Background: Opioid use has reached epidemic proportions in rural communities in the United States and injection of drugs is commonly used. As a result of shared or reusing needles and syringes, the risk for contracting blood-borne diseases is significantly increased. Rural areas face many social and attitudinal barriers regarding syringe exchange…

This study recruited 559 youths from detention centers (mean age was 15.4 years; 50.1% of detainees were girls) to investigate pathways that link witnessing community violence in the 12 months before detainment to drug and sexual risk behaviors in the two months preceding detainment. Through the use of audio-computer-assisted technology, data were…

The purpose of this study was to develop a knowledge base on factors associated with performance-enhancer usage among female athletes at the high school level in order to identify markers for a future prevention-education program. The study used a pretest-only, between-subjects Likert Scale survey to rank the importance of internal and external…

This study investigates community-level prediction of adolescent substance use and problem behaviors using ratings by community leaders to assess the effects of four risk factors on levels of drug use and problem behaviors. Three questions are examined: (a) Can psychometrically sound measures of community leader perceptions of risk factors in…

Injection drug users (IDUs) are at risk for HIV and viral hepatitis, and risky injection behavior persists despite decades of intervention. Cognitive behavioral theories (CBTs) are commonly used to help understand risky injection behavior. The authors review findings from CBT-based studies of injection risk behavior among IDUs. An extensive…

This is the second volume in a two-volume set, presenting findings from the Monitoring the Future study. The first volume presents findings from American secondary students in grades 8, 10, and 12. This second volume contains findings from American college students, their age peers not in college, young adult high school graduates through age 30…

Rates of sexually transmitted infections and HIV transmission in Russia remain high. Official attitudes do not yet appear to recognise fully their significance. There is increasing knowledge of the population's sexual behaviour and attitudes, including of young people, emerging from local and externally funded programmes. This is leading to…

The complexity of pluralism in this country makes it difficult for the educator to develop expectations of students based on their group memberships. This text examines these group memberships and ways educators can develop educational programs to meet the needs of those groups and the nation. The book provides an overview of the different…

Prevention research continues to focus on school-based substance use programs aimed at adolescents. These programs are designed to reduce substance use and risk behavior by targeting key mediators, such as normative beliefs, which in turn reduce substance use. All Stars is a newly developed program that was recently evaluated in a randomized field…