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  <title>RAND Research Topic: Underage Substance Use</title>
  <link rel="self" href="https://www.rand.org/topics/underage-substance-use.xml"/>
  <updated>2021-06-17T10:49:32Z</updated>
  <link rel="alternate" type="text/html" hreflang="en" href="https://www.rand.org/topics/underage-substance-use.html" />
  <rights>Copyright (c) 2021, The RAND Corporation</rights>
  <author>
    <name>RAND Corporation</name>
  </author>
  <id>https://www.rand.org/topics/underage-substance-use.html</id>
 <entry>
  <title type="html">Youth Who Use Vaping Products Are More Likely to Smoke Cigarettes, Increase Use of Both Over Time</title>
  <author>
   	<name>RAND Corporation</name>
  </author>  
  <id>https://www.rand.org/news/press/2018/10/02.html</id>
  <published>2018-10-02T06:00:00Z</published>
  <updated>2018-10-02T06:00:00Z</updated>
  <summary type="html">Adolescents who use vaping products are not only more likely to smoke cigarettes but are also likely to increase their use of both products over time. The increased use cannot be attributed to other risk factors, such as consuming alcohol or marijuana.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/news/press/2018/10/02.html" />
  </entry>
 <entry>
  <title type="html">Adolescent Marijuana Use Fell After Legalization in Washington; Study Highlights Need to Use Better Data to Follow Youth Use Trends</title>
  <author>
   	<name>RAND Corporation</name>
  </author>  
  <id>https://www.rand.org/news/press/2018/12/21.html</id>
  <published>2018-12-19T11:30:00Z</published>
  <updated>2018-12-19T11:30:00Z</updated>
  <summary type="html">Marijuana use among teenagers in Washington state appears to have declined in the years immediately following the legalization of recreational marijuana in 2012, contradicting earlier estimates about the trend.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/news/press/2018/12/21.html" />
  </entry>
 <entry>
  <title type="html">What Influences Evidence-Based Treatment Sustainment After Implementation Support Ends?</title>
  <author>
   	<name>Sarah B. Hunter; Melissa Francisca Felician; Alex R. Dopp; Susan H. Godley; Chau Pham; Kathryn E. Bouskill; Mary Ellen Slaughter; Bryan R. Garner</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68652.html</id>
  <published>2021-05-27T06:00:00Z</published>
  <updated>2021-05-27T06:00:00Z</updated>
  <summary type="html">Our findings lend empirical support for implementation theories in that multiple factors appear to be associated with long-term delivery of an evidence-based treatment.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68652.html" />
  </entry>
 <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">Opioid Misuse During Late Adolescence and Its Effects on Risk Behaviors, Social Functioning, Health, and Emerging Adult Roles</title>
  <author>
   	<name>Elizabeth J. D&apos;Amico; Jordan P. Davis; Joan S. Tucker; Rachana Seelam; Bradley D. Stein</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68618.html</id>
  <published>2021-04-28T06:00:00Z</published>
  <updated>2021-04-28T06:00:00Z</updated>
  <summary type="html">We examined the association of opioid misuse from ages 18 to 20 with four domains at age 21&amp;ndash;22: risk behaviors and consequences; health; social functioning; and emerging adult roles.
</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68618.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">Practical Factors Determining Adolescent Substance Use Treatment Settings</title>
  <author>
   	<name>Sean Grant; Sarah B. Hunter; Eric R. Pedersen; Beth Ann Griffin</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68166.html</id>
  <published>2020-05-12T06:45:00Z</published>
  <updated>2020-05-12T06:45:00Z</updated>
  <summary type="html">This study aimed to identify practical factors that stakeholders find most critical to consider when planning adolescent substance use treatment.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68166.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">Associations of Tobacco Advertising Appeal With Intentions to Use Alternative Tobacco Products Among Young Tobacco Users Experiencing Homelessness</title>
  <author>
   	<name>William G. Shadel; Joan S. Tucker; Rachana Seelam; Daniela Golinelli; Daniel Siconolfi</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68041.html</id>
  <published>2019-12-12T11:45:00Z</published>
  <updated>2019-12-12T11:45:00Z</updated>
  <summary type="html">The primary goal of this study was to examine the relationship between the appeal of advertising for five classes of tobacco product and future intentions to use those products, among youth experiencing homelessness who had some level of experience with it.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68041.html" />
  </entry>
 <entry>
  <title type="html">Roll-your-own Cigarette Smoking Among Youth Experiencing Homelessness</title>
  <author>
   	<name>Joan S. Tucker; William G. Shadel; Rachana Seelam; Daniela Golinelli; Daniel Siconolfi</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68040.html</id>
  <published>2019-12-12T11:30:00Z</published>
  <updated>2019-12-12T11:30:00Z</updated>
  <summary type="html">Roll-your-own cigarettes may encourage continued tobacco use among youth experiencing homelessness and pose additional health risks, despite users&apos; beliefs to the contrary.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68040.html" />
  </entry>
 <entry>
  <title type="html">Early Alcohol and Smoking Initiation</title>
  <author>
   	<name>Megan S. Schuler; Rebecca L. Collins</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68034.html</id>
  <published>2019-12-11T06:45:00Z</published>
  <updated>2019-12-11T06:45:00Z</updated>
  <summary type="html">Lesbian, gay, and bisexual adults report higher rates of smoking and alcohol use than heterosexual peers. Prior studies have not examined whether disparities in early initiation among lesbian, gay, and bisexual youth contribute to adult disparities.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68034.html" />
  </entry>
 <entry>
  <title type="html">Early Evidence of the Impact of Cannabis Legalization on Cannabis Use, Cannabis Use Disorder, and the Use of Other Substances</title>
  <author>
   	<name>Rosanna Smart; Rosalie Liccardo Pacula</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP68006.html</id>
  <published>2019-10-30T08:00:00Z</published>
  <updated>2019-10-30T08:00:00Z</updated>
  <summary type="html">Understanding effects of cannabis laws requires greater attention to differences in short- versus long-term effects of the laws, nuances of policies and patterns of consumption, and careful consideration of appropriate control groups.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP68006.html" />
  </entry>
 <entry>
  <title type="html">Long-term Associations Between Substance Use-Related Media Exposure, Descriptive Norms, and Alcohol Use from Adolescence to Young Adulthood</title>
  <author>
   	<name>Jordan P. Davis; Eric R. Pedersen; Joan S. Tucker; Michael Stephen Dunbar; Rachana Seelam; Regina A. Shih; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67949.html</id>
  <published>2019-09-19T09:00:00Z</published>
  <updated>2019-09-19T09:00:00Z</updated>
  <summary type="html">This study uses advances in longitudinal modeling to extend our understanding of how exposure to substance-related media content, quantity of alcohol use, and perceived descriptive norms about alcohol use are reciprocally related over time.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67949.html" />
  </entry>
 <entry>
  <title type="html">Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention</title>
  <author>
   	<name>Elizabeth J. D&apos;Amico; Layla Parast; Karen Chan Osilla; Rachana Seelam; Lisa S. Meredith; William G. Shadel; Bradley D. Stein</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67937.html</id>
  <published>2019-08-16T05:00:00Z</published>
  <updated>2019-08-16T05:00:00Z</updated>
  <summary type="html">A brief primary care intervention can be effective over the long-term for adolescents who report problems from alcohol and marijuana use.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67937.html" />
  </entry>
 <entry>
  <title type="html">Associations Between Driving Under the Influence or Riding with an Impaired Driver and Future Substance Use Among Adolescents</title>
  <author>
   	<name>Karen Chan Osilla; Rachana Seelam; Layla Parast; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67933.html</id>
  <published>2019-08-06T11:00:00Z</published>
  <updated>2019-08-06T11:00:00Z</updated>
  <summary type="html">In this article, we examined characteristics of adolescents who reported DUI and RWID in the past year using a baseline survey and then assessed associations between baseline reports of DUI and RWID with reports of alcohol and marijuana use and consequences 6 months later.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67933.html" />
  </entry>
 <entry>
  <title type="html">Associations Between Young Adult Marijuana Outcomes and Availability of Medical Marijuana Dispensaries and Storefront Signage</title>
  <author>
   	<name>Regina A. Shih; Anthony Rodriguez; Layla Parast; Eric R. Pedersen; Joan S. Tucker; Wendy M. Troxel; Lisa Kraus; Jordan P. Davis; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67909.html</id>
  <published>2019-06-25T09:00:00Z</published>
  <updated>2019-06-25T09:00:00Z</updated>
  <summary type="html">Among young adults in Los Angeles County, living near more MMDs is positively associated with more frequent use of marijuana within the past month and greater expectations of marijuana&apos;s positive benefits.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67909.html" />
  </entry>
 <entry>
  <title type="html">Overt Perceived Discrimination and Racial Microaggressions and Their Association with Health Risk Behaviors Among a Sample of Urban American Indian/Alaska Native Adolescents</title>
  <author>
   	<name>Daniel Dickerson; Ryan Andrew Brown; David J. Klein; Denis Agniel; Carrie L. Johnson; Elizabeth J. D&apos;Amico</name>
  </author>  
  <id>https://www.rand.org/pubs/external_publications/EP67903.html</id>
  <published>2019-06-12T09:00:00Z</published>
  <updated>2019-06-12T09:00:00Z</updated>
  <summary type="html">Analyzing the potential effects of the broad range of perceived discrimination (PD) experiences, including both overt PD and racial microaggressions, among urban American Indian/Alaska Native adolescents on health outcomes offers a unique opportunity to further our understanding of these health disparities.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67903.html" />
  </entry>
 <entry>
  <title type="html">Adolescent Marijuana Use Fell After Legalization in Washington; Study Highlights Need to Use Better Data to Follow Youth Use Trends</title>
  <author>
   	<name>RAND Corporation</name>
  </author>  
  <id>https://www.rand.org/news/press/2018/12/21.html</id>
  <published>2018-12-19T11:30:00Z</published>
  <updated>2018-12-19T11:30:00Z</updated>
  <summary type="html">Marijuana use among teenagers in Washington state appears to have declined in the years immediately following the legalization of recreational marijuana in 2012, contradicting earlier estimates about the trend.</summary>
  <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/news/press/2018/12/21.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>
 </feed>
