title: Examining a home environmental strategy to reduce availability of legal products that can be misused by youth.
abstract: This article presents results from a study of a home environmental strategy (HES) designed to reduce availability of harmful legal products (HLPs) in the home that can be used by youth to get high. HLPs include inhalants, prescription and nonprescription drugs, and household products that can be ingested to get high. Availability is one of the most consistent predictors of substance use among youth. Parents of 5th- to 7th-grade students in four Alaskan communities participated in telephone interviews as part of a larger study of a multicomponent community prevention model (CPM) that included a HES. The strategy was designed to encourage parents to reduce availability of HLPs by removing them from the home, and by locking up and monitoring the supplies of HLPs in the home. Data from 402 parents at Wave 1 and 371 parents at Wave 2 were analyzed using hierarchical non-Linear modeling (HNLM). Results show there was a significant decrease in HLPs in the home from Wave 1 to Wave 2, mostly inhalants and prescription and nonprescription drugs. Parents also reported a significant increase in locking up prescription and nonprescription drugs in the home. Parents' direct exposure to the HES was marginally associated with the change over time in HLP availability in the home. Indirect exposure through others and media was not associated with this change. Study lessons learned and conclusions are highlighted.
authors.affiliation: Pacific Institute for Research and Evaluation, Louisville, Kentucky 40208, USA. collins@pire.org
authors.forename: David A
authors.initials: DA
authors.lastname: Collins
authors.forename: Knowlton W
authors.initials: KW
authors.lastname: Johnson
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Shamblen
mesh_terms: D000413:Alaska; D002648:Child; D003625:Data Collection; D040261:Harm Reduction; D006795:Household Products / Q000009:adverse effects / Q000600:supply & distribution*; D006798:Housing; D006801:Humans; D004366:Nonprescription Drugs / Q000009:adverse effects / Q000600:supply & distribution*; D063487:Prescription Drug Misuse; D055553:Prescription Drugs / Q000009:adverse effects / Q000600:supply & distribution*; D012449:Safety; D019966:Substance-Related Disorders / Q000517:prevention & control*
chemical_list: D004366:Nonprescription Drugs; D055553:Prescription Drugs