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Drug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources. The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse. Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children. Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care. The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevanceâ€"to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.
This report summarizes a national survey of drug use and related attitudes among American secondary school students. All of its data came from an ongoing national research and reporting program entitled, "Monitoring the Future: A Continuing Study of the Lifestyles and Values of Youth." These surveys address two major topics: (1) the prevalence of drug use among American students in 8th, 10th, and 12th grades; and (2) drug use trends by those students. Distinctions were drawn among demographic subgroups, incidence of first use recorded, trends in use at lower grade levels, and intensity of drug use. Also included were key attitudes about illicit drug use--incorporating perceptions of the social environment--as potential explanatory factors. The research focused on frequent drug use rather than analyzing everyone who has ever used drugs. This strategy serves to differentiate levels of seriousness, or extent, of drug involvement. Survey results indicate that the last decade witnessed an appreciable decrease in the use of numerous illicit drugs among seniors. However, eighth-graders exhibited a significant increase in some drug use, such as marijuana, cocaine, and LSD. This latter evidence may indicate that younger cohorts have less opportunity to learn though informal means about the dangers of drugs. Two appendixes present the prevalence and trend estimates adjusted for absentees and dropouts, and definitions of background and demographic subgroups. (RJM)
This monograph is based upon papers presented at a technical review of patterns of cocaine use in the United States which took place on July 11-13, 1984, at Bethesda, Maryland. The conference was sponsored by the Division of Epidemiology and Statistical Analysis, National Institute on Drug Abuse.
Despite efforts to reduce drug consumption in the United States over the past 35 years, drugs are just as cheap and available as they have ever been. Cocaine, heroin, and methamphetamines continue to cause great harm in the country, particularly in minority communities in the major cities. Marijuana use remains a part of adolescent development for about half of the country's young people, although there is controversy about the extent of its harm. Given the persistence of drug demand in the face of lengthy and expensive efforts to control the markets, the National Institute of Justice asked the National Research Council to undertake a study of current research on the demand for drugs in order to help better focus national efforts to reduce that demand. This study complements the 2003 book, Informing America's Policy on Illegal Drugs by giving more attention to the sources of demand and assessing the potential of demand-side interventions to make a substantial difference to the nation's drug problems. Understanding the Demand for Illegal Drugs therefore focuses tightly on demand models in the field of economics and evaluates the data needs for advancing this relatively undeveloped area of investigation.