Cited by 1,199Substance Abuse Treatment and OutcomesSmoking Behavior and CessationYouth, Drugs, and Violence

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Monitoring the Future national survey results on drug use, 1975-2017: Overview, key findings on adolescent drug use

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Johnston, L.D, Miech, R.A., O'Malley, P.M., Bachman, J.G., Schulenberg, J.E., Patrick, M.E.·2018

DOI 10.3998/2027.42/148123

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Abstract

i tracked adolescent drug use.Nicotine vaping prevalence rates in 2018 were 11%, 25%, and 30%, respectively.Marijuana vaping also increased substantially in 2018 as this new way of using marijuana becomes more mainstream.In 2018 prevalence of use in the last 12 months increased 1.3, 4.2, and 3.6 percentage points in 8 th , 10 th , and 12 th grades to levels of 4.4%, 12.4%, and 13.1%, respectively.Vaping just flavoring also substantially increased in 2018 to past-year prevalence levels of 15%, 25%, and 26% in 8 th , 10 th , and 12 th grades.Adolescents associate little risk of harm with vaping.MTF asks separately about regular use of "e-cigarettes" and also regular vaping of nicotine.Levels of perceived risk for these behaviors rank near the lowest of all substances, with little change in recent years. Alcohol Use Continues Declining in Upper GradesAlcohol remains the substance most widely used by today's teenagers.Despite recent declines, by the end of high school six out of every ten students (59%) have consumed alcohol (more than just a few sips) at some time in their lives (after a significant 3 percentage point drop in 2018); and about a quarter (24%) have done so by 8 th grade.(Only the 12 th grade showed significant change in 2018.)Alcohol use began a substantial decline in the 1980s.To some degree, alcohol trends have tended to parallel the trends in illicit drug use.These include a modest increase in binge drinking (defined as having five or more drinks in a row at least once in the past two weeks) in the early to mid-1990s, though it was a proportionally smaller increase than was seen for cigarettes and most of the illicit drugs.Fortunately, binge drinking rates leveled off in the early 2000s, just about when the illicit drug rates began to turn around, and in 2002, a drop in drinking and drunkenness resumed in all grades.Gradual declines in thirty-day prevalence continued in the upper grades into 2018, which marked the lowest levels for alcohol use and drunkenness ever recorded by the survey in the three grades combined.However, the decline in the annual prevalence of alcohol use has halted in the two lower grades.Only in 12 th grade is decline continuing, likely as the result of a cohort effect.This development may herald the end of the long-term decline in adolescent alcohol use.Still, prior to this year lifetime prevalence and annual prevalence for the three grades combined both declined by roughly 40-45% from the peak levels of use reached in the mid-1990s; 30-day prevalence was down by about one-half since then; and daily prevalence by three-fourths.These are dramatic declines for such a culturally ingrained behavior and good news to many parents.3 Prevalence refers to the proportion or percentage of the sample reporting use of the given substance on one or more occasions in a given time interval-e.g., lifetime, past 12 months, or past 30 days.For most drugs, the prevalence of daily use refers to reported use on 20 or more occasions in the past 30 days, except for cigarettes and smokeless tobacco, for which actual daily use is measured, and for binge drinking, defined as having 5+ drinks on at least one occasion in the prior two weeks.

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BackgroundInfluential
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Background
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Background
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Background
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Background
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Result
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Background
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“, depression and generalized anxiety), and some externalizing symptoms (Hankin et al., 1998; Johnston et al., 2018).”
Background
Discrimination and Substance Use: Examining the Moderating Role of Impulsivity among Racial-Ethnic Minority Adolescents
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“However more recent data show deviations in this pattern such that racial-ethnic minority youth, and in particular African American youth, have reported rates of marijuana use that surpasses that of White youth (Johnston et al., 2018; Kann et al., 2018).”
BackgroundResult
Age- and Sex-Related Cortical Gray Matter Volume Differences in Adolescent Cannabis Users: A Systematic Review and Meta-Analysis of Voxel-Based Morphometry Studies
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Adolescents and Drug Abuse in Tanzania: History and Evolution
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“…with conventional combustible tobacco cigarettes is of interest due to the routinely shared mode of use (Golub et al. 2004), similar timing of onset (Johnston et al. 2015), and the fact that tobacco use continues to be the number one preventable cause of death in the USA (Mokdad et al. 2004).”
Trends of Youth Marijuana Treatment Admissions: Increasing Admissions Contrasted with Decreasing Drug Involvement
Marzell, M., Sahker, E., & Arndt, S. V. (2017) · Substance Use & Misuse · doi:10.1080/10826084.2017.1311349 · Cited by 14
Alcohol use effects on adolescent brain development revealed by simultaneously removing confounding factors, identifying morphometric patterns, and classifying individuals
Park, S. H., Zhang, Y., Kwon, D., Zhao, Q., Zahr, N. M., Pfefferbaum, A., Sullivan, E. V., & Pohl, K. M. (2018) · Scientific Reports · doi:10.1038/s41598-018-26627-7 · Cited by 14
Parental views on state cannabis laws and marijuana use for their medically vulnerable children
Wisk, L. E., Levy, S., & Weitzman, E. R. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.12.027 · Cited by 14
Protective or risky? The longitudinal association of team sports participation and health-related behaviours in Canadian adolescent girls
Lau, E. Y., Riazi, N. A., Qian, W., Leatherdale, S. T., & Faulkner, G. (2019) · Canadian Journal of Public Health · doi:10.17269/s41997-019-00221-4 · Cited by 14
Religiosity and Effortful Control as Predictors of Indonesian Adolescents’ Tobacco and Alcohol Use: Moderation and Mediation
French, D. C., Purwono, U., Zhao, S., Shen, M., & Eisenberg, N. (2019) · Journal of Research on Adolescence · doi:10.1111/jora.12446 · Cited by 16
Exploring how Family and Neighborhood Stressors Influence Genetic Risk for Adolescent Conduct Problems and Alcohol Use
Bares, C. B., Chartier, K. G., Karriker‐Jaffe, K. J., Alıev, F., Mustanski, B. S., & Dick, D. M. (2019) · Journal of Youth and Adolescence · doi:10.1007/s10964-019-01098-9 · Cited by 14
Comparing cannabis use motive item performance between American Indian and White youth
Davis, S. R., Prince, M. A., Swaim, R. C., & Stanley, L. R. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.108086 · Cited by 14
“Keywords American Indian; Cannabis; Motives; Item Response Theory 1 Introduction Adolescent cannabis use and misuse among U.S. students increased by a statistically significant 1.3% in 2017 (Johnston et al., 2018).”
BackgroundInfluential
Patterns of Inhalant Use among Incarcerated Youth
Snyder, S. M., & Howard, M. O. (2015) · PLoS ONE · doi:10.1371/journal.pone.0135303 · Cited by 14
“8% of youth in the general population [3].”
Background
Predictors of Recall Error in Self-Report of Age at Alcohol Use Onset
Livingston, M. D., Xu, X., & Komro, K. A. (2016) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2016.77.811 · Cited by 14
“According to 2014 reports from the Monitoring the Future study, more than 27% of adolescents have initiated alcohol use by 8th grade, more than 50% by 10th grade, and 66% by 12th grade (Johnston et al., 2015).”
Method
Nicotine and marijuana attitudes among flavor-only vaping youth: new evidence from monitoring the future
Boccio, C. M., Jackson, D. B., & Leal, W. E. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.106186 · Cited by 13
Sex Differences in Adolescent Neurobiological Risk for Substance Use and Substance Use Disorders
Dir, A. L., & Hulvershorn, L. A. (2019) · Current Addiction Reports · doi:10.1007/s40429-019-00276-w · Cited by 14
“sensation seeking phenotypes [20•, 21] and contains multiple dopaminergic pathways that drive reward seeking [8, 20•]. According to one theory of adolescent neurobiological development, risk-taking results from earlier development of the ventral striatum and delayed development of the prefrontal cortex [14, 22]. As we…”
BackgroundInfluential
Effects of nicotine exposure on oral methamphetamine self-administration, extinction, and drug-primed reinstatement in adolescent male and female rats
Harmony, Z. R., Alderson, E. M., Garcia-Carachure, I., Bituin, L. D., & Crawford, C. A. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.107927 · Cited by 12
“One reason for this omission is that proportionately fewer human adolescents abuse MA than adults (Johnston et al., 2018), so relatively less research is focused on the adolescent period.”
Background
Modified Poisson Regression Analysis of Grouped and Right-Censored Counts
Fu, Q., Zhou, T.-Y., & Guo, X. (2021) · Journal of the Royal Statistical Society Series A (Statistics in Society) · doi:10.1111/rssa.12678 · Cited by 13
Developmental Patterns of Gambling Participation and Substance use Throughout Adolescence in a Population Birth Cohort
Carbonneau, R., Vitaro, F., Brendgen, M. R., Boivin, M., Côté, S. M., & Tremblay, R. E. (2022) · Journal of Gambling Studies · doi:10.1007/s10899-022-10107-9 · Cited by 14
“Unfortunately, there is no easily available alternative to assess large population-based samples, and self-reports remain the most widely used method for surveys in the general population (Barnes et al., 2009; 2011; Johnston et al., 2018).”
Method
Misuse of Prescription Opioids and Suicidal Behaviors Among Black Adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey
Baiden, P., Eugene, D. R., Nicholas, J. K., Spoor, S. P., Brown, F. A., & LaBrenz, C. A. (2022) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-022-01369-5 · Cited by 13
“Other reasons that account for the rise in prescription opioid misuse among adolescents include misconceptions about the illegality and safety of prescription opioids [42, 43], the desire to feel good or get high, and to increase the effects of some other drugs [40, 44, 45].”
Background
N-acetylcysteine does not alter neurometabolite levels in non-treatment seeking adolescents who use alcohol heavily: A preliminary randomized clinical trial
Kirkland, A. E., Browning, B. D., Green, R., Liu, H., Maralit, A. M., Ferguson, P. L., Meyerhoff, D. J., Prisciandaro, J. J., Miranda, R., Brady, K. T., et al. (2023) · Neuropsychopharmacology · doi:10.1038/s41386-023-01553-z · Cited by 17
“Due to our targeted recruitment efforts, female participants made up 55% of our final sample, which is important considering rates of heavy drinking are similar between sexes at these ages [50].”
Background
Use of Biofeedback-Based Virtual Reality in Pediatric Perioperative and Postoperative Settings: Observational Study
Orgil, Z., Karthic, A., Bell, N. F., Heisterberg, L. M., Williams, S. E., Ding, L., Kashikar‐Zuck, S., King, C. D., & Olbrecht, V. A. (2024) · JMIR Perioperative Medicine · doi:10.2196/48959 · Cited by 13
A Review of Meta-Analyses of Prevention Strategies for Problematic Cannabis Use
O’Hara, S. E., Paschall, M. J., & Grube, J. W. (2024) · Current Addiction Reports · doi:10.1007/s40429-024-00592-w · Cited by 13
School, Friends, and Substance Use: Gender Differences on the Influence of Attitudes Toward School and Close Friend Networks on Cannabis Involvement
Zaharakis, N. M., Mason, M. J., Mennis, J. L., Light, J. M., Rusby, J. C., Westling, E. H., Crewe, S., Flay, B. R., & Way, T. (2017) · Prevention Science · doi:10.1007/s11121-017-0816-y · Cited by 17
Perceived importance of substance use prevention in juvenile justice: a multi-level analysis
Sales, J. M., Wasserman, G. A., Elkington, K. S., Lehman, W. E. K., Gardner, S. K., McReynolds, L. S., Wiley, T., & Knudsen, H. K. (2018) · Health & Justice · doi:10.1186/s40352-018-0070-9 · Cited by 13
“Data from the 2015 Monitoring the Future study indicated that 15.8% of youth reported past-month illicit drug use and 19.9% reported consuming alcohol in the previous month Johnston et al. (2017).”
BackgroundInfluential
E-Cigarettes: Tobacco Policy and Regulation
Bold, K. W., & Krishnan‐Sarin, S. (2019) · Current Addiction Reports · doi:10.1007/s40429-019-00243-5 · Cited by 13
Internet Alcohol Marketing Recall and Drinking in Underage Adolescents
McClure, A. C., Gabrielli, J., Cukier, S. N., Jackson, K. M., Brennan, Z. L. B., & Tanski, S. E. (2019) · Academic Pediatrics · doi:10.1016/j.acap.2019.08.003 · Cited by 13
Assessing the Role of Cannabis Use on Cortical Surface Structure in Adolescents and Young Adults: Exploring Gender and Aerobic Fitness as Potential Moderators
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The Association Between Substance Use and Violence: Results from a Nationally Representative Sample of High School Students in the United States
Kedia, S., Dillon, P., Jiang, Y., James, W., Collins, A. C., & Bhuyan, S. S. (2020) · Community Mental Health Journal · doi:10.1007/s10597-020-00648-x · Cited by 13
Longitudinal associations between amygdala reactivity and cannabis use in a large sample of adolescents
Spechler, P. A., Chaarani, B., Orr, C., Albaugh, M. D., Fontaine, N. R., Higgins, S. T., Banaschewski, T., Bokde, A. L. W., Quinlan, E. B., Desrivières, S., et al. (2020) · Psychopharmacology · doi:10.1007/s00213-020-05624-7 · Cited by 12
Cyberbullying Victimization and Adolescent Drinking Behavior: Deviant Peer Affiliation as a Mediator and Personal Growth Initiative as a Moderator
Chen, P., Xin, M., Xie, Q., Wei, C., Yu, C., Gan, X., Xie, X., & Zhang, W. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.572530 · Cited by 13
Differences in substance use by sexual orientation and gender among Jewish young adults in Israel
Bonny‐Noach, H., & Bitton, M. S. (2020) · Israel Journal of Health Policy Research · doi:10.1186/s13584-020-00410-4 · Cited by 13
Cardiovascular health decline in adolescent girls in the NGHS cohort, 1987–1997
Gooding, H. C., Ning, H., Perak, A. M., Allen, N. B., Lloyd‐Jones, D. M., Moore, L. L., Singer, M. R., & de Ferranti, S. D. (2020) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2020.101276 · Cited by 13
Are E-cigarette Users a Unique Group of Smokers? Latent Class Analysis of the National Youth Tobacco Survey
Scheier, L. M., & Komarc, M. (2020) · Journal of Drug Education · doi:10.1177/0047237920980483 · Cited by 13
“…representative data from two independent surveys document that rates of lifetime, annual, and past 30-day use of e-cigarettes (more broadly called electronic nicotine delivery systems or ENDS) exceed those of regular combustible cigarette use (Jamal et al., 2017; Johnston et al., 2018).”
BackgroundInfluential
A Family-Based Healthy Lifestyle Intervention: Crossover Effects on Substance Use and Sexual Risk Behaviors
Fernández, A., Lozano, A., Lee, T. K., Estrada, Y. A., Messiah, S. E., & Prado, G. J. (2021) · Prevention Science · doi:10.1007/s11121-021-01220-z · Cited by 13
“Adolescents’ substance use was assessed with items from a population-based epidemiologic survey, Monitoring the Future (Johnston et al., 2018).”
MethodInfluential
Adolescents Treated for Attention-Deficit/Hyperactivity Disorder in Pediatric Primary Care: Characterizing Risk for Stimulant Diversion
Molina, B. S. G., Joseph, H. M., Kipp, H., Lindstrom, R. A., Pedersen, S. L., Kolko, D. J., Bauer, D. J., & Subramaniam, G. (2021) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000923 · Cited by 13
“(3) Intentions to divert were modeled after substance use intentions from the Monitoring the Future (MTF) study.(16) Three questions asked “Do you think you will share/trade/sell attention-deficit/hyperactivity disorder (ADHD) prescription stimulants in the next 6 months” (1 5 I definitely will not to 4 5 I definitely…”
Method
Nutraceuticals and Behavioral Therapy for Headache
Barmherzig, R., & Rajapakse, T. (2021) · Current Neurology and Neuroscience Reports · doi:10.1007/s11910-021-01120-3 · Cited by 13
Binge Drinking, Tobacco, and Marijuana Use Among Young Adult Childhood Cancer Survivors: A Longitudinal Study
Cappelli, C., Miller, K. A., Ritt‐Olson, A., Pentz, M. A., Salahpour, S., & Milam, J. E. (2021) · Journal of Pediatric Oncology Nursing · doi:10.1177/10434542211011036 · Cited by 13
“Among the general adolescent populations of 8th–12th grade non-cancer affected adolescents, the past 30-day prevalence of cigarette, alcohol, and marijuana use was 4.6%, 18.7%, and 14.6%, respectively (Johnston et al., 2018).”
BackgroundInfluential
Early developmental alcohol exposure alters behavioral outcomes following adolescent re‐exposure in a rat model
Risbud, R. D., Breit, K. R., & Thomas, J. D. (2022) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.14950 · Cited by 13
“This is concerning given that a significant portion of the adolescent population in the US engage in binge drinking (Gaztañaga et al., 2020; Johnston et al., 2017), defined as achieving a blood alcohol concentration of 0.08% or above (NIAAA, 2022).”
BackgroundInfluential
Intervención sobre problemas de conducta tempranos como prevención indicada del consumo de drogas: Siete años de seguimiento
Romero, E., Rodríguez, C., Villar, P., & Fraguela, J. A. G. (2016) · Adicciones · doi:10.20882/adicciones.722 · Cited by 13
Associations between unhealthy dieting behaviors and tobacco use among adolescents
Sutter, M., Nasim, A., Veldheer, S., & Cobb, C. (2016) · Journal of Eating Disorders · doi:10.1186/s40337-016-0126-y · Cited by 11

Authors: Johnston, L. D., Miech, R. A., O'Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E.
Affiliations: National Institutes of Health (US)
ORCID: Miech, R.A.
Bachman, J.G.
Schulenberg, J.E.
Patrick, M.E.
Publisher: Monitoring the Future
Published: 2018
DOI: 10.3998/2027.42/148123
OpenAlex: W2754382760
Cited by: 1,199
References: 0
Citations by year: 2026: 6 · 2025: 48 · 2024: 58 · 2023: 94 · 2022: 94 · 2021: 90 · 2020: 203 · 2019: 247 · 2018: 155
Type: report
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Deep Blue (University of Michigan) (submittedVersion, cc-by)
Funders: University of Michigan
National Institute on Drug Abuse (001411, DA001411, R01DA001411)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Youth, Drugs, and Violence
Keywords: adolescent drug use, adolescent alcohol use, binge drinking, cannabis use, nicotine vaping, electronic cigarettes, illicit drug use, substance use trends, drunkenness, tobacco use, Monitoring the Future, high school students

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Monitoring the Future national survey results on drug use, 1975-2017: Overview, key findings on adolescent drug use

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