Background: High cannabis use rates among American Indian (AI) adolescents necessitate the identification of factors that protect against early cannabis initiation. Methods: Data collected from 279 AI middle school students attending reservation-based schools in 2018 and 2019 were analyzed. Three waves of data, with approximately 6 months between…

The objectives of this research were (1) to assess the suitability and feasibility of participatory approaches for the prevention and solution of drug problems of schools under Sisaket Provincial Administrative Organizations and (2) to create a consensus proposing a leadership development model that influences driving effectiveness, management and…

Social network analysis (SNA) is increasingly viewed as a contributing methodology to program evaluation to examine the complexities of social programs and interrelationships within the program networks. Despite the growing literature on the topic, more knowledge is needed to understand how, when, and under what conditions social network analysis…

Background: Patients rarely dispose of left-over opioids after surgery. Disposal serves as a primary prevention against misuse, overdose, and diversion. However, current interventions promoting disposal have mixed efficacy. Increasing disposal in rural communities could prevent or reduce the harms caused by prescription opioids. Aims: Identify…

This study sought to understand the varied disciplinary responses and perceptions regarding student drug use. Students caught under the influence or actively using drugs on high school campuses are often suspended and face possible expulsion. Given the racial disproportionalities in student discipline and the adverse academic and life outcomes for…

The opioid overdose epidemic continues to disproportionately impact underserved rural areas throughout the nation, with many of these rural areas experiencing greater opioid-related mortality rates than their urban counterparts. With limited treatment infrastructure and resources, two rural communities in Southeast Utah utilized community-based…

Black women who use substances in the United States face unique human immunodeficiency virus (HIV) risk factors. However, interventions addressing cultural factors relevant for preventing HIV risk behaviors among Black women are limited. This project aimed to develop and initially test the effectiveness of a culturally adapted version of safer sex…

Cooperative Extension is in a unique position to address health and wellness concerns across the country, particularly in rural areas with local Extension services. One innovative model, the Health Extension: Advocacy, Research, and Teaching (HEART) Initiative, unites Extension, community organizations, and community members in collaborative…

Background: Studies show that food insecurity is associated with adverse health behaviors for children and adults. However, published data among adolescents are limited. The objective of this study was to examine the association between food insecurity and substance use behaviors among US high school students. Methods: Data from the 2017 Youth…

Misuse of prescription opioids has substantially increased in the past decade among the general population, including among university students. Relative to the literature concerning opioid misuse among the general population, little information is available regarding the college student population. Objective: The purpose of the present study was…

Neonatal Abstinence Syndrome (NAS) is the term used to describe newborn experiences of withdrawal after exposure to opioids or other substances in utero (Kondili & Duryea, 2019). An urgent need exists for trained practitioners to serve children with NAS and their families (e.g., Gregory, 2014; Hancock et al., 2017; Health care Cost and…

This study aims to identify the use of social networking sites by Jordanian university students to spread health awareness about the dangers of drugs. This study followed the descriptive analytical approach, and a questionnaire was developed to match the study dimensions. The study population consisted of students from the University of Jordan,…

Millions of students in our schools live with a parent experiencing substance use disorder. Most people with substance use disorder begin using while they are school-age. School personnel are on the frontlines of this crisis; yet our policies, practices, and social norms create barriers to witnessing and healing for these students and families.…

Drug misuse among people living with HIV (human immunodeficiency virus) is associated with higher mortality. It is a frequently observed reason for treatment abandonment, with people who misuse drugs showing a 10 to 25 times higher risk of HIV than the general population. The authors conducted a systematic review and meta-analysis to assess the…

Because studies examining youth drug use often have data with a high proportion of zeros, they often do not meet the assumptions for univariate or linear regression analyses that are typically used. We demonstrate the use of zero-inflated negative binomial regression models to address excessive zeros in drug use frequency on perceptions of…