Healthy People 2010 Leading Health Indicators
Ten Major Public Health Issues

	Physical activity
	Overweight and obesity
	Tobacco use*
	Substance abuse*
	Responsible sexual behavior
	Mental health
	Injury and violence
	Environmental quality
	Immunization
	Access to health care

Healthy People, 2010
National Health Objectives
21Critical Adolescent Objectives

	reduce deaths by motor vehicle crashes
	reduce deaths & injuries from substance abuse related vehicle crashes*
	reduce proportion who rode with drunk driver*
	increase use of safety belts
	reduce homicides
	reduce physical fighting
	reduce weapon carrying on school property
	reduce past-month use of illicit substances*
	reduce proportion binge drinking*
	reduce tobacco use*

Substance Abuse

	Youth Risk Behavior Survey
	Monitoring the Future
	National Household Survey of Drug Abuse
	AddHealth

Slide 4

Past-year illicit drug use, 12^th graders, 2002

Trends in past 30 day substance use, 12^th graders, 1975-2002

Trends in high-risk use of substances, 12^th graders, 1975-2002

Past 30 day alcohol use by race/ethnicity and grade level, 2002

Slide 9

Slide 10

Past 30 day cigarette use by race/ethnicity and grade, 2002

Smoking

	3,000 teens start smoking every day
	1,000 will die prematurely from smoking-related illness
	1,000,000 youth become regular smokers each year
	400,000 adults die from tobacco-related disease each year
	few initiate habitual smoking as adults

Functional Value of Risk Taking
“Cigarettes for youth are interpersonal bonding and binding; a cigarette is not an ‘it’; youth don’t smoke ‘it’.  They are ‘with’ cigarettes and others.  It is in this sense that cigarettes are a habit: cigarettes are taken for granted.”
Michael Baizerman, 1979

Drug Abuse Prevention Programs

	Universal
	Selective
	Indicated

Key Components- Dusenbury

	Research/theory driven
	Developmentally appropriate
	Social resistance skills
	Normative education
	Broader-based social skills
	Interactive teaching
	Teacher training/support
	Sufficient duration/follow-up
	Cultural sensitivity
	Ecological approach
	Evaluation