PMID- 30016528 OWN - NLM STAT- MEDLINE DCOM- 20181123 LR - 20220321 IS - 1460-2393 (Electronic) IS - 1460-2393 (Linking) VI - 111 IP - 10 DP - 2018 Oct 1 TI - Epidemiology of adolescent substance use in Norfolk schools. PG - 699-706 LID - 10.1093/qjmed/hcy153 [doi] AB - BACKGROUND: The pattern of alcohol and substance use is changing, with the introduction of novel psychoactive substances, the internet as a means of acquisition and variations in drug purity and price. Alcohol and substance use among adolescents is associated with behavioural, mental health, health and social difficulties; arising at a vulnerable period in their development. Little is known about adolescent substance use in the UK, especially in rural areas. AIM: To investigate the prevalence of substance use amongst young people, aged 16-21 years, in Norfolk schools. DESIGN: Cross sectional questionnaire survey. METHOD: Pupils from two, sixth form colleges in Norfolk answered a self-report questionnaire designed to measure prevalence, age of onset and frequency of use for alcohol, tobacco, illicit substances including new psychoactive substances as well as demographic data. RESULTS: A total of 482 students completed the survey (68% participation rate). Life-time use of alcohol was reported by 442 (91.7%) students and over half the pupils had tried tobacco (52.5%, n=253). About 40.7% reported cannabis use and nearly one-fifth (18.9%, n=91) reported using 3,4-methylenedioxymethamphetamine (MDMA); 41.1% (n=198) students reported using 'any drug' and 23.2% (n=112) 'using an illicit drug other than cannabis' and 8.7% (n=42) reported the use of a novel psychoactive substance. CONCLUSION: The most widely used substances were alcohol, tobaccos and cannabis; in keeping with European trends. Over the past decade a decline in alcohol and drug use by adolescents has been seen in the UK. However, since 2010 this decline has slowed with an increase in substance use noted in the past 2 years. This study provides evidence to support this trend. The findings demonstrate differences between the use of substances by pupils in this Norfolk sample compared to national surveys and more urbanized areas. These regional differences can be used to assist the development of local interventions targeting substance use among adolescents. FAU - Roderick, E AU - Roderick E AD - Department of Mental Health Nursing, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK. FAU - Penney, J AU - Penney J AD - Department of Mental Health Nursing, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK. FAU - Murrells, T AU - Murrells T AD - Adult Nursing, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK. FAU - Dargan, P I AU - Dargan PI AD - Clinical Toxicology, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners, London, UK. AD - Faculty of Life Sciences and Medicine, King's College London, London, UK. FAU - Norman, I J AU - Norman IJ AD - Department of Mental Health Nursing, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK. LA - eng PT - Journal Article PL - England TA - QJM JT - QJM : monthly journal of the Association of Physicians JID - 9438285 SB - IM MH - Adolescent MH - Age Distribution MH - Cross-Sectional Studies MH - Female MH - Humans MH - Logistic Models MH - Male MH - Multivariate Analysis MH - Schools MH - Self Report MH - Sex Distribution MH - Students/*statistics & numerical data MH - Substance-Related Disorders/*classification/*epidemiology MH - United Kingdom/epidemiology MH - Young Adult EDAT- 2018/07/18 06:00 MHDA- 2018/11/24 06:00 CRDT- 2018/07/18 06:00 PHST- 2018/03/30 00:00 [received] PHST- 2018/07/18 06:00 [pubmed] PHST- 2018/11/24 06:00 [medline] PHST- 2018/07/18 06:00 [entrez] AID - 5054491 [pii] AID - 10.1093/qjmed/hcy153 [doi] PST - ppublish SO - QJM. 2018 Oct 1;111(10):699-706. doi: 10.1093/qjmed/hcy153.