Comparisons of alcohol and other drug problems among Minnesota adolescents in 1989 and 1992
P. A. Harrison and M. G. Luxenberg
Minnesota Department of Human Services, St Paul.
OBJECTIVES: To measure alcohol and other drug use patterns, adverse
consequences of substance use, other high-risk behaviors, and their
personal and environmental correlates. DESIGN AND SUBJECTS: The survey was
administered in 1989 and 1992 to Minnesota public school students in grades
6, 9, and 12. A comparison sample of school districts that participated in
both years consisted of 81% of the state's school districts. District
samples were weighted to reflect the proportion of actual enrollment by
grade among participating districts. RESULTS: Although alcohol and other
drug use declined markedly during the 3-year period studied, the proportion
of students who reported at least three adverse consequences of their use
was identical in 1989 and 1992: 1% of sixth graders, 7% of ninth graders,
and 16% of 12th graders. Alcohol was the primary substance of abuse among
students, regardless of age or level of substance involvement. The students
with three or more adverse consequences of substance use were defined as
"problem users" and compared with other students their age. The most
commonly reported consequences of use were tolerance, blackouts, violence,
and school or job absenteeism. The problem users were approximately two to
seven times more likely to report parental alcohol or other drug problems,
physical abuse, and sexual abuse than were students their age with fewer
consequences or no history of use. They were also two to 15 times more
likely than other students to report such correlates as low self-esteem,
emotional distress, antisocial behavior, and suicide attempts. The greatest
differences were seen among the youngest students. CONCLUSION: Primary
health care workers, social service providers, educators, and other
front-line personnel who have contact with youths outside the home need to
recognize and respond to behavioral and emotional indicators of risk among
adolescents.
