This paper traces the history of "The Right Start," discussing differences between the 50 largest cities and the nation overall and differences among states. It highlights eight measures reflecting a healthy start: teen births, repeat teen births, births to unmarried women, births to mothers with low educational attainment, late or no pregnancy…

America's substance abuse epidemic has come to rural America. Adults in small metropolitan and rural areas are just as likely as those in urban America to use and abuse illegal drugs, alcohol, and tobacco. Young teens in small metropolitan and rural areas are more likely to abuse substances than those in large metro areas. Based on a wide variety…

This 34th annual report of national normative data on college freshmen is part of the Cooperative Institutional Research Program's (CIRP) longitudinal study to assess the effects of college on students. Data for this study is based on 261,217 entering students at 462 U.S. two- and four-year colleges and universities, and is statistically adjusted…

This paper compares data on the prevalence of alcohol and other drug use by students in grades 8 and 12 across four sizes of communities. Data from the American Drug and Alcohol Survey (ADAS), administered in approximately 250 communities during the 1992-93 and 1993-94 school years, were analyzed for four community sizes: very small (population…

Performed meta-analysis upon eight California school-based risk reduction programs designed to deter fourth through eighth grade students from the use of tobacco, alcohol, and other drugs. Found that information-focused interventions had more impact upon knowledge but less upon attitudes and behavior whereas alternative interventions had less…

This study examined the extent of implementation of school health education curricula (smoking prevention) in 21 school districts, identifying factors that affected implementation. Middle school teachers received training on curriculum use. Results indicated that larger organizational size, teacher training, and a favorable organizational climate…

The article examines why women and young girls are predisposed to tobacco use, what gender-based variables are at play, what external variables facilitate the initiation of tobacco use, why women continue to smoke, and what intervention strategies can address females and at-risk subgroups. (SM)

Describes Nebraska's experience with a successful prevention program to form and maintain local drug-free youth groups. Over 4,500 youths were involved at a 6-year evaluation. Results showed that the programs attracted a significant number of high-risk youths. Nearly all reported being alcohol and tobacco free in the previous month. (SM)

Associations between exercise and risky behaviors were examined. Runners, walkers, and tennis (RWT) players were less likely to be obese or have risky behaviors than participants in team and other sports, possibly because some team and exercise behaviors are part of riskier lifestyles, whereas RWT are integral to healthy lifestyles. (SM)

Studies alcohol, cigarette, and marijuana use by fourth graders in Washington, DC (n=4,675 in 1988-89 and n=4,678 in 1990-91). Lifetime prevalence of self-reported alcohol use, alcohol use without parental knowledge, and smoking more than a puff of a cigarette declined, although marijuana use and cigarette experimentation did not decline. (SLD)

Investigates group differences in the relationship between stress-coping variables and substance use with urban middle school students. African-American adolescents had the lowest rate of substance use, Hispanics were intermediate, and Whites had the highest rate. The strength of predictive relationships for stress-coping variables was lower for…

Examines the correlates of substance abuse among New Jersey middle school students by employing an epidemiological perspective in which an individual's risk of using cigarettes, alcohol, and drugs is predicted to increase in relation to the amount of vulnerability and/or risk an individual faces. (Author/MKA)

Examined whether computer assisted self-interview (CASI) alcohol, tobacco, and drug use surveys are feasible with 2,296 7th, 9th, and 11th graders in 2 communities. CASI surveys did not increase reported rates of substance abuse, but did improve the speed of data processing and decrease missing data. (SLD)

Surveyed Japanese high school students' health risk behavior patterns, examining clustering and accumulation of health risk behaviors. Physical inactivity and alcohol use were the most common risk behaviors. Prevalence rates for most risk behaviors varied by demographic variables. Smoking, drinking, and sexual intercourse clustered among both…

Examined whether attachments to family and school reduced five forms of adolescent deviance (smoking, drinking, marijuana use, delinquency, and violent behavior). Found that adolescent attachments to family and school reduced overall frequency, prevalence, and intensity of deviant involvement, regardless of community context, gender, or ethnic…