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The "Reconnecting Youth" Program, described by Leona Eggert and colleagues in 1994, is designed for high school students who manifest poor academic achievement or who are at high risk for dropping out and other problem behaviors.

In the family domain, the Iowa Strengthening Families Program, described by Richard Spoth and colleagues in 1999, has received considerable attention.

In the community and environmental domains, strategies have been developed to increase the enforcement of public policies and ordinances that inhibit adolescent substance use.

These include efforts targeting tobacco and alcohol outlets, including restrictions on their location and density and on alcohol and tobacco advertising.

Unfortunately, relatively little is also known about prevention on college campuses. "Risk and Protective Factors for Alcohol and Other Drug Problems in Adolescence and Early Adulthood: Implications for Substance Abuse Prevention." Psychological Bulletin 1105. Youth Risk Behavior Survey (YRBS) data indicate that about half of all high school students report having engaged in intercourse at least once. ringwalt hiv/aids and its impact on adolescentsdenise dion hallforscarolyn tucker halpernbonita iritani sexual activity among teens and teen pregnancy trendssheila peters TABLE 1 sexually transmitted diseasesangela huang smoking and its effect on children's healthchristopher s. The cost of alcohol abuse to society is estimated to be 0 billion per year in health care, public safety, and social welfare expenditures. kirby Substance abuse is an international problem of epidemic proportions that has particularly devastating effects on youth because the early initiation of alcohol, tobacco, or other drug (ATOD) use within this population is linked to abuse and related problem behaviors among adults.Protective factors in the family and school domains include strong intrafamilial bonds, positive family dynamics, and positive attachment to school.In the community and environmental domains, strongly held adult values antithetical to substance use constitute protective factors, as do clearly communicated and consistently enforced regulations concerning use.

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