How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention

Abstract Background The use of alcohol and illicit drugs during adolescence can lead to serious short- and long-term health related consequences. Despite a global trend of decreased substance use, in particular alcohol, among adolescents, evidence suggests excessive use of substances by young people...

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Autores principales:	Pia Kvillemo, Linda Hiltunen, Youstina Demetry, Anna-Karin Carlander, Tim Hansson, Johanna Gripenberg, Tobias H. Elgán, Kim Einhorn, Charlotte Skoglund
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Alcohol Drugs Affluent Youth Prevention Motivation Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960
Acceso en línea:	https://doaj.org/article/2418ef7a088448078281be40e8dd31a0
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spelling	oai:doaj.org-article:2418ef7a088448078281be40e8dd31a02021-11-14T12:16:40ZHow to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention10.1186/s13011-021-00420-81747-597Xhttps://doaj.org/article/2418ef7a088448078281be40e8dd31a02021-11-01T00:00:00Zhttps://doi.org/10.1186/s13011-021-00420-8https://doaj.org/toc/1747-597XAbstract Background The use of alcohol and illicit drugs during adolescence can lead to serious short- and long-term health related consequences. Despite a global trend of decreased substance use, in particular alcohol, among adolescents, evidence suggests excessive use of substances by young people in socioeconomically affluent areas. To prevent substance use-related harm, we need in-depth knowledge about the reasons for substance use in this group and how they perceive various prevention interventions. The aim of the current study was to explore motives for using or abstaining from using substances among students in affluent areas as well as their attitudes to, and suggestions for, substance use prevention. Methods Twenty high school students (age 15–19 years) in a Swedish affluent municipality were recruited through purposive sampling to take part in semi-structured interviews. Qualitative content analysis of transcribed interviews was performed. Results The most prominent motive for substance use appears to be a desire to feel a part of the social milieu and to have high social status within the peer group. Motives for abstaining included academic ambitions, activities requiring sobriety and parental influence. Students reported universal information-based prevention to be irrelevant and hesitation to use selective prevention interventions due to fear of being reported to authorities. Suggested universal prevention concerned reliable information from credible sources, stricter substance control measures for those providing substances, parental involvement, and social leisure activities without substance use. Suggested selective prevention included guaranteed confidentiality and non-judging encounters when seeking help. Conclusions Future research on substance use prevention targeting students in affluent areas should take into account the social milieu and with advantage pay attention to students’ suggestions on credible prevention information, stricter control measures for substance providers, parental involvement, substance-free leisure, and confidential ways to seek help with a non-judging approach from adults.Pia KvillemoLinda HiltunenYoustina DemetryAnna-Karin CarlanderTim HanssonJohanna GripenbergTobias H. ElgánKim EinhornCharlotte SkoglundBMCarticleAlcoholDrugsAffluentYouthPreventionMotivationPublic aspects of medicineRA1-1270Social pathology. Social and public welfare. CriminologyHV1-9960ENSubstance Abuse Treatment, Prevention, and Policy, Vol 16, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Alcohol Drugs Affluent Youth Prevention Motivation Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960
spellingShingle	Alcohol Drugs Affluent Youth Prevention Motivation Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960 Pia Kvillemo Linda Hiltunen Youstina Demetry Anna-Karin Carlander Tim Hansson Johanna Gripenberg Tobias H. Elgán Kim Einhorn Charlotte Skoglund How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
description	Abstract Background The use of alcohol and illicit drugs during adolescence can lead to serious short- and long-term health related consequences. Despite a global trend of decreased substance use, in particular alcohol, among adolescents, evidence suggests excessive use of substances by young people in socioeconomically affluent areas. To prevent substance use-related harm, we need in-depth knowledge about the reasons for substance use in this group and how they perceive various prevention interventions. The aim of the current study was to explore motives for using or abstaining from using substances among students in affluent areas as well as their attitudes to, and suggestions for, substance use prevention. Methods Twenty high school students (age 15–19 years) in a Swedish affluent municipality were recruited through purposive sampling to take part in semi-structured interviews. Qualitative content analysis of transcribed interviews was performed. Results The most prominent motive for substance use appears to be a desire to feel a part of the social milieu and to have high social status within the peer group. Motives for abstaining included academic ambitions, activities requiring sobriety and parental influence. Students reported universal information-based prevention to be irrelevant and hesitation to use selective prevention interventions due to fear of being reported to authorities. Suggested universal prevention concerned reliable information from credible sources, stricter substance control measures for those providing substances, parental involvement, and social leisure activities without substance use. Suggested selective prevention included guaranteed confidentiality and non-judging encounters when seeking help. Conclusions Future research on substance use prevention targeting students in affluent areas should take into account the social milieu and with advantage pay attention to students’ suggestions on credible prevention information, stricter control measures for substance providers, parental involvement, substance-free leisure, and confidential ways to seek help with a non-judging approach from adults.
format	article
author	Pia Kvillemo Linda Hiltunen Youstina Demetry Anna-Karin Carlander Tim Hansson Johanna Gripenberg Tobias H. Elgán Kim Einhorn Charlotte Skoglund
author_facet	Pia Kvillemo Linda Hiltunen Youstina Demetry Anna-Karin Carlander Tim Hansson Johanna Gripenberg Tobias H. Elgán Kim Einhorn Charlotte Skoglund
author_sort	Pia Kvillemo
title	How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
title_short	How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
title_full	How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
title_fullStr	How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
title_full_unstemmed	How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
title_sort	how to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2418ef7a088448078281be40e8dd31a0
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How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention

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