Parents & Prevention Delaying Initiation and Reducing Teen - - PowerPoint PPT Presentation

Parents & Prevention Delaying Initiation and Reducing Teen Marijuana Use

Symposium on Legal Marijuana in Washington: Shaping a Research Agenda, November, 2013 Rick Kosterman, Kevin P. Haggerty, Jennifer A. Bailey, Richard F. Catalano, and J. David Hawkins Social Development Research Group

1

Parents & Prevention

• f Teen Marijuana Use

Four Takeaways:  Prevention should start early  Important risk factors will likely increase  Parents need information & tools  Public health campaign is overdue & should start now

2

Parents & Prevention

• f Teen Marijuana Use

Prevention should start early

pubs.niaaa.nih.gov

3

Prevention Should Start Early

 Early initiation is strongly associated with negative outcomes  Extensive research on alcohol & tobacco shows that early initiation is a key mechanism for later problems  Early initiation is an effective focus of public health campaigns

4

Prevention Should Start Early

Source: SAMHSA, 2000 National Household Survey on Drug Abuse (NHSDA).

7.2% 2.7% 1.3% 0% 2% 4% 6% 8% 14 or younger 15 to 17 18 or older

Age of Marijuana Initiation Adults Reporting Illicit Drug Dependence in Past Year

 Research on marijuana also points to risks of early initiation

5

Parents & Prevention

• f Teen Marijuana Use

Important risk factors will likely increase

• www. fastcompany.com

6

Important Risk Factors Will Likely Increase

 Legal availability and favorable norms have increased  Parent and peer marijuana use may increase

7

Perceived Harm is Related to Teen Use

Source: Adapted by CESAR from University of Michigan, “The Rise in Teen Marijuana Use Stalls, Synthetic Marijuana Use Levels, and Use of ‘Bath Salts’ Is Very Low,” Monitoring the Future Drug and Alcohol Press Release: Text, Figures, & Tables, December 19, 2012; and Institute for Behavior and Health (IBH), “National Youth Survey Shows Five-Year Increases in Marijuana Use,” IBH Commentary, December 28, 2012.

U.S. Twelfth Graders Reporting Perceived “Great Risk

• f Harm” and Marijuana Use in Past Month, 1975-2012

1 9 7 6 1 9 7 8 1 9 8 1 9 8 2 1 9 8 4 1 9 8 6 1 9 8 8 1 9 9 1 9 9 2 1 9 9 4 1 9 9 6 1 9 9 8 2 2 2 2 4 2 6 2 8 2 1 2 1 2 0% 20% 40% 60% 80% 100% Perceived Great Risk of Harm from Regular Use Used in Past Month

???

8

HYS is Essential Research & Policy Tool

 Our state’s Healthy Youth Survey will track availability, norms, & use among teens, pre- and post-legalization  HYS will be of great value to the nation to document changes after marijuana legalization  I-502 funds HYS … the state should keep this going

9

Parents & Prevention

• f Teen Marijuana Use

Parents need information & tools

childdevelopmentinfo.com

10

Parents are Essential to Prevention

 Parents are an important influence on their children’s drug use through high school  Parents can influence their children through their…  Knowledge of the legal age limit  Norms about marijuana use  Parenting practices

11

Do Parents Know the Legal Age for Use?

N=115. Source: Mason et al., 2013.

29% 2% 57% 8% 4% 0% 20% 40% 60% 80% 100% 18 19 21 25 Don't know

What is the legal age limit for marijuana use? Nonrepresentative sample of parents of Tacoma 10th graders

12

 Based on HYS: Children who perceive their parents as having favorable attitudes toward drug use were…  5 times more likely to have tried marijuana by 8th grade  6 times more likely to be a frequent user by 10th grade

Parent Norms are an Important Risk Factor

Source: Washington State Division of Behavioral Health and Recovery, 2013

13

Parenting Practices are an Important Risk Factor

Source: Washington State Division of Behavioral Health and Recovery, 2013

 Based on HYS: Children in families with poor family management (unclear expectations, poor monitoring, inconsistent discipline) were…  3 times more likely to be a frequent marijuana user by 10th grade

14

Are Parents Discussing the Law with Their Children?

N=115. Source: Mason et al., 2013.

70% 36% 51% 0% 20% 40% 60% 80% Any discussion What is legal and illegal Household rules about marijuana

Nonrepresentative sample of parents

• f Tacoma 10th graders

What issues did you discuss?

15

Parents need to…  Know the law  Know that risk of teen use will likely increase  Know the best tools to talk with their children…

 Set marijuana expectations, monitor & reinforce them

What Parents Need Now

16

Parents & Prevention

• f Teen Marijuana Use

Public health campaign is

• verdue & should start now

informationcentral0.tripod.com

17

 Engage opinion leaders to disseminate a few simple messages  Governor, Physicians, Clergy, School Staff

 Know legal limits on marijuana use

 Early use is a risk factor for later problems  Parents should set expectations for underage marijuana use

Public Health Campaign is Overdue & Should Start Now

18

 Get parents resources & programs  Broad dissemination of prevention messages & resources  (TV, Radio, Internet … link to ADAI)  Make effective parenting programs available  Engage opinion leaders to promote attendance at parenting programs

What We Need To Do in 2014

19

Parents & Prevention

• f Teen Marijuana Use

Four Takeaways:  Prevention should start early  Important risk factors will likely increase  Parents need information & tools  Public health campaign is overdue & should start now

20