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    • Preventing and delaying AOD uptake by young people

    High school-aged young people are at a critical stage of development. There are concerns that a person who uses alcohol and other drugs (AOD) during this stage, may experience significant AOD harms in the future.

    Delaying uptake as long as possible can help to reduce harms.

    This in-depth Research Paper explores the evidence underpinning different interventions, programs and campaigns and describes strategies to prevent and delay AOD use by 12-17 year-olds.

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    Resource: Preventing and delaying AOD uptake by young people

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    Domains of influence

    There are many interconnected domains in a young person’s life - family, social activities, and school. All of these domains influence behaviours.

    Understanding the risk factors and the protective factors related to AOD harms within each domain, and how they can be influenced, is crucial to ensure health and wellbeing in young people is optimised.

    Learn more about the domains of influence

    Models of prevention of AOD harm

    Several international models that recognise the complexity of the factors that influence AOD use among young people have been developed. Two well-known models are the Plant Youth Icelandic Prevention model and the Communities That Care model.

    Both models group the factors into a number of domains, influenced by the broader environment.

    Learn more about the models of prevention

    Evidence

    Interventions that seek to prevent or delay AOD use among young people focus on strengthening protective factors in each of the domains of influence and the broader environment.

    Explore at the evidence for interventions in each domain

    Adolescence is a complex time of growth, development, new influences, expanding boundaries and personal discovery for young people.

    It is also a time of vulnerability and a time when evidence-based interventions to prevent and reduce the harms associated with alcohol and other drug use may have the greatest impact.

    By identifying and addressing risk and protective factors for young people, AOD workers, families, schools and communities can work to reduce AOD harm and early uptake.

    Some factors, such as the availability of alcohol within a community, ease of access, promotion of alcohol through advertising, sponsorships and social media will continue to create challenges. New initiatives, resources and further research will be required to identify effective approaches to counteract their negative influence in the future.

    1. Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. The Lancet. 2013;382(9904):1575-86.
    2. Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C, et al. Global burden of disease in young people aged 10–24 years: a systematic analysis. The Lancet. 2011;377(9783):2093-102.
    3. Patel V, Chisholm D, Parikh R, Charlson FJ, Degenhardt L, Dua T, et al. Addressing the burden of mental, neurological, and substance use disorders: key messages from Disease Control Priorities, 3rd edition. The Lancet. 2016;387(10028):1672-85.
    4. Hunt S, Kay-Lambkin F, Simmons M, Thornton L, Slade T, Killackey E, et al. Evidence for the effectiveness of peer-led education for at risk youth: an Evidence Check rapid review. Sax Institute; 2016.
    5. Snijder M, Stockings E, Munro A, Barrett E, Knight A, Doyle M, et al. Alcohol and other drugs prevention in vulnerable young people. Sax Institute; 2018.
    6. Guerin N, White V. ASSAD 2017 Statistics & trends: Australian secondary students' use of tobacco, alcohol, over-the-counter drugs, and illicit substances. Melbourne: Cancer Council Victoria; 2018.
    7. Kristjansson AL, Sigfusdottir ID, Thorlindsson T, Mann MJ, Sigfusson J, Allegrante JP. Population trends in smoking, alcohol use and primary prevention variables among adolescents in Iceland, 1997–2014. Addiction. 2016;111(4):645-52.
    8. Kristjansson AL, Mann MJ, Sigfusson J, Thorisdottir IE, Allegrante JP, Sigfusdottir ID. Development and guiding principles of the Icelandic model for preventing adolescent substance use. Health promotion practice. 2019.
    9. Communities That Care. Risk and protective factors: Communities That Care [cited 2019 24/10/2019].
    10. Hawkins JD, Catalano RF, Arthur MW, Egan E, Brown EC, Abbott RD, et al. Testing communities that care: The rationale, design and behavioral baseline equivalence of the community youth development study. Prevention Science. 2008;9(3):178.
    11. MacArthur GJ, Harrison S, Caldwell DM, Hickman M, Campbell R. Peer-led interventions to prevent tobacco, alcohol and/or drug use among young people aged 11-21 years: a systematic review and meta-analysis. Addiction. 2016;111(3):391-407.
    12. Yap MBH, Cheong TWK, Zaravinos-Tsakos F, Lubman DI, Jorm AF. Modifiable parenting factors associated with adolescent alcohol misuse: a systematic review and meta-analysis of longitudinal studies. Addiction. 2017;112(7):1142-62.
    13. Toumbourou JW, Rowland B, Ghayour-Minaie M, Sherker S, Patton GC, Williams JW. Student survey trends in reported alcohol use and influencing factors in Australia. Drug and Alcohol Review. 2018;37(S1):S58-S66.
    14. Ryan S, Jorm A, Lubman D. Parenting factors associated with reduced adolescent alcohol use: A systematic review of longitudinal studies. Australian and New Zealand Journal of Psychiatry. 2010;44(9).
    15. Palermo MW, C. Bienenstock, R. Stop the supply campaign: survey report 2015-2016. . 2016.
    16. Communities That Care. Social marketing and community mobilisation to reduce alcohol-related harms [cited 2019 24/10/2019].
    17. Thomas RE, Lorenzetti D, Spragins W. Mentoring adolescents to prevent drug and alcohol use. Cochrane Database of Systematic Reviews. 2011(11).
    18. Tolan PH, Henry DB, Schoeny MS, Lovegrove P, Nichols E. Mentoring Programs to Affect Delinquency and Associated Outcomes of Youth At- Risk: A Comprehensive Meta-Analytic Review. J Exp Criminol. 2014;10(2):179-206.
    19. Blaber D, Glazebrook D. A guide to effective practice for mentoring young people. State of Victoria; 2006.
    20. Youth Mentoring Hub.Youth mentoring resources
    21. Gilligan C, Wolfenden L, Foxcroft DR. Family based prevention programmes for alcohol use in young people. Cochrane Database of Systematic Reviews Issue 3.; 2019.
    22. Carver H, Elliott L, Kennedy C, Hanley J. Parent– child connectedness and communication in relation to alcohol, tobacco and drug use in adolescence: An integrative review of the literature. Drugs: Education, Prevention and Policy. 2017;24(2):119-33.
    23. Petrie J, Bunn F, Byrne G. Parenting programmes for preventing tobacco, alcohol or drugs misuse in children <18: a systematic review. Health Education Research. 2006;22(2):177-91.
    24. Patton G, Sawyer S, Santelli J, Ross D, Afifi R, Allen N, et al. Our future: a Lancet commission on adolescent health and wellbeing. 2016;387. 25. Kumpfer KL, Pinyuchon M, de Melo AT, Whiteside HO. Cultural adaptation process for international dissemination of the Strengthening Families Program. Evaluation & the health professions. 2008;31(2):226-39.
    25. Molgaard V, Spoth R. Strengthening Family Program for Young Adolescents: Overview and Outcomes. Residential Treatment for Adolescents and Youth. 2001;18(3):15-29.
    26. Gorman DM. The decline effect in evaluations of the impact of the Strengthening Families Program for Youth 10-14 (SFP 10-14) on adolescent substance use. Children and Youth Services Review. 2017;81:29- 39.
    27. Burn M, Lewis A, McDonald L, Toumbourou J. An Australian Adaptation of the Strengthening Families Program: Parent and Child Mental Health Outcomes from a Pilot Study. Australian Psychologist. 2019.
    28. Reykjavik Co. The Leisure Card
    29. Kwan M, Bobko S, Faulkner G, Donnelly P, Cairney J. Sport participation and alcohol and illicit drug use in adolescents and young adults: A systematic review of longitudinal studies. Addictive behaviors. 2013;39.
    30. Thorlindsson T, Bjarnason T, Sigfusdottir ID. Individual and community processes of social closure: a study of adolescent academic achievement and alcohol use. Acta sociologica. 2007;50(2):161-78.
    31. Langford R, Bonell C, Jones H, Pouliou T, Murphy S, Waters E, et al. The World Health Organization’s health promoting schools framework: a Cochrane systematic review and meta-analysis. BMC Public Health. 2015;15(1):130.
    32. Fletcher A, Bonell C, Hargreaves J. School effects on young people’s drug use: a systematic review of intervention and observational studies. Journal of Adolescent Health. 2008;42(3):209-20.
    33. Teeson M, Newton NC, Barrett EL. Australian schoolbased prevention program for alcohol and other drugs; A systematic review. 2012;31.
    34. Foxcroft D, Tsertsvadze, A. Universal multicomponent prevention programs for alcohol misuse in young people. . 2011(9).
    35. G H. The social impact of Life Education: Estimating drug use prevalence among Victorian primary school students and the state wide effect of the Life Education program, . 1996;91.
    36. G H, Garrard J, Dunt D. Does Life Education's drug education programme have a public health benefit? 1995;90.
    37. Vogl L TM, Andrews G, Bird K, Steadman B, Dillon P:. A computerized harm minimization prevention program for alcohol misuse and related harms: randomized controlled trial. . 2009;104(4).
    38. Champion K, Newton N, Teesson M. Prevention of alcohol and other drug use and related harm in the digial age: what does the evidence tell us? Current Opinion in Psychiatry. 2016:242-9.
    39. Newton NC, Andrews, G., Teesson, M. and Champion, K. Universal internet-based prevention for alcohol and cannabis use reduces truancy, psychological distress and moral disengagement: a cluster randomised controlled trial. . 2014;65.
    40. Midford R. MJ, Lester, L., Cahill, H. Foxcroft D., Ramsden, R., Venning, L., Pose M. Preventing= alcohol harm: Early results from a cluster randomised, controlled trial in Victoria, Australia of comprehensive harm minimisation school drug education. 2014;25.
    41. Newton NC, Conrod PJ, Slade T, Carragher N, Champion KE, Barrett EL, et al. The long-term effectiveness of a selective, personality-targeted prevention program in reducing alcohol use and related harms: a cluster randomized controlled trial. Journal of Child Psychology and Psychiatry. 2016;57(9):1056-65.
    42. Mahu IT, Doucet C, O'Leary-Barrett M, Conrod PJ. Can cannabis use be prevented by targeting personality risk in schools? Twenty-four-month outcome of the adventure trial on cannabis use: a cluster-randomized controlled trial. Addiction. 2015;110(10):1625-33.
    43. EMCDDA. Can mass media campaigns prevent young people from using drugs? ; 2013.
    44. Ferri M, Allara E, Bo A, Gasparrini A, Faggiano F. Media campaigns for the prevention of illicit drug use in young people. Cochrane Database of Systematic Reviews. 2013(6).
    45. Wakefield MA, Loken B, Hornik RC. Use of mass media campaigns to change health behaviour. The Lancet. 2010;376(9748):1261-71.
    46. Young B, Lewis S, Katikireddi SV, Bauld L, Stead M, Angus K, et al. Effectiveness of mass media campaigns to reduce alcohol consumption and
    47. harm: a systematic review. Alcohol and alcoholism. 2018;53(3):302-16.
    48. Alcohol TA. Parents, Young People and Alcohol 'Cogs' Under 18. No Alcohol. The Safest Choice nd
    49. Allara E, Ferri M, Bo A, Gasparrini A, Faggiano F. Are mass-media campaigns effective in preventing drug use? A Cochrane systematic review and metaanalysis. BMJ open. 2015;5(9):e007449.
    50. Gruenewald PJ. Regulating availability: how access to alcohol affects drinking and problems in youth and adults. Alcohol Res Health. 2011;34(2):248-56.
    51. Livingston MW, C. Room, R. Community impact of liquor licences: an Evidence Check rapid review brokered by the Sax Institute for the NSW Ministry of Health. . 2015.
    52. Rowland B, Toumbourou JW, Satyen L, Tooley G, Hall J, Livingston M, et al. Associations between alcohol outlet densities and adolescent alcohol consumption: A study in Australian students. Addictive Behaviors. 2014;39(1):282-8.
    53. Fletcher L, Toomey T, Wagenaar A, Short B, Willenbring M. Alcohol home delivery services: a source of alcohol for underage drinkers. Journal of Studies on Alcohol and Drugs. 2000;61(1):81-4.
    54. Van Hoof J, Van Den Wildenberg E, De Bruijn D. Compliance with legal age restrictions on adolescent alcohol sales for alcohol home delivery services (AHDS). Journal of Child and Adolscent Substance Abuse. 2014;23(6):359-61.
    55. Williams R, Ribisl K. Internet sales to minors. Archives of Pediatrics and Adolescent Medicine. 2012;166(9):808-13.
    56. Mojica-Perez YC, S. Livingston, M. Alcohol home delivery services: an investigation of use and risk. Centre for Alcohol Policy Research (CAPR) and Foundation for Alcohol Research and Education (FARE). 2019.
    57. Communities That Care. Reducing access to alcohol for young people under age 18 [cited 2019 24/10].
    58. Scribner R, Cohen D. The Effect of Enforcement on Merchant Compliance with the Minimum Legal Drinking Age Law. Journal of Drug Issues. 2001;31(4):857-66.
    59. World Health Organization. Global strategy to reduce the harmful use of alcohol. Italy; 2010.
    60. World Health Organization Regional Office for Europe. European status report on alcohol and health 2014: Pricing policies. 2014.
    61. Babor T, Caetano R, Casswell S, Edwards G, Giesbrecht N, Graham K, et al. Alcohol: no ordinary commodity: research and public policy. Rev Bras Psiquiatr. 2010;26(4):280-3.
    62. Wall M, Casswell S, Yeh LC. Purchases by heavier drinking young people concentrated in lower priced beverages: Implications for policy. Drug and alcohol review. 2017;36(3):352-8.
    63. Cousins G, Mongan D, Barry J, Smyth B, Rackard M, Long J. Potential impact of minimum unit pricing for alcohol in Ireland: evidence from the national alcohol diary survey. Alcohol and Alcoholism. 2016;51(6):734-40.
    64. Gill J, Black H, Rush R, O’May F, Chick J. Heavy drinkers and the potential impact of minimum unit pricing—no single or simple effect? Alcohol and alcoholism. 2017;52(6):722-9.
    65. Jernigan D, Noel J, Landon J, Thornton N, Lobstein T.Alcohol marketing and youth alcohol consumption:a systematic review of longitudinal studies published since 2008. Addiction. 2017;112:7-20.
    66. Morgenstern M, Isensee B, Sargent JD, HanewinkelR. Attitudes as mediators of the longitudinal association between alcohol advertising and youth drinking. Archives of pediatrics & adolescent medicine. 2011;165(7):610-6.
    67. Fleming K, Thorson E, Atkin CK. Alcohol advertising exposure and perceptions: links with alcohol expectancies and intentions to drink or drinking in underaged youth and young adults. Journal of health communication. 2004;9(1):3-29.
    68. Association AM. Alcohol marketing and young people: time for a new policy agenda. ACT; 2012.
    69. Anderson P, De Bruijn A, Angus K, Gordon R, Hastings G. Impact of alcohol advertising and media exposure on adolescent alcohol use: a systematic review of longitudinal studies. Alcohol and alcoholism. 2009;44(3):229-43.
    70. Curtis BL, Lookatch SJ, Ramo DE, McKay JR, Feinn RS, Kranzler HR. Meta‐analysis of the association of alcohol‐related social media use with alcohol consumption and alcohol‐related problems in adolescents and young adults. Alcoholism: Clinical and Experimental Research. 2018;42(6):978-86.
    71. Kelly S. Sponsorship activation in Esports: a content analysis of alcohol, energy drinks, junk food and gambling category sponsorship. Canberra; 2019.
    72. Jones SC. When does alcohol sponsorship of sport become sports sponsorship of alcohol? A case study of developments in sport in Australia. 2010.
    73. Hurtz SQ, Henriksen L, Wang Y, Feighery EC, Fortmann SP. The relationship between exposure to alcohol advertising in stores, owning alcohol promotional items, and adolescent alcohol use. Alcohol and alcoholism. 2007;42(2):143-9.
    74. Education FARE. Annual alcohol poll 2018. 2018.

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    Last updated: 25 Nov 2022