Nonmedical drug use among adolescent students: highlights from the 1999 Ontario Student Drug Use Survey.

BACKGROUND: During the 1990s, rates of nonmedical drug use among adolescents escalated. We assessed data from 5 cycles of the Ontario Student Drug Use Survey for overall trends in the proportion of students reporting illegal drug use between 1991 and 1999. METHODS: The survey is a repeated, cross-sectional, 2-stage cluster-design survey of students enrolled in grades 7, 9, 11 and 13. Outcome measures were prevalence of use of 17 drugs, including alcohol and tobacco, over the 12 months preceding the survey. RESULTS: The rates of drug use increased between 1993 and 1999. The 95% confidence intervals (CIs) for the differences in proportions between 1997 and 1999 indicated significant increases in the overall use of 6 drugs: alcohol (95% CIdiff 6.1, 1.9-10.3), cannabis (95% CIdiff 46.3, 0.2-8.4), glue (95% CIdiff 2.3, 1.3-3.3), other solvents (95% CIdiff 5.0, 3.1-6.3), barbiturates (95% CIdiff 1.9, 0.4-3.4) and hallucinogens such as mescaline and psilocybin (95% CIdiff 3.5, 0.8-6.9). Fewer grade 7 students in 1999 than in earlier cohorts reported using alcohol or cigarettes by age 9. INTERPRETATION: The public health implications of the findings are mixed. On the positive side, there is no evidence of increases in early onset of drug use. On the negative side, the overall proportion of students reporting illegal drug use has continued to rise.

Incorporating the AUDIT into a general population telephone survey: a methodological experiment.

This study assessed potential ordering and wording effects of the alcohol use disorders identification test (AUDIT). In total, 688 respondents were randomly assigned to one of four experimental conditions: Intact order/original wording (n=148), intact order/revised wording (n=183), split order/original wording (n=192), split order/revised wording (n=166). Changes to question order and wording had no discernable impact on the scores of the AUDIT. Our results suggest that alterations to the AUDIT can be made in order to integrate it within a larger survey without adversely affecting its measurement properties.

Prevalence of methylphenidate use among adolescents in Ontario.

Despite a growing interest in the use of methylphenidate (Ritalin) to treat attention deficit/hyperactivity disorders, prevalence data has been scarce in Canada. A probability school survey conducted in 1997 among Ontario students in grades 7, 9, 11 and 13 is used to collect data on such use. Overall, 3.4% of students (5.3% of males, 1.7% of females) used methylphenidate in the previous year. Rates and patterns are similar to those found in the United States. Future research needs to examine reasons and correlates of use, extent of medical supervision and possible non-medical use of methylphenidate.

Recent findings from the Ontario Student Drug Use Survey.

BACKGROUND: Every 2 years, the Addiction Research Foundation of Ontario, a division of the Centre for Addiction and Mental Health, sponsors the Ontario Student Drug Use Survey. The results of the surveys conducted in 1995 and 1997 are presented here and compared with results from the early 1990s. METHODS: Questionnaires were completed by 3870 and 3990 Ontario public school students enrolled in grades 7, 9, 11 and 13 in 1995 and 1997 respectively. The outcome measures were prevalence of use of 20 types of drugs and other substances, including alcohol, tobacco and prescription drugs, over the previous 12 months. RESULTS: For several drugs the prevalence of use in the previous 12 months had increased from 1993 to 1995, but from 1995 to 1997 there was a significant increase for only one type (hallucinogens such as mescaline and psilocybin). The inhalation of glue declined, and the use of the other 18 types of drugs remained stable. INTERPRETATION: Recent data suggest that increases in adolescent student drug use reported earlier this decade have not continued. However, the stability in rates of drug use is not a justification for complacency in this important area of public health.

The effect of question structure on self-reports of heavy drinking: closed-ended versus open-ended questions.

OBJECTIVE: We compared open-ended versus closed-ended questions on the frequency of consuming five or more drinks in a single sitting. METHOD: From a general population survey of Ontario adults (N = 2,022, 62% male), we analyzed a subsample of 649 respondents who reported drinking five or more drinks in a single sitting at least once in the past year. Differences in agreement between the two questions and rates of missing data were evaluated. RESULTS: For the most part, the two measures were not consistent, with the closed-ended question eliciting higher rates of heavier drinking. Rates of missing data were also higher for the open-ended question. CONCLUSIONS: Open-ended question may not necessarily be more suitable than closed-ended questions for estimating the frequency of heavy alcohol use.

Enduring resurgence or statistical blip? Recent trends from the Ontario Student Drug Use Survey.

This paper describes trends in alcohol and other drug use among Ontario students between 1977 and 1995, especially those occurring between 1993 and 1995. Data are based on the Ontario Student Drug Use Survey, which to date represents 10 cross-sectional surveys conducted every two years since 1977. In each survey, approximately 4,000 students in grades 7, 9, 11 and 13 are interviewed in their classrooms. The findings show that after a decade of declining drug use, rates of use increased between 1993 and 1995. Of the 20 drugs surveyed in 1995, the use of 8 increased significantly from 1993. Increases in drug use were more common among 9th- and 11th-grades.

Is the association between drug use and delinquency weakening?

In this paper we examine period or secular changes in the association between drug use and delinquency among Ontario adolescent students between 1983 and 1991. The results show that during this period drug use and drug-selling declined significantly, whereas reported non-drug-related delinquency increased. In addition to differing secular trends in rates of drug use and delinquent behaviour, the association between the two behaviours weakened. There was a steady decline in the correlations between drug use and delinquency across time, and the typological patterning of drug use and delinquency changed significantly.