BY PAUL ANDREW BOURNE, M.Sc. (pending); B.Sc.; Dip. Edu.


INTRODUCTION

Drug use among youth is explaining many of their social deviant behaviour. With the widespread availability and enormous variety of drugs, serious implications are placed on the society. Kleber (1994) confirmed that the use and abuse of drugs is a critical issue in most societies and it is associated with social and economic consequences. The desire to pursue this study is based on prevailing concern of the prevalence of substance use among Jamaican adolescents. Substance abuse prevalence among adolescents has sparked widespread concerns that put millions of users at increased risk for ill-health, poor academic performances, delinquency, traffic accidents and illicit sexual practices (Ausuber, 1958; Anderson, 1995; Brill, 1981; Compton, 2005). Substance abuse and misuse has touched all major aspects of society and has regulated the relations between the classes, gender age and races. The purpose of this paper is to find out whether knowledge of the ill-effect of substance use does decrease the prevalence of use among adolescents. Information obtained may serve as a guide in planning programmes for schools in identifying strategies to address and reduce the problem of substance use among youths in schools.

The National Institute on Drugs (2003) reported that, during the last twenty years there has been an immense upsurge in illicit drug use among youths. In response to such problem, the researcher conducted a cross-sectional survey in which data was collected in three corporate area schools to examine whether knowledge of the ill-effects of substances does have an impact on adolescents substances use.

Through this study an insight will be gained into the prevalence level of substance use among youths in Jamaica and other parts of the world (Brill, 1981; Senaj, 1983; Ken-Douglas, 2000; Compton, 2005; Litt, 2005). This study has incorporated materials based on the knowledge and experiences gained by expert researchers on the topic. The information gathered will be used to compare and contrast with data gathered by the researcher in three corporate area schools.

The majority of substance users begin taking drugs at an early age. Early drug use strongly predicts abuse and dependence into adulthood. Patton, McMorris, Toumbourou, Hemphill, Donath and Catalano (2004) confirmed that early substance use among adolescents impacts on the health, leads risky sexual behaviour and intentional and unintentional injuries. Taking drugs while the body is in its developmental stage interrupts the normal maturing process and compounds the dangers posed to the users.

Disheartening though it may seem adolescents continue to exhibit a craving for substances thus subjecting themselves to greater health risks. One may ask the question, why do so many youngsters continue to put themselves at risk? One answer might be cultural. They live in a society that is drug-dependent. Younger children are often unaware of the dangers involved in substance use. When younger children see parents and siblings using substances, they may erroneously perceive that drug taking is a normal acceptable behaviour. Buelow (1995) posited that children from homes in which alcohol or other substances are used are at risk for a wide range of developmental problems. He continued that, family affiliation and relationships are crucial through each stage of the child’s development. Parenting then seems to play a significant role in adolescent substance use.

Board and Feinberg (1995) stated that despite the warnings on the cigarette box that it is harmful to health adults continue to use it to cope with or relieve stress. Adults drink to socialize, stay calm and relax. Coffee is used as a morning stimulant and marijuana is popularized by the Rastafarian religion as medicine. To an extent then, teenager substance use is a mere reflection of adult behaviour. The use of drugs frequently begins in adolescent and very often persists into adulthood which sometimes results in serious negative consequences. Studies have shown that a single dose of a drug can lead to death or permanent injury.

Adolescents use drugs for various reasons. The culture is a part if the reason adolescents get involved in substance use. They see adults smoke and drink to socialize and or relieve stress. The society, which has become modernized, tends to allow adolescents greater latitude for non-conforming behaviour. At times open rejection of authority is tolerated and regarded as a normal part of gaining independence from parents. Adolescents who strive to have a sense of belonging sometimes get involved with both legal and illegal drugs. Unfortunately, they often do not see the link between their actions today and the consequences tomorrow.

Adolescence is frequently regarded as a period of physical and psychological changes. During this period risk taking increases and adolescents tend to explore new behaviours and roles involving risk taking. For most adolescents substance use reflects their curiosity and it is usually a covert behaviour, disguised from parents and authority figures. This makes it extremely necessary for adolescents to be made aware of the facts in drug use. Millions of adolescents are at risk of becoming substance abusers. It therefore means that continuous programmes are needed in our schools for early identification and treatment.

The breath and depth of substance use and abuse by adolescents are indeed daunting. Lerner and Garlambas (1998) noted that the use and abuse of illegal/illicit drugs and other unhealthy substances (example inhalants) by adolescents is extensive. They found that alcohol, cigarette and tobacco were widely used.

It will be expected in this study to achieve the following objectives: To investigate the prevalence level of substance use and abuse of different drugs, to identify the substances being used, to examine the reasons for substance use, its availability and adolescents knowledge of the effect of substance use, to discover when and where the users were introduced to the substances, to examine any relationship to age, gender, socioeconomic status and geographic location to the use of substances and to further expose the dangers involved with substance use.

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REFERENCES


AIHW (2002), 2001 National Drug Strategy Household Survey: Detailed Findings, Drug Statistic Series No. 11, Catalogue No. PHE41, Australian Institute of Health and Welfare, Canberra.

Alcoholism and Drug Abuse Weekly. (n.d). Retrieved from http://www.google.com.jm.search

Anderson, K. (1995). Young People and Alcohol, Drugs and Tobacco. Copenhagen, Denmark: WHO Regional Office for Europe.

Anthony, J. C., & Petronis, K. R. (1995). Early onset drug use and risk of later drug Problems. Drug and Alcohol Dependence, 40 (1), 9-15.

Ausuber, D. P. (1958). Drug addiction; physiological, psychological and sociological aspects. New York: Random House.

Botvin, G.J, and Botvin, E.M. (1992). School-Based and Community-Based Prevention Approaches. In: Substance Abuse: A comprehensive Textbook, 2nd edition. Lowinson, J., Ruiz, P., and Millman, J., (eds). Williams and Wilkin, Baltimore, Maryland, USA. P: 912.

Brook, J. S., Brook, D. W., De La Rosa, M., Whiteman, M., Johnson, E., & Montoya, I. (2001). Adolescent illegal drug use: The impact of personality, family and environmental factors. Journal of Behavioral Medicine, 24 (2), 183-203.

Brill, L. (1981). The clinician treatment of substance abusers. New York: Free Press; London: Collier Macmillan.

Brown University. (2002). Crime Awareness and Campus Security. Retrieved from www.brown.edu/administrations/public_safety/ccr/2002/08.html.

Chevannes, B & White, B. (1981) “Drug Abuse among Youth”. (Unpublished Report Department of Social and Preventative Medicine, University of the West Indies, Mona, Jamaica.

Chevannes, B. (1976). Drug use in Jamaica. (unpublished report prepared for UNESCO).

Compton, W. M. et al. (2005). Charting a course for health services research at he National Institute on Drug abuse. Journal of substance abuse treatment. Retrieved December 2, 2005 from www.scirus. Com/srsapp/search?q+drug+AND abuse &t=all & sss=jnl.

Dunne, M., Yeo, M.A., Keane, J. & Elkins, D.B. (2000), “Substance use by Indigenous and non-Indigenous primary school students”, Australian and New Zealand Journal of Public Health, vol. 24, pp. 546-549.
International centre.


Gormly, A.V. (1997). Lifespan human development. Forth Worth: Harcourt Brace College Publishers.

Johnston, L. D., O’Malley, P. M., & Bachman, J. G. (2001). Monitoring the future: National results on adolescent drug use. Bethesda, MD: The National Institute on Drug Abuse.

__________. (1994). National survey results on drug use from the monitoring Future Study, 1975-1993 [press kit]. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health.

__________. (1991). Contribution of drug epidemiology to the field of drug abuse prevention. National Institute of Drug Abuse, Research Monograph, 107: 45-80.

Josephson, E. & Carroll, E. E. (1974). Drug use: epidemiological and sociological approaches. Washington, DC: Halsted Press.

Kandel, D.B. (1978). Convergence in prospective longitudinal surveys of drug use in normal populations. Cited by: Botvin, G.J., and Botvin, E.M. School-based and community-based approaches. In: Substance Abuse, A Comprehensive Textbook, 2nd edition. Lowinston, J., Ruiz, P., and Millman (eds). Williams and Wilkins, Baltimore.

Kandel, D.B., Yamaguchi, K., and Chen, K. (1992). Stages of progression in drug involvement from adolescence to adulthood: Further evidence for the gateway theory. Journal of Studies on Alcohol, 53, 447-457.

Kandel, D.B., and Yamaguchi, K.(1993). From beer to crack: Development patterns of drug involvement. American Journal of Public Health, 83, 851-855.


Ken-Garfield, D. (2000). Patterns of Substance abuse among post primary students in Jamaica: National adolescent student Drug Survey. Kingston, Jamaica: Planning Institute of Jamaica (PIOJ).

Kleber, H. D. (1992). Clinicians’s guide to cocaine addiction: theory, research and treatment. New York: Guilford Press.

Litt, I. F. (2000). Understanding youth substance abuse: are there barriers? Journal of adolescent Health. Retrieved December 2, 2005 from www.scirus.com/srsapp/search?q+drug+ANDabuse&t+all&sss=jnl.

McBrown, P. (1986). The third sex: the new professional woman. New York: W. Morrow.

Mc Dowell, U., M.S., and Futris, T. (2002). Adolescent at Risk: Illicit Drug Use: Family life Month Packed. Ohio, U.S.A.

Maxwell, D., & Ghodse, H. (1989). Substance abuse and dependence. London: MacMillan: Scientific and Technical.

National Institute Drug Abuse. (2003). Retrieved from http://www.teens.drugabuse.gov.

National Institute on Drug Abuse. (2005). Methamphetamine. National Institute on Health- U.S. Department of Health and Human services. U.S.A.

PAHO. (1993). Tobacco and health: Status in the Americans: A report of the Pan American Healht Organization. Scientific Publication No. 536, Pan American Health Organization. United States:Washington, D.C

Pesina, M.D., & Mann, E. (1996). Gender differences regarding peer influence and attitude toward substance abuse. Journal of Drug Education, 26, 339-347.
proposals. New England Journal of Medicine 330(5): 361-65.

Rienzi, B.N., McMillan, J.D., Dickson, C.L., Crauthers, D., McNeill, K.F., Single. E. (2003).2nd Edition. International Guidelines for Estimating the Costs of Substance Abuse. Geneva. World Health Organization.

Senay, E. (1983). Substance abuse disorders in clinical practice. Boston: J.Wright.
Single. E., (2nd). (2003). International Guidelines for Estimating the Costs of Substance Abuse. Geneva. World Health Organization.

Spooner, C., Mattick, R., & Howard, J. (1996). The nature and treatment of adolescent substance abuse: Final report of the adolescent treatment research project. (NDARC Monograph no. 26). Sydney: National Drug and Alcohol Research Centre.

Spooner, C., Mattick, R., & Howard, J. (1996). The nature and treatment of adolescent substance abuse: Final report of the adolescent treatment research project. (NDARC Monograph no. 26). Sydney: National Drug and Alcohol Research Centre.

Stimmel, B. 1997. Pain and its relief without addiction: Clinical issues in the use of opioids and other analgesics. New York: Haworth Medical Press.

Steven, S.P., & Smith, L.K. (1998). Substance abuse counseling: theory and practice.Upper Saddle River, N.J.: Merrill.

The Mental Health Weekly. (1999). Drugstory/Drugeffects/DrugAbuse and Depression. Retrieved from www.odmhsas.org/drug_effects?drugabuse_depression.asp.

Trebach, A.S. The World Drug Report. (2000). A Review by Arnold S. Trebach. Oxford. University Press. Retrieved from United Nations World Youth Report. (2000).Retrieved from www.un.org/youth.

UNDCP. (1993). Report on the United Nations Intersectoral Drug Control ProgramME in the Region. Presented at the Fourth meeting of the high level group on drugs, CARICOM Secretariat, Trinidad and Tobago, 1993.

United Nations. (1990). Commission on Narcotic Drugs, Report, 1988. Vienna: UN International Centre.

World Youth Report. (2000). New York: United Nations. Retrieved from
www.un.org/youth

United Nations. (1990). Commission on Narcotic Drugs, Report 198: Vienna, UN

WHO. (1982). Nomenclature and classification of drug –and alcohol-related problems: a shortened version of a WHO Mewmorandum. British Journal of Addiction., 77, 3-20.

____. (1974). Expert Committee on Drug Dependence Twentieth Report; Technical Report series NO.551: WHO, Geneva.


____. (1970). The use of cannibis: the report of a scientific group, WHO, Geneva.

World Development Report. (1993). Investing in Health: World Bank, Oxford University Press, New York, U.S.A.

World Health Organization. Report of the external panel on the evaluation of the Swiss Scientific studies of medically prescribed narcotics to drug addicts. 1999. Geneva: World Health Organization.
World Youth Report. (2003). The Global situation of Young People. Washington DC, U.S.A.

Wray, S. R. (1994). Prevalence and Patterns of Substance Abuse: Neurobehaviour and Social Dimension: A 1994 National Survey Report on Substance abuse in Jamaica. Jamaica: Kingston Neuroscience Adolescent Development and drugs.www.radicalparty.org/antiprohibition/Review_drug_report_trebach.htm.

Yamaguchi, K., and Kandel, D.B. (1984). Patterns of drug use from adolescence to young adulthood: III. Predictors of progression. American Journal of Public Health, 74,673-681.

Youth Risk Behavior Surveillance –United States, 1995. MMWR: 45 (NO. SS-4), 1-86, 1996.
Youth Risk Behavior Surveillance System (YRBSS). (1995). Centers for Disease Control and Prevention, Atlanta, Georgia.

Zavala, S. K., et al. (2005). Guidelines and challenges for estimating the economic costs and benefits of adolescent substance abuse treatment. Journal of Substance abuse treatment. Retrieved December 2, 2005 from www.scirus.com/srsapp/search?q+substance+AND+abuse&t+all&sss=jnl.



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