Abstract

BackgroundAdolescent substance use continues to be of great global public health concern in many countries with advanced economies. Previous research has shown that substance use among 15–16 year-old-youth has increased in many European countries in recent years. The aim of this study was to examine trends in prevalence of daily smoking, alcohol intoxication, and illicit substance use among Icelandic adolescents.MethodsRepeated-measures, population-based cross-sectional surveys of between 3,100 and 3,900 10th-grade students who participated in the annual Youth of Iceland studies were analyzed, with response rates of between 80% and 90%.ResultsThe prevalence of daily smoking, alcohol intoxication, and illicit substance use was at a peak in 1998, with almost 23% having reported daily smoking, 42% having reported becoming intoxicated at least once during the last 30 days, and over 17% having used hashish once or more often in their lifetime. By 2006, daily smoking had declined to 12%, having become intoxicated once or more often during the last 30 days to 25%, and having ever used hashish declined to 9%.ConclusionThe prevalence of substance use among Icelandic 10th graders declined substantially from 1995 to 2006. Proportions of adolescents who smoke cigarettes, had become intoxicated during the last 30 days, as well as those admitting to hashish use all decreased to a great deal during the period under study. The decline in prevalence of adolescent substance use in Iceland is plausibly the result of local community collaboration where researchers, policy makers and practitioners who work with young people have combined their efforts.

Highlights

  • Adolescent substance use continues to be of great global public health concern in many countries with advanced economies

  • Proportions of adolescents who smoke cigarettes, had become intoxicated during the last 30 days, as well as those admitting to hashish use all decreased to a great deal during the period under study

  • The decline in prevalence of adolescent substance use in Iceland is plausibly the result of local community collaboration where researchers, policy makers and practitioners who work with young people have combined their efforts

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Summary

Introduction

Adolescent substance use continues to be of great global public health concern in many countries with advanced economies. Representative surveys, conducted in several European countries as well as in the US and Australia, have become essential for monitoring drug use among adolescents [1,2,3]. Such surveys have increasingly been used as a basis for policy-making, including the assess-. Surveys monitoring drug use and related risk factors among youth have been conducted in Iceland since the early 1980s to provide information for policy-makers pertaining to youth. Major methodological changes were introduced in 1992 when these studies became population-based instead of being based on samples This change offered the possibility to analyze youth issues on both a national and local level, strengthening the links between policy, research and practice

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