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This entry describes large-scale public anti-drug education, prevention, and communication campaigns undertaken in the United States in the last 30 years. Particular examples of campaigns are used and their purpose, approach, and effectiveness highlighted (such as the “Just Say No,” Drug Abuse Resistance Education, or DARE; National Youth Anti-Drug Media Campaign, or NYAMC; and Project ALERT campaigns). While the description of campaigns from the 1980s onward may offer some insight into the recent evolution of U.S. anti-drug activities, this entry is not intended as a complete historical record of these efforts. The focus here is on public health education and communication campaigns, as opposed to other initiatives such as those addressing supply and demand issues; thus, other policy actions and legal initiatives (such as increased punishment for users) are generally not included. This concentrated scope allows sufficient detail for the reader to gain a solid understanding of the mass media and school-based anti-drug initiatives launched and implemented in the United States in recent decades.

Important Role of Science Communication

In the recent years, we have seen an increase in the use of mass media to deliver health messages, including anti-smoking, anti-drug, and provacci-nation campaigns. In addition, news outlets have become more involved in disseminating information about health to the general public. The successful use of mass media has increased exposure to health-related messages among audiences who have not been reached in the past. The introduction of social networking tools (such as Facebook and Twitter) has offered an additional, and innovative, tool for dissemination of health messages, especially among youth.

As in other areas of national public health, recent national and local efforts to address youth illicit drug use have increasingly employed public media campaigns targeted at prevention. The popular use of mass media campaigns by government and nonprofit entities extends beyond the area of youth illicit drug use; recent examples include the U.S. Centers for Disease Control and Prevention's youth physical activity campaign, VERB, and the American Legacy Foundation's “Truth” anti-tobacco media campaign, Truth. National agencies' decisions to invest in these often costly mass media campaigns indicate a level of confidence in the effectiveness of the public health communication campaign approach. The implicit assumption is that these financial costs will be outweighed by the savings and other gains generated from reducing the health problem in question.

The Problem of Illicit Drug Use Among Youth in the United States

Illicit drug use among youth 12 to 18 years old has represented a significant public health problem in recent decades. After a relatively dramatic decline in the 1980s, Monitoring the Future studies have shown that teen and preteen drug use rose dramatically between 1991 and 1997. Over the past decade, Monitoring the Future studies report the prevalence of the use of some illicit drugs (such as marijuana, amphetamines, and crystal meth) among youth has declined, although the use of other drugs seems to have reached a plateau (including LSD, cocaine, and sedatives). Furthermore, in some cases, drug use has increased slightly (such as for inhalants and MDMA, also known as ecstasy). Today, Monitoring the Future studies show nearly 15% of youth in eighth grade have used an illicit drug, and by high school graduation, nearly half of youth will have tried an illicit drug.

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