Some Thoughts on the Youth Substance Abuse Issue
2008-06-R11
(Copyrighted 2008
by Don M. Tow)
We are all concerned about the issue of substance
abuse by our youths.
By substance abuse, we are referring to drugs,
alcohol, and cigarettes.
According to the 2003 National Survey on Drug
Use and Health (NSDUH)[1]:
11.6% of the
29.0% of the age group 12 to 20[2]
drank alcohol in the month prior to the survey, and 19.2% were binge
drinkers.
A binge drinker is a person who had five or
more drinks on a single occasion at least once in the past 30 days
The above survey shows that the
size of the problem is large.
For example:
Furthermore, the consequences of the problems are also
very large.
These include problems with academics, health
(including mental health), crimes, fights, accidents, alienation from peers
and family members, employment, etc.
For example, let’s illustrate for the alcohol
problem[4]:
The youth substance abuse
problems clearly have a toll on the American society, in terms of direct and
indirect cost, quality of life, and community safety.
These
problems continue year after year, and in general the seriousness of the
problem is not decreasing, and is often increasing.
How do we solve the above problems?
Many methods have been proposed.
For example, for the alcohol problem, the
Underage Drinking Enforcement Training Center (UDETC)[5]
has proposed the following methods:
For the illicit drug use problem, analogous methods have been proposed.[6]
These are all useful methods in attacking the problem.
However, I believe that there is one important
factor that is not addressed by these methods.
Children and young people observe and copy the
behavior of adults, especially their adult family members.
It is not what the adults say that is
important, but what is most important is what the adults do.
As long as there are serious substance abuse
problems among the adult population, it will be extremely difficult, and
possibly impossible, to solve the youth substance abuse problems.
Let’s take a look at the corresponding statistics
associated with the adult population in the
Thus we see that the percentages
of drinkers and smokers for the adult population are significantly higher
than the corresponding percentages of drinkers and smokers for the youth
population (for this discussion, adults mean 21 and above for alcohol, and
18 and above for smoking, since 21 and 18 are respectively the legal
drinking and smoking age in the U.S.).
The percentage of illicit drug users for the
adult population (for this discussion, meaning 18 and above) is still a
substantial number, although smaller than the corresponding percentage for
the youth population.
I believe that it is extremely difficult, if not
impossible, to ask our youths to refrain from substance abuse when they see
that their adult friends and family members are engaged in substance abuse.
We cannot ask and expect our youths not to do
something when they see that their adult friends and family members are
doing those same things.
Therefore, in order to reduce significantly the
substance abuse problems among our youths, we must at the same time address
reducing significantly the substance abuse problems among the adults.
We must address the total problem across all
age brackets.
In other words, we must have our own adult
“house” in order, to be successful in getting the youth “house” in order.
[1]
The NSDUH is a project of
the Substance Abuse and Mental Health Services Administration
(SAMHSA) of the U.S. Department of Health and Human Services.
[2]
The legal drinking age in
the
[3]
The legal smoking age in
the
[4]
The statistics below come
from the following two documents:
(1) “Underage Drinking in the United States:
A Status Report, 2004” by The Center on Alcohol Marketing and
Youth of Georgetown University, and (2) “Alcohol & Public Health” by
the Center for Disease Control (CDC) of the U.S. Department of
Health and Human Services.
[5] UDETC was established by the Office of Juvenile Justice and Delinquency Prevention in the U.S. Department of Justice.
[6]
See,
e.g., the presentation “Epidemiology and Directions for Preventing
Drug Use Among Adolescents,” by Dr. Amy Khan, who specializes in
Additive Medicine and Preventive Medicine, and is the
National Medical Director
for Wellness TotalCare
at Concentra, one of the largest
providers of health care services in the nation.
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