Trends in Substance Use Prevention Program Participation Among Adolescents in the U.S.

Christopher P. Salas-Wright, Millan A. AbiNader, Michael G. Vaughn, Seth J. Schwartz, S. Oh, J. Delva, Flavio F. Marsiglia

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Purpose: The aim of the article was to examine national trends in adolescent participation in substance use prevention programs (SUPP). Methods: We examine 15 years of cross-sectional data (2002–2016) from the National Survey on Drug Use and Health. Main outcomes were participation in past-year school and community-based SUPP (no/yes). Logistic regression was used to examine trends in the prevalence of participation. Results: Participation in school-based SUPP decreased significantly from 48% among adolescents in 2002–2003 to 40% in 2015–2016, a 16.5% proportional decline. Significant declines for school-based participation were observed in all demographic and drug involvement subgroups examined. Youth participation in community-based SUPP also decreased significantly. However, this downward trend was significant only among younger teens, females, youth in very low (<$20,000) and moderate ($40,000–$74,999) income households and in rural areas. Conclusions: Participation in SUPP has decreased since the early 2000s, with noteworthy declines among Latino youth and youth from rural areas and socioeconomically disadvantaged backgrounds.

Original languageEnglish (US)
Pages (from-to)426-429
Number of pages4
JournalJournal of Adolescent Health
Issue number3
StatePublished - Sep 2019


  • Adolescents
  • Alcohol and drugs
  • Prevention
  • Substance use
  • Trends

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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