Using the 1988-90 American Drug and Alcohol Survey data, compares drug use (lifetime and 30-day prevalence) among reservation and nonreservation American Indians and non-Indians in grades 8 and 12 in 1988-90. Found highest rates of drug use (marijuana, cocaine, crack, stimulants, inhalants, hallucinogens, and other drugs), alcohol use, and smoking…

Confirmatory, simultaneous group factor analysis supported three-factor structure of Perceived Social Support-Family measure for adolescents (n=975). Factors of Support Received, Support Provided, and Family Intimacy were significantly correlated with adolescent ratings of maternal and paternal support and inversely correlated with primary…

Estimates the number of infants exposed to legal and illegal substances before birth, drawing on 27 published reports and National Institute on Drug Abuse data. The following are estimated exposure levels: (1) cocaine, 2-3 percent; (2) marijuana, 3-12 percent; (3) cigarettes, 38 percent; and (4) alcohol, 73 percent. (SLD)

Reviews the effects of prenatal exposure to the following: (1) cigarettes; (2) alcohol; (3) heroin; (4) narcotics; (5) marijuana; and (6) cocaine. Also discussed are the effects of exposure to multiple drugs and research issues in assessing drug effects. The importance of environment in long-term outcome is emphasized. (SLD)

Examined substance use among rural black and rural white students (n=1,915). Found that black males were significantly less likely than white males to drink alcohol; get drunk; smoke cigarettes; or use smokeless tobacco, hallucinogens, and sedatives. Black females were significantly less likely than white females to drink alcohol; get drunk; smoke…

The relative influence of best friends and social crowds of 324 older adolescents (eleventh graders) on cigarette smoking was examined to determine influences as a function of sex, conformity, and friendship mutuality. Best friends, rather than social crowd, appeared to be the major influence in this group. (SLD)

Used latent transition analysis (LTA), methodology for testing stage-sequential models of individual growth, to compare fit of 2 models of substance use onset and to assess effects of prevention program on 2,009 early adolescents. Found that substance use onset model including alcohol and tobacco use as starting points fit better than model that…

A wellness program is a formalized approach to preventive health care that can positively affect employee lifestyle and reduce future health-care costs. Describes programs for health education, smoking cessation, early detection, employee assistance, and fitness, citing industry success figures. (eight references) (MLF)

A method for training physicians in a simple, efficient, and effective smoking cessation counseling strategy consisted of lunchtime seminar, follow-up reinforcement session, and prompt sheet for use during counseling. The counseling strategy emphasizes individual motivation, assessing and addressing obstacles to quitting, drug therapy, contracting…

Investigates the effects of early tobacco and alcohol use on adolescent sexual behaviors 2 years after initiation among 73 adolescent girls, 79 adolescent boys, and their parents. A relationship exists between age-related deviant behaviors and sexual activity and the effects of early transitions to adult behaviors such as tobacco and alcohol use.…

Used between-family analyses of data from adolescent twin girls to offer new evidence that early menarche is associated with earlier initiation and greater frequency of smoking and drinking. Found that association of pubertal timing with substance use could not be explained by between-family confounds, and pubertal timing influence on drinking…

Reports expenditures on tobacco control programs in California schools since 1989 and data from students interviewed as part of the California Tobacco Surveys in 1990, 1993, and 1996. Results indicate that the provision of substantial money for tobacco control to schools from 1989-1997 was not sufficient to ensure that effective interventions were…

Assessed the effectiveness of personal and social skills development lessons on urban and suburban middle school students' tobacco-related behavior and behavioral intention. Results suggest that when taught with fidelity, the intervention provides students with skills to resist certain health- compromising behaviors. Experimental students showed…

Relative reinforcing efficacy refers to the behavior-strengthening or maintaining property of a reinforcer when compared to that of another reinforcer. Traditional measures of relative reinforcing efficacy sometimes have led to discordant results across and within studies. By contrast, previous investigations have found traditional measures to be…

Although both low socioeconomic status and cigarette smoking increase health problems and mortality, their possible combined or interactive influence is less clear. On one hand, the health of low status groups may be harmed least by unhealthy behavior such as smoking because, given the substantial health risks produced by limited resources, they…