1. Student Drug Use Survey 2016 Mariemont Findings

2. Who We Are PreventionFIRST!, formerly the Coalition for a Drug-Free Greater Cincinnati, was founded in 1996 as a comprehensive effort to reduce adolescent alcohol and drug use. We serve a 10-county region in Ohio, Indiana and Kentucky. It is our vision that people make healthy choices in every stage of life. 2 Guiding Communities to a Vibrant Future

3. What We Do Mission: to promote healthy behaviors by sparking and sustaining community change. Overarching Goals: more communities are engaged in prevention and more people make healthy choices 3 Guiding Communities to a Vibrant Future

4. Strategic Pathways Center for Prevention Science – to ensure data-driven decision-making for prevention action. Center for Community Engagement – to strengthen & support local, neighborhood anti-drug efforts. Center for Prevention Action – to establish & strengthen collaboration across community sectors to implement evidence-based prevention. 4 Guiding Communities to a Vibrant Future

5. Coalition Approach Build and expand community partnerships Increase public awareness to build community readiness to address the problem Empower families and youth with knowledge to practice prevention Limit access to addictive substances Expand early detection and intervention Impact policy for long-term change 5 Guiding Communities to a Vibrant Future

6. Survey Methodology Pride Surveys questionnaire Administered every two years - 9th cycle since 2000 39,085 seventh through twelfth grade students from 88 schools completed the survey Distribution is representative of the region Respondents from public & private schools across 8 counties in the tri-state region 6 Guiding Communities to a Vibrant Future

7. Regional Areas of Progress Since 2000, Alcohol use declined 46% Tobacco use declined 61% Marijuana use declined 22% Ease of Availability has improved by one third. Since 2004, Parental Disapproval has improved 5-11% Peer Disapproval has improved 27-55% Since 2012, Prescription Drug use declined 29% 7 Guiding Communities to a Vibrant Future

8. Mariemont Key Findings & Trends 8 Guiding Communities to a Vibrant Future

9. Prevalence of Use 9 Guiding Communities to a Vibrant Future 2016 Past 30 Day Use MariemontRegional Alcohol 17.2% 16.3% Cigarettes/Tobacco 3.1% 8.2% Marijuana 10.7% 11.7% Prescription Drugs 1.9% 4.6%

10. Overall, most youth are NOT using 10 Guiding Communities to a Vibrant Future

11. Percentages by Age Group SubstanceAge GroupMariemontRegional Alcohol7th/8th2.1%6.5% 9th-12th25.3%21.2% Cigarettes7th/8th0.4%4.7% 9th-12th4.5%10% Marijuana7th/8th0.8%4.6% 9th-12th16.0%15.2% Prescription7th/8th0.8%3.1% 9th-12th2.5%5.3% E-Vapor7 th /8 th 2.1%7.6% 9 th -12th10.6%16.3% 11 Guiding Communities to a Vibrant Future

12. Very Little Use for 7 th and 8 th Graders 12 Guiding Communities to a Vibrant Future

13. Perception of Harm 13 Guiding Communities to a Vibrant Future 2016 Reporting of Harmful/ Very Harmful Mariemont Regional Alcohol 83.3% 78.5% Cigarettes/Tobacco 91.1% 87.2% Marijuana 71.2% 64.6% Prescription Drugs 90.0% 86%

14. Marijuana perceived as least harmful 14 Guiding Communities to a Vibrant Future

15. By Grade, Marijuana Perception of Harm Goes Down and Use Goes Up 15 Guiding Communities to a Vibrant Future

16. Perception of Parental Disapproval 16 Guiding Communities to a Vibrant Future 2016 Reporting of Wrong/Very Wrong Mariemont Regional Alcohol 85.4% 86.8% Cigarettes/Tobacco 96.8% 93.3% Marijuana 93.1% 90.5% Prescription Drugs 97.8% 95.1%

17. Record High Levels of Parental Disapproval 17 Guiding Communities to a Vibrant Future

18. Perception of Friend Disapproval 18 Guiding Communities to a Vibrant Future 2016 Reporting of Wrong/Very Wrong Mariemont Regional Alcohol 60.2% 61.5% Cigarettes/Tobacco 84.0% 76.8% Marijuana 70.3% 68.5% Prescription Drugs 88.9% 86.1%

19. Record High Levels of Friend Disapproval 19 Guiding Communities to a Vibrant Future

20. Age of First Use 20 Guiding Communities to a Vibrant Future 2016 Average Age of Students Report First Using a Substance Mariemont Regional Alcohol 14.1 yrs. 13.4 yrs. Cigarettes/Tobacco 14.6 yrs. 13.1 yrs. Marijuana 14.8 yrs. 13.8 yrs. Prescription Drugs 14.4 yrs. 13.2 yrs.

21. Age of First Use Has Continued to Rise 21 Guiding Communities to a Vibrant Future

22. Males vs. Females Annual Tobacco Use is predominantly Male Annual Alcohol and Marijuana Use in the Junior class is predominately male Males in the Junior class have the highest rates of Annual Alcohol use for the District at 67.7%. Regionally the rate is 43.2% Zero Annual Use of Marijuana for 7 th and 8 th Grade Females Compared to Region which is 2.9% and 7.7% respectively 22

23. Availability 23 Guiding Communities to a Vibrant Future 2016 Reporting Fairly Easy/Very Easy Mariemont Regional Alcohol 39.5% 41.8% Cigarettes/Tobacco 28.2% 40.8% Marijuana 26.7% 33.2% Prescription Drugs 15.5% 25.3%

24. Be Vigilant on Access and Availability 24 Guiding Communities to a Vibrant Future

25. If They Use, From Whom, Where and When? Friends and Store reported as top two sources for Alcohol and Tobacco Friends, Parents and Other reported as top sources for Marijuana and Prescription Drugs At Home, Friend’s House and Parties are top three places reported for students using Alcohol and Marijuana reported Primarily Weekend Use Tobacco primarily reported After school, Weeknights, and Weekends. Prescription Drugs reported Primarily During School, Weeknights, and Weekends. 25 Guiding Communities to a Vibrant Future

26. New Survey Questions 26 Guiding Communities to a Vibrant Future New Survey questions Mariemont Region In Past 30-Day: Use Electronic vapor products 7.6%13.4% In Past 30-Days: Ridden in a car with a driver who was drunk/high 3.1% / 4.8%4.3% / 7.9% In Past 30-Days: Driven a car while drunk/high 0.6% / 1.9%1.9% / 3.7% Participate in physical activity93% 1-7 days85.3% 1-7 days Eat at least one piece of fruit96.6% 1-7 days92.5% 1-7 days Eat at least one vegetable94.7% 1-7 days90% 1-7 days Sleep74.3% 6-8 hrs.71.6% 6-8 hrs. Engage in screen time46.3% a lot/often56.4% a lot/often Experience stress in your daily life53.2% a lot/often52.5% a lot/often Thought about committing suicide7.4% a lot/often9.8% a lot/often

27. Pro-Social Behaviors – Less Likely to Use Parents set clear rules about using alcohol/drugs Teachers talk about dangers of alcohol/drugs Attend church/synagogue/mosque Parents punish when alcohol/drug rules are broken Schools set clear rules on using alcohol/drugs during school/school functions Parents talk about dangers of alcohol/drugs Participate in school activities Participate in community activities 27 Guiding Communities to a Vibrant Future

28. Risky Behaviors – More Likely to Use Friends use alcohol Been to a party where alcohol was available Been to a party where marijuana/illicit drugs were available Friends use marijuana Friends use tobacco Been to a party where prescription drugs were available 28 Guiding Communities to a Vibrant Future

29. Areas of Concern 13 is a pivotal age Friends Be vigilant on access and availability Monitor, secure, dispose Parties Binge drinking is risky Marijuana use has surpassed tobacco use 29 Guiding Communities to a Vibrant Future

30. Resources for Schools Ohio Dept. of Education – required opiate prevention education US Education Act – dollars for prevention SBIRT – Screening, Brief Intervention, and Referral to Treatment, through school nurses and school-based health centers Requests for data analysis 30 Guiding Communities to a Vibrant Future

31. Upcoming Deep Dive Analysis Alcohol Tobacco Marijuana Opiates Gambling Risk & Protective Factors School Safety Other health behaviors 31 Guiding Communities to a Vibrant Future

32. Concluding Messages Collaboration is effective and necessary if we are to continue to drive drug use rates down. Use continues to decline – fewer students are regular users than in 2000. Protective factors continue to keep our teens healthy and thriving. Continue to move forward and enhance our efforts to aggressively address community risk factors. 32 Guiding Communities to a Vibrant Future

33. Questions Thank you for participating in this important survey Thank you to our partners who helped to fund the survey 33 Guiding Communities to a Vibrant Future