culturally sensitive, and contextually informed SUP programs at school, community, and family levels are needed.
摘要：
目的：预防工作对于避免青少年使用药物的负面影响至关重要。本研究旨在研究青少年参与以学校为基础的物质使用预防（SUP）教育的国家趋势和社会人口统计学差异，基于社区的SUP计划，以及关于物质使用的家庭对话。
方法：分析了2011-2019年全国药物使用与健康调查年度横断面调查中12-17岁青少年的公开数据。
结果：在整个调查年份，高达74.9%，12.2%,58.1%的青少年报告曾参加过基于学校的SUP教育，基于社区的SUP计划，和家人关于过去一年药物使用危险的谈话，分别。从2011年到2019年，青少年参与以学校为基础的SUP教育（OR=0.97，95％CI：0.96，0.98，p<0.001）和以社区为基础的SUP计划（OR=0.98，95％CI：0.97，0.99，p<0.001）的人数显着下降。同时,在青少年参与关于药物使用危险的家庭对话中未观察到显著变化.总的来说,在16-17岁的青少年中,学校和社区SUP项目的参与率较低.生活在农村地区的青少年在基于学校的SUP计划和关于SUP的家庭对话中的参与度较低。与白人相比，种族/少数民族青少年总体上不太可能参与与父母关于SUP的对话。
结论：进一步开发和实施适合发展的，针对性别的,文化敏感,和学校的背景信息SUP计划，社区,需要家庭水平。
方法：分析了2011-2019年全国药物使用与健康调查年度横断面调查中12-17岁青少年的公开数据。
结果：在整个调查年份，高达74.9%，12.2%,58.1%的青少年报告曾参加过基于学校的SUP教育，基于社区的SUP计划，和家人关于过去一年药物使用危险的谈话，分别。从2011年到2019年，青少年参与以学校为基础的SUP教育（OR=0.97，95％CI：0.96，0.98，p<0.001）和以社区为基础的SUP计划（OR=0.98，95％CI：0.97，0.99，p<0.001）的人数显着下降。同时,在青少年参与关于药物使用危险的家庭对话中未观察到显著变化.总的来说,在16-17岁的青少年中,学校和社区SUP项目的参与率较低.生活在农村地区的青少年在基于学校的SUP计划和关于SUP的家庭对话中的参与度较低。与白人相比，种族/少数民族青少年总体上不太可能参与与父母关于SUP的对话。
结论：进一步开发和实施适合发展的，针对性别的,文化敏感,和学校的背景信息SUP计划，社区,需要家庭水平。
