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  <title>RAND Research Topic: Underage Substance Use Prevention</title>
  <link rel="self" href="https://www.rand.org/topics/underage-substance-use-prevention.xml"/>
  <updated>2021-06-02T07:58:35Z</updated>
  <link rel="alternate" type="text/html" hreflang="en" href="https://www.rand.org/topics/underage-substance-use-prevention.html" />
  <rights>Copyright (c) 2021, The RAND Corporation</rights>
  <author>
    <name>RAND Corporation</name>
  </author>
  <id>https://www.rand.org/topics/underage-substance-use-prevention.html</id>
 <entry>
  <title type="html">What Do We Know About the Health and Well-Being of U.S. Service Members?</title>
  <author>
   	<name>RAND Corporation</name>
  </author>  
  <id>https://www.rand.org/nsrd/projects/hrbs.html</id>
  <published>2021-04-28T07:00:00Z</published>
  <updated>2021-04-28T07:00:00Z</updated>
  <summary type="html">RAND experts have analyzed data from the Department of Defense&apos;s flagship survey for understanding the health, health behaviors, and well-being of service members. The results provide valuable insights across various health-related topics and about personnel by service branch.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/nsrd/projects/hrbs.html" />
  </entry>
 <entry>
  <title type="html">Sustaining an Evidence-Based Program Over Time</title>
  <author>
   	<name>Joie D. Acosta; Matthew Chinman; Patricia A. Ebener; Patrick S. Malone; Jill S. Cannon; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68421.html</id>
  <published>2021-01-05T05:15:00Z</published>
  <updated>2021-01-05T05:15:00Z</updated>
  <summary type="html">This randomized controlled trial advances the literature by testing the effects of Getting To Outcomes, an after-school evidence-based program for preventing substance use among middle-school students.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68421.html" />
  </entry>
 <entry>
  <title type="html">Cost Analysis of a Randomized Trial of Getting to Outcomes Implementation Support of CHOICE in Boys and Girls Clubs in Southern California</title>
  <author>
   	<name>Patricia M. Herman; Matthew Chinman; Jill S. Cannon; Patricia A. Ebener; Patrick S. Malone; Joie D. Acosta; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68110.html</id>
  <published>2020-03-11T06:45:00Z</published>
  <updated>2020-03-11T06:45:00Z</updated>
  <summary type="html">This study estimates the societal costs of implementing CHOICE, a voluntary after-school alcohol and other drug prevention program for adolescents, in Boys and Girls Clubs across Southern California with and without an implementation support system called Getting To Outcomes.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68110.html" />
  </entry>
 <entry>
  <title type="html">Advancing LGBTQ Health Equity Via Human-Centered Design</title>
  <author>
   	<name>Robert W. Coulter; Daniel Siconolfi; James E. Egan; Carla D. Chugani</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68069.html</id>
  <published>2020-02-04T06:15:00Z</published>
  <updated>2020-02-04T06:15:00Z</updated>
  <summary type="html">Human-centered design (HCD; also known as user-centered design) is well-suited to advance the field of substance use prevention interventions for LGBTQ youths by designing interventions that simultaneously target several the complex, multilevel factors that drive health disparities.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68069.html" />
  </entry>
 <entry>
  <title type="html">New Curriculum Offered to Teach Opioid Risks to Middle School Students</title>
  <author>
   	<name>RAND Corporation</name>
  </author>  
  <id>https://www.rand.org/news/press/2018/09/24.html</id>
  <published>2018-09-24T08:01:00Z</published>
  <updated>2018-09-24T08:01:00Z</updated>
  <summary type="html">A new and free science-based curriculum designed to teach adolescents about the risks of opioids has been released by Project ALERT, a national evidence-based drug education program created and managed by RAND.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/news/press/2018/09/24.html" />
  </entry>
 <entry>
  <title type="html">Planting the Seed for Marijuana Use</title>
  <author>
   	<name>Elizabeth J. D&apos;Amico; Anthony Rodriguez; Joan S. Tucker; Eric R. Pedersen; Regina A. Shih</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67625.html</id>
  <published>2018-06-20T09:00:00Z</published>
  <updated>2018-06-20T09:00:00Z</updated>
  <summary type="html">Regulations on medical marijuana (MM) advertising&amp;mdash;similar to those for tobacco and alcohol&amp;mdash;may mitigate negative consequences of MM on adolescents.&amp;nbsp;</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67625.html" />
  </entry>
 <entry>
  <title type="html">Tobacco Smoking and Antisocial Deviance Among Vietnamese, Vietnamese-American, and European-American Adolescents</title>
  <author>
   	<name>Bahr Weiss; Tam Nguyen; Lam T. Trung; Victoria K. Ngo; Anna S. Lau</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67609.html</id>
  <published>2018-05-22T09:00:00Z</published>
  <updated>2018-05-22T09:00:00Z</updated>
  <summary type="html">Culturally-tailored smoking prevention programs that focus on different aspects of antisocial deviance -- e.g., risk taking vs rule breaking -- may help reduce teen smoking rates.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67609.html" />
  </entry>
 <entry>
  <title type="html">Predictors of Retention in an Alcohol and Risky Sex Prevention Program for Homeless Young Adults</title>
  <author>
   	<name>Eric R. Pedersen; Brett Ewing; Elizabeth J. D&apos;Amico; Jeremy N. V. Miles; Ann C. Haas; Joan S. Tucker</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67543.html</id>
  <published>2018-04-03T09:00:00Z</published>
  <updated>2018-04-03T09:00:00Z</updated>
  <summary type="html">Homeless young adults were less likely to complete an alcohol and other drug and risky sex prevention program if they had slept outside or received the program in an urban setting.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67543.html" />
  </entry>
 <entry>
  <title type="html">Showing Adolescents Graphic Anti-Smoking Posters May Encourage Some to Try Smoking</title>
  <author>
   	<name>RAND Corporation</name>
  </author>  
  <id>https://www.rand.org/news/press/2017/12/13.html</id>
  <published>2017-12-13T16:00:00Z</published>
  <updated>2017-12-13T16:00:00Z</updated>
  <summary type="html">Exposing teens to graphic anti-smoking posters may actually increase the risk that some start smoking. Some teens who viewed a poster depicting gruesome displays of smoking-caused diseases actually reported being more susceptible to cigarette smoking after viewing the displays during a shopping trip.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/news/press/2017/12/13.html" />
  </entry>
 <entry>
  <title type="html">Showing Adolescents Graphic Anti-Smoking Posters May Encourage Some to Try Smoking</title>
  <author>
   	<name>William G. Shadel; Steven C. Martino; Claude Messan Setodji; Michael Stephen Dunbar; Daniela Kusuke; Serafina Lanna; Amanda Meyer</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67489.html</id>
  <published>2017-12-13T16:00:00Z</published>
  <updated>2017-12-13T16:00:00Z</updated>
  <summary type="html">Exposing teens to graphic anti-smoking posters may actually increase the risk that some start smoking. Some teens who viewed a poster depicting gruesome displays of smoking-caused diseases actually reported being more susceptible to cigarette smoking after viewing the displays during a shopping trip.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67489.html" />
  </entry>
 <entry>
  <title type="html">Medical Marijuana and Marijuana Legalization</title>
  <author>
   	<name>Rosalie Liccardo Pacula; Rosanna Smart</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67168.html</id>
  <published>2017-05-31T12:00:00Z</published>
  <updated>2017-05-31T12:00:00Z</updated>
  <summary type="html">State actions to relax marijuana policies vary substantially, making it difficult to compare policies and draw conclusions about user and market reactions.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67168.html" />
  </entry>
 <entry>
  <title type="html">Recreational Cannabis</title>
  <author>
   	<name>Beau Kilmer</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67070.html</id>
  <published>2017-03-28T09:00:00Z</published>
  <updated>2017-03-28T09:00:00Z</updated>
  <summary type="html">Legalizing recreational use of marijuana comes with a host of policy decisions, including how to regulate the supply, pricing, and access to the drug, and how to approach public health messaging on substance abuse prevention.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67070.html" />
  </entry>
 <entry>
  <title type="html">Developing Adaptive Interventions for Adolescent Substance Use Treatment Settings</title>
  <author>
   	<name>Sean Grant; Denis Agniel; Daniel Almirall; Q. Burkhart; Sarah B. Hunter; Daniel F. McCaffrey; Eric R. Pedersen; Rajeev Ramchand; Beth Ann Griffin</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67481.html</id>
  <published>2017-02-08T10:30:00Z</published>
  <updated>2017-02-08T10:30:00Z</updated>
  <summary type="html">Adaptive interventions (AIs) - sequences of decision rules for altering treatment based on an individual&apos;s needs - would benefit substance abuse treatment for adolescents.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67481.html" />
  </entry>
 <entry>
  <title type="html">The Role of Perceived Injunctive Alcohol Norms in Adolescent Drinking Behavior</title>
  <author>
   	<name>Eric R. Pedersen; Karen Chan Osilla; Jeremy N. V. Miles; Joan S. Tucker; Brett Ewing; Regina A. Shih; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP66781.html</id>
  <published>2017-01-25T09:00:00Z</published>
  <updated>2017-01-25T09:00:00Z</updated>
  <summary type="html">Perceived injunctive norms (i.e., what behaviors peers find acceptable) should be targeted in prevention programs with youth because these perceptions are associated with multiple drinking outcomes, such as heavy drinking.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66781.html" />
  </entry>
 <entry>
  <title type="html">Toward Evidence-Based Measures of Implementation</title>
  <author>
   	<name>Bryan R. Garner; Sarah B. Hunter; Beth Ann Griffin; Susan H. Godley</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP66485.html</id>
  <published>2016-05-25T12:30:00Z</published>
  <updated>2016-05-25T12:30:00Z</updated>
  <summary type="html">The number of discrete procedures implemented in this evidence-based practice for adolescent substance use is associated with better client outcomes.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66485.html" />
  </entry>
 <entry>
  <title type="html">Southern California Middle School Students Exposed to More Than Three Alcohol Ads Each Day</title>
  <author>
   	<name>Rebecca L. Collins; Steven C. Martino; Stephanie Ann Kovalchik; Kirsten Becker; William G. Shadel; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP66489.html</id>
  <published>2016-05-17T00:15:00Z</published>
  <updated>2016-05-17T00:15:00Z</updated>
  <summary type="html">African American and Hispanic youths are exposed to an average of 4.1 and 3.4 alcohol ads per day respectively, while white youths are exposed to an average of two ads per day. Greater restrictions on alcohol advertising outdoors and on television should be considered.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66489.html" />
  </entry>
 <entry>
  <title type="html">Southern California Middle School Students Exposed to More Than Three Alcohol Ads Each Day</title>
  <author>
   	<name>RAND Corporation</name>
  </author>  
  <id>https://www.rand.org/news/press/2016/05/17/index1.html</id>
  <published>2016-05-17T00:01:00Z</published>
  <updated>2016-05-17T00:01:00Z</updated>
  <summary type="html">African American and Hispanic youths are exposed to an average of 4.1 and 3.4 alcohol ads per day respectively, while white youths are exposed to an average of two ads per day. Greater restrictions on alcohol advertising outdoors and on television should be considered.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/news/press/2016/05/17/index1.html" />
  </entry>
 <entry>
  <title type="html">Adoption, Training, and Implementation of the Project ALERT Drug Prevention Program in Chile</title>
  <author>
   	<name>Pamela J. Luna; Eric R. Pedersen; Stefanie Howard</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP66344.html</id>
  <published>2016-02-19T08:00:00Z</published>
  <updated>2016-02-19T08:00:00Z</updated>
  <summary type="html">This study explored the process of adoption and implementation of a school-based drug and alcohol prevention program, Project ALERT, in the country of Chile.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66344.html" />
  </entry>
 <entry>
  <title type="html">Grit</title>
  <author>
   	<name>Lourdes R. Guerrero; Rebecca N. Dudovitz; Paul J. Chung; Kulwant K. Dosanjh; Mitchell D. Wong</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP66302.html</id>
  <published>2016-02-02T12:00:00Z</published>
  <updated>2016-02-02T12:00:00Z</updated>
  <summary type="html">We analyzed baseline survey data collected in 2013-2014 from a sample of 1,270 9th graders in low-income neighborhoods of Los Angeles and examined factors associated with grit.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66302.html" />
  </entry>
 <entry>
  <title type="html">Can Big Tobacco&apos;s Power Wall Be Breached?</title>
  <author>
   	<name>William G. Shadel; Steven C. Martino; Claude Messan Setodji; Deborah M. Scharf; Daniela Kusuke; Angela Sicker; Min Gong</name>
  </author>  
  <id>https://www.rand.org/pubs/research_briefs/RB9879.html</id>
  <published>2015-12-09T05:15:00Z</published>
  <updated>2015-12-09T05:15:00Z</updated>
  <summary type="html">Adolescents who shopped in a store in which the tobacco-promoting &quot;power wall&quot; was hidden were about half as likely to report that they would smoke in the future, compared with those whose shopping experience included a power wall behind the cashier.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/research_briefs/RB9879.html" />
  </entry>
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