Drug addiction usually starts before 18
June 29th, 2011
11:55 AM ET

Drug addiction usually starts before 18

The top public health problem in the United States is not obesity, as many might guess, says one public policy organization. The National Center for Addiction and Substance Abuse, also known as CASA, leaves no question as to where it stands on the subject, titling its latest study "Adolescent Substance Use: America’s No. 1 Public Health Problem."

The report released Wednesday finds that the consumption of alcohol, the use of tobacco and marijuana and the abuse of prescription drugs is on the rise among teens.  That's not terribly surprising but this might be:  CASA found that 9 out of 10 adult addicts started using before the age of 18,  compared with  1 in 25 Americans who started using these substances at age 21 or older.

Another finding: 75% of high school students have used addictive substances with 1 in 5 of them meeting the medical criteria for addiction.

Researchers believe that the adolescent brain is still developing in the areas that lead to decision-making, judgment, impulse control  and emotions, making teens more likely than adults to take risks, which makes them more likely to try things like tobacco, alcohol and other drugs.

The study done primarily through online surveys, gathered information from 1,000 high school students, 1,000 parents of high school students, 500 school personnel and a host of other studies and articles. The final results, released Wednesday found the top 4 substances among adolescents are:

1) Alcohol

2) Tobacco

3) Marijuana

4) Prescription drugs

"These rankings combine availability of these substances with the perception of harm," says Susan Foster, vice president and director of policy research and analysis with CASA.  In other words, using drugs, alcohol and tobacco is a health risk, but as a young teenager, finding them and getting them also comes with some risk.

So who’s to blame for substance use among adolescents? There's a lot of it to go around, says Foster. Glamorous alcohol and tobacco advertising gets a ding, as do pharmaceutical ads that present pills for any ills.  The media in general also take a hit for  playing  down or making light of characters who are drunk or high, according to the report. Even parents get a not-so-honorable mention for either looking the other way when their teenagers experiment with addictive substances, or for thinking that this experimenting is just another rite of passage on the way to adulthood.

The problems associated with substance abuse are not limited to health and safety. It's  also a huge financial drain on our economy. CASA cites the total cost to federal, state and local governments as at least $467.7 billion per year which puts it at almost $1,500 for each American. And these costs largely coming from those teen users, according to CASA.

So what's the answer? First, parents need to engage their teenagers early and teach them the dangers of playing and experimenting with these types of addictive substance, the report says.   Also, the mass media should be encouraged to back off making tobacco and alcohol such an enticing product.

"CASA wants the health care industry to step in and do their part too," says Foster. It is urging health care providers to screen for substances and be willing to counsel teens early about preventive measures and intervention.

soundoff (88 Responses)
  1. Abbie Lieberman

    I was finding it difficult to work in my office and it was still affecting my family till i came across this Doctor, so i contacted him with doubting mindset but i could not believe it when he helped me with a positive solution and cure my herpes with his herbal cure remedies. You can also be cured if you are suffering from HERPES or any critical sickness that is giving you heartbreak and disturbing your family and job by contacting____________________________robinson.buckler { @ yahoo }. com……
    He has solution to all health issues….
    Do you have shingles/herpes 1&2???????
    Do you have erectile issue???????
    Do you have Prostate cancer??????
    Do you have diabetes???????
    Do you have Fibroid???????

    November 7, 2020 at 17:52 | Report abuse | Reply
  2. Brantxcw

    The stores of Thailand

    IntroductionBangkok, investment funds of Thailand, Is one of the foremost holiday destinations in the world. often, It may surprise to learn that Bangkok is currently second only to London regarding the total number of international visitors who arrive in the city each day. Of course when Bangkok, The majority will finally move on elsewhere, To the Thai destinations, to a highlands of the northwest, Or even by linking flights to other Asian nations.

    But most who get to Bangkok as tourists will at least spend 2 or 3 days here, Taking in the sights as well as the sounds and smells and tastes for which this bustling city has become justly renouned. and they will also do some shopping. The Thai capital is famous for its shopping, And the big malls of the city must surely rank among the best looking in the world for the merchandise they stock, And the ambience of the surrounds in which the retailers ply their trade. And also for the extraordinary added attractions which Thai malls and shopping plazas have to offer. Some of these additional attractions are the main feature of this article, And they will really surprise those who think that going to a retail complex is just about well shopping. And we also examine one complex in another Thai city, Udon Thani, To illustrate that multi faceted shopping experiences in this country are not the sole preserve of the capital. Perhaps it's because Thailand, in contrast nations like the USA and the UK, Is an emergent market society. The very first shopping malls were only built in the 1970s and most have been designed or at least renovated in the 21st century. stipulations, The designers have clearly learned from the Western life experience, Adopted the best top features of Western consumerism and added their own distinctly Asian touch. Pretty much anything are usually available in the best of these malls, And pretty much any of the world's cuisines are in their restaurants and food halls. Shopping is easy and comfortable in an air conditioned atmosphere and with spacious, Wide aisles and minimalist displays. Floors tend to be themed for example with high fashion organisations clustered together, and likewise, home furnishings, Gifts and local Thai products or services, And the very latest in hi tech consumer electronics. But you will discover numerous more things to do in these malls besides shopping. Not just multiplex cinema screens which many centres already have, But also childrens' recreational areas, Cultural emotions, gaming arcades, Ice rinks and Thai dating bowling alleys and some even more flamboyant entertainments.

    Click thumbnail to view adult size

    The 'departure' join for Istanbul, Though these shoppers have just arrived down from the Turkish souk to shop working in london!

    A lighthouse rises on 'Carribean Beach Town'. a huge anchor lies nearby. This zone also features a large food market

    The famous red telephone box leaves one in no doubt which the is Old London Town. Many other London icons are available here

    One wouldn't expect you'll see the Golden Gate Bridge, that included model cars, In the Thai income, But here you go in Terminal 21

    A giant golden Oscar statue stands over the escalator to the Hollywood Floor where the 8 screen SF Cinema City is can be found

    Terminal 21General Impression and site

    deadly 21 is a nine storey shopping complex in the Watthana district of Bangkok, On the Sukhumvit Road regarding Soi 19 and 21. In adition to road and jogging access, The mall is also linked by skywalks to both the Sukhumvit metro train station (MRT) And the Asok Skytrain train station (BTS). The mall isn't the prevailing in Bangkok, But it's one of the most recent (approved in 2011), One of the very most distinctive, And some of the fun, With a nearly Disneyesque theme to the mall layout, revealed below.

    The key distinguishing feature of the shopping centre is without a doubt the layout of the mall, And the clue to this elevates the name. Terminal 21 is styled as an airport starting lounge, And each floor of this remarkable complex is themed to represent a world city vacation. as '1st floor', '2nd floor' to '3rd floor', we've found 'Rome', 'Paris' and moreover 'Tokyo'. Then as we go the particular escalators (one of which at 36m is the longest in Thailand), We find ourselves in 'London', 'Istanbul', 'San Francisco' as well as 'Hollywood'. you place the 'Caribbean Floor', Below walk out. And the 'terminal' theme is handled beyond the floor names. The electronic shop displays resemble airport flight personal information boards, And the client service staff are dressed in flight attendant style uniforms.

    The structural decor and some of the shops reflect the clichd style of the city countries. Thus on the Rome Floor there are past times of Roman marble statues and paintings, although Parisian Champs lyses features mock ups of the Eiffel Tower and Arc de Triomphe. On the London Floor issues among other sights, A red phonephone box and a red post box. Istanbul is put together on a street market or souk, And san fran is themed on the Fisherman's Wharf district of that city. A bit gimmicky perhaps but it makes Terminal 21 really distinctive and brilliant, And of course the gimmick doesn't detract from your handmade jewelry. often, much more each floor of the mall unique, And thus easier for the visitor to find his way around. and then the decor, The store locations really are themed too, With fashion on the fewer Roman and Parisian floors, and more than 100 clothing and cosmetic themed shops on the Tokyo level. Gift and souvenir shops are common in Istanbul whilst San Fransisco has one of the better food courts in Bangkok. Smaller food stalls are also to be based in the lower Caribbean zone. 8 cinema fire screens, in particular a couple of 3D screens, Provide most of the theater on naturally enough the Hollywood Floor, But that is not the only amusement here. ladies Fitness First Health Club and spa.

    A wall decoration on the frisco Floor. Not sure what this says about san francisco but it's just one of the quirky adornments in Terminal 21 Source

    Siam ParagonGeneral Impression and

    Siam Paragon is the largest of three impressive places close to the Siam Skytrain Station in Pathum Wan district, Bangkok. no doub it is, One of huge shopping centres in Asia, Covering 10 floors and more than 400,000 m2 of in a store space. Since opening in 2005 this mall has become renouned as the site to visit for luxury goods and a mecca for the affluent and for tourists, Whilst also stocking more typical fayre for ordinary Thais. Shops here offer upmarket brands like Rolex, Prada, Cartier, Armani, Gucci, Versace, Jimmy Choo, And many numerous others. Any glitzy name imaginable, and will also be here. as well as perhaps most impressive of all there are the super car showrooms, Where prime quality Lamborghinis, Aston Martins, Maseratis and Jaguars is so visible. at the time of my visit, the more costly of all was a Rolls Royce Phantom (If you're merely a dollar millionaire you can not afford it).

    But if Siam Paragon is the place to visit for some of the world's finest goods, Then it's also the most impressive entertainment complexes in town, With limbs of Fitness First, A 30 lane bowling alley, And a karaoke hub. you will find there's 14 screen multiplex cinema, beyond the 'Nokia VIP Ultrascreen', Where you can view movies from the comfort of leather sofas equipped with motorised footrests and a blanket to snuggle up with! in addition to that, There's choosing 3D IMAX theatre in Thailand, Which also has the main screen in Thailand. additionally, there is Royal Paragon Hall, An events arena for events, exhibitions and music concerts, With an audience capacity of 5,000. And on 4th floor, There is an education zone for children which gives lessons in such things as languages, music, artworks, belly dance, and even taekwondo.

    exclusively me, this is conclusive evidence as to the premier attraction at Siam Paragon. What would you least expect to see on among the floors of a modern shopping centre? any nine foot shan absoluterk? still living? That's exactly what are visible in the basement of Siam Paragon where a branch of Ocean World has its home. for instance the largest aquarium in South east Asia, And on top of sharks and a myriad of other fishes, you can see penguins, warm frogs, Giant spider crabs and most. One can even book to do a scuba dive mainly aquarium!

    All this makes Siam Paragon not just a shopping centre, But virtually a holiday resort in its own right. there's even a hotel adjacent to the mall.

    The Siam Paragon mall the ultimate shopping experience in Bangkok

    Spacious aisles and well presented stands are aspect of Siam Paragon

    Down in the basement below the posh shops and showrooms, Lurk the denizens on the deep in Ocean World

    The remarkable pearly nautilus a 'living fossil' is so visible at Ocean World Source

    A shoots Royce Phantom. It is much higher priced to buy imported cars such as this here than in the UK or America, the high cost said 48,000,000 baht over or $1,400,000 buy

    Siam Center / Siam DiscoveryGeneral Impression and location

    Very close to Siam Paragon are two more great shopping malls Siam Center and Siam Discovery which are often considered jointly as they are under the same ownership, And linked by a sky bridge on the 4th floor. And both of these two malls are also connected by sky walkways to the nearby BTS Siam and National Stadium train stations need not try to traverse the busy main road here!

    Siam center, Which first established in the mid 1970s, thought to be oldest of all Bangkok's shopping plazas. Despite wear and tear, It is said to appeal rather to the young generation of Thais, And fashion shops seem to control you here. Prices may be to some extent lower, And the mall will be busier than either of its near neighbours, notably at the weekends when teenagers throng the lower floors and the food halls.

    Siam breakthrough discovery was opened in 1997, And attracts a slightly older (yet still young) customer. this approach mall has some resemblence to Siam Paragon, But the emphasis here is stated to be less on luxury, More on elegance.

    December 9, 2020 at 11:52 | Report abuse | Reply
  3. Thai Casino

    Interesting take on the topic. I agree with you completely


    December 22, 2020 at 22:17 | Report abuse | Reply
  4. frolep rotrem

    Hi, i think that i saw you visited my website thus i came to “return the favor”.I'm attempting to find things to improve my website!I suppose its ok to use some of your ideas!!


    December 31, 2020 at 02:24 | Report abuse | Reply
  5. Hollis Hilgefort


    January 2, 2021 at 20:48 | Report abuse | Reply
  6. Cayla Senate

    I enjoy, result in I found exactly what I was having a look for. You have ended my four day long hunt! God Bless you man. Have a great day. Bye


    January 7, 2021 at 00:03 | Report abuse | Reply
1 2

Post a comment


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.