The Icelandic Primary Prevention Model

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1 The Icelandic Primary Prevention Model Oslo January 20 Jón Sigfússon ICSRA

2 Trends in substance use in th grade Drunk last 30 days Daily smoking Hashish once or more %

3 The close community of adolescents Family Organized youth work Individual Peer group Unstructured activities

4 Breaking scientific isolation 4

5 The Model in a nutshell Emphazis on primary prevention Close cooperation Yearly monitoring Total visibiliti Tools to work with on a local level. Dialouge Actions on a local level 5

6 Methods of prevention Primary prevention, preventing the development of substance use before it starts Secondary prevention, that refers to measures that detect substance use And tertiary prevention efforts that focus on people already abusing substances 6

7 Substance use follows cohorts Smoking Alcohol Cannabis years years years years years

8 Frequency of becoming drunk depending on when they first got drunk % ,0 66,0 Drunk times or more First drunk 13 years First drunk 14 years 8

9 Interconnection between starting to drink and risk of becoming alcoholics in lifetime Source: Simkin, DR. Journal of Global Drug Policy and Practice, (2)2, years years years 9

10 Trend in Iceland 1989 to Smoke daily Have tried hashish 20,7 21,0 21,4 22,8 % ,0 15,1 17,4 9,6 11,5 13,0 5 7,2 4,

11 Attitudes vs. behaviour More then half of adolescents who smoke report that it is very important not to smoke and that they dislike smoking 11

12 Drug free Iceland The aim was to mobilize society as a whole in the struggle against drugs. 12

13 Action plan Year Initiate and support research as a basis 2. Preventive Work and Education 3. Active Non-Governmental Organizations 4. Co-opeartion with Parents Organizations 5. Young people at risk 6. Co-operative work groups against drugs 7. Anti smoking campaigns towards children 13

14 Legislation Legal age 16 > 18 years Laws on outside hours of children 20 yr. age limit to buy alcohol 18 yr. age limit to buy and sell tobacco Total advertisment ban Alcohol only sold in state run shops Tobacco not visible in shops 14

15 Trends in substance use in th grade Drunk last 30 days Daily smoking Hashish once or more %

16 Trends in substance use in th grade Daily smoking -56% Getting drunk -55% Hashish - 65% 16

17 Long term relationsship 17

18 Users of information Municipalities Ministries of Education, Health and Social services Sports and youth institutions Schools Prevention groups Parent organizations The Red Cross Center for Diseace Control The Child Protection Agency Childrens Umbodsmann

19 Accurate up to date information Average country Average country district Average city Average city district Average school figures 19

20 Age focus DFI = 15 and 16 year old to 14 year old in Primary school 14 to 16 year old in Primary school 16 to 20 year old in High school 16 to 20 year old and NOT in school Dropout students

21 Youth in Europe 21

22 Organized youth work - Preventive Sports Structured activities Extra-curricular activities in schools 22

23 Unstructured activities - Risk Spending time downtown at night Attending parties Hanging out around malls/shopping centres Idle hours 23

24 Peer group Having friends who smoke, drink and use other substances 24

25 Parents and family Monitoring: knowing with whom and where the adolescents are in the evenings Support: caring and warmth Time spent with parents 25

26 Organized youth work Peer group Structured vs unstructured activities Parents and family

27 Percentage of students in 9th and th grade who have become drunk in the last 30 days depending on if their friends become drunk once pr. month. % None or few A few Many 68,2 Almost all 66,8 49,3 53,1 23,3 23,4 4,6 3,7 Boys Girls

28 Percentage of students in 9th and th grade who smoke daily depending on if they practice sports % 20 Almost never Up to 3 times pr. week 4 times or more often 24,9 12,5,4 9,9 4,0 3,5 0 Boys who smoke daily Girls who smoke daily

29 Percentage of students in 9th and th grade who have become drunk in the last 30 days depending on how much time they spend with their parents % ,1 Almost never Seldom Sometimes Often Almost always 22,6 15,3 Boys who have become drunk last 30 days 42,0 27,8 17,6,5 12,0 8,0,4 Girls who have become drunk last 30 days

30 Clear messages to parents and others involved in the lives of adolescents Support, monitoring and time Outside hours Prevent unsupervised gatherings Encourage extracurricular activities 30

31 New emphasis Less emphasis on solely informing adolescents about the negative sides of substance use More emphasis on activating them in organized youth work and sports Less emphasis on affecting their attitudes, more emphasis on influencing their behavior 31

32 Proportion of students in th grade who spend time with their parents during weekdays % ,0 35,

33 Proportion of students in th grade who have been out after pm (4 times or more) in the past week % ,3 25,

34 My parents know where I am in the evenings (applies very or rather well to me) 80 79, ,5 %

35 My parents know with whom I am in the evenings (applies very or rather well to me) ,7 % ,

36 How often do you do the following Spend time downtown in the evening Almost never 51,0 40 % 30 29,

37 How often do you do the following go to party almost never Almost never 32,6 48,2 %

38 Trends in substance use in th grade Drunk last 30 days Daily smoking Hashish once or more %

39 Drunk last 12 months (ESPAD) % Latvia Estonia Lithuania Czech Republic Hungary Croatia 0 Slovakia Ukraine

40 Portugal Ukraine Cyprus France Greece Turkey (Istanbul) Croatia Italy Malta Slovak Republic Estonia Hungary Lithuania Poland Slovenia USA Czech Republic Norway Sweden Ireland Iceland Faroe Isl. U.K. Finland Denmark % Proportion of students in th grade who have become drunk times or more during last 12 months (ESPAD, 1995)

41 Cyprus Turkey Portugal France Greece Italy Malta Usa Croatia Poland Hungary Slovak Rep. Slovenia Ukraine Iceland Norway Sweden Lithuania Czech Rep Estonia Faroe Islands Finland U.K. Ireland Denmark % Proportion of students in th grade who have become drunk times or more during last 12 months (ESPAD, 2003)

42 Portugal Norway Hungary Turkey (Istanbul) Slovak Republic Malta Ukraine Italy Slovenia Latvia Faroe Isl. Estonia Croatia Lithuania Czech Republic Sweden Ireland Finland Iceland U.K. % Proportion of students in th grade who have had accidents or injuries related to alcohol use (ESPAD, 1995)

43 Cyprus Greece Italy Turkey France Malta Norway Portugal Croatia Faroe Islands Iceland Hungary Ukraine Czech Rep Denmark Poland Slovak Rep. Sweden Estonia Slovenia Finland Ireland Lithuania U.K. % Proportion of students in th grade who have had accidents or injuries in relation to alcohol use (ESPAD, 2003)

44 Latest ESPAD report 2007 According to ESPAD 2007 Cigarette use and use of alcohol amongst adolesents is the lowest in Iceland in all the 38 participating countries 44

45 Trends in substance use in th grade Drunk last 30 days Daily smoking Hashish once or more %

46 Thank you for listening. Oslo January 20 46

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