https://www.onechoiceprevention.org/one-choice-articles daily 0.75 2026-03-02 https://www.onechoiceprevention.org/one-choice-articles/non-use-remains-at-historic-high monthly 0.5 2026-03-02 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/37f30906-6a27-4318-a9e2-374014e86ce5/MTF-Logo_Stacked_Blue.png One Choice Prevention Articles - Non-Use Remains at Historic High - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3 monthly 0.5 2024-09-02 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/8d0c9de3-4ca2-4ecd-b97a-6fbfc8c810c3/IMG_9124.jpg One Choice Prevention Articles - ONE CHOICE FEATURED ON PREVENTION PODCAST! - Make it stand out Dr. Caroline DuPont, MD (left) and Nancy Pasquale (right) present the One Choice Prevention message with Catherine Caroll, a member of the One Choice Prevention National Student Advisory Board, at the 2022 Rx and Illicit Drug Summit in Atlanta. https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-two-gr9fn monthly 0.5 2024-09-02 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/4b276967-1176-4056-898a-549c580e55ff/image-asset+%281%29.png One Choice Prevention Articles - ONE CHOICE FOR HEALTH: A DATA-INFORMED, YOUTH-DRIVEN PREVENTION MESSAGE - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/9458ab57-e5a4-45b4-81b7-f5c14ba24c09/image-asset+%282%29.png One Choice Prevention Articles - ONE CHOICE FOR HEALTH: A DATA-INFORMED, YOUTH-DRIVEN PREVENTION MESSAGE - Make it stand out Source: National Survey on Drug Use and Health; DuPont, R. L., Han, B., Shea, C. L., & Madras, B. K. (2018). Drug use among youth: national survey data support a common liability of all drug use. Preventive Medicine, 113, 68-73. Figure 3. Past Month Cigarette Use is Associated with Higher Use of Other Drugs Among Youth Aged 12-17 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/ad86eb64-339a-479f-9ad6-68aa1a4fc26a/Teen%2BMarijuana%2BUse%2BGraph%2B2.png One Choice Prevention Articles - ONE CHOICE FOR HEALTH: A DATA-INFORMED, YOUTH-DRIVEN PREVENTION MESSAGE - Make it stand out Source: National Survey on Drug Use and Health; DuPont, R. L., Han, B., Shea, C. L., & Madras, B. K. (2018). Drug use among youth: national survey data support a common liability of all drug use. Preventive Medicine, 113, 68-73. Is Making One Choice of No Use a Realistic Goal? Parents and other adults may view adolescent substance use as inevitable or a rite of passage – but many American teens are already making One Choice today, and that number is growing.6 As shown in Figure 4, for decades, the percentage of American high school seniors who have not used any alcohol, cigarettes, marijuana, or other drugs in their lifetime has increased dramatically. The most recent Monitoring the Future data shows that in 2019, over 31% of high school seniors did not use any substances in their lifetime, and nearly 59% did not use any substances in the past month. These trends are also seen among 10th and 8th grade students.7 Figure 4. No Use of Alcohol, Cigarettes, Marijuana and Other Illicit Drugs by US High School Seniors, 1976-2019 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/889c29e3-3db8-42d5-a161-e18b8ea87c7e/No%2BUse%2BAlcohol%2BLine%2BGraph.png One Choice Prevention Articles - ONE CHOICE FOR HEALTH: A DATA-INFORMED, YOUTH-DRIVEN PREVENTION MESSAGE - Make it stand out Source: Monitoring the Future, 2019; Levy, S., Campbell, M. C., Shea, C. L., DuPont, C. M., & DuPont, R. L. (2020). Trends in substance nonuse by high school seniors: 1975–2018. Pediatrics, 146(6), e2020007187. A New Health Standard for Youth Just as the nation has embraced other health standards to support teen health – use a seat belt, wear a bicycle helmet, eat a healthy diet, avoid sugary drinks, and exercise regularly – together we can make no use of alcohol, nicotine, marijuana, or other drugs a new health standard for young people under age 21. This is not a reincarnation of the famous “Just Say No” campaign which focused on marijuana use. These data shows that alcohol, nicotine, and marijuana all dominate youth substance use and that the use of any of these three drugs is closely related to the use of all others. Youth substance use is a health issue, not a moral issue. The One Choice goal is based on the science of the developing brain; highlights the long and strong youth-led trend in more young people refraining from substance use; follows legal age limits; and supports all other drug prevention efforts, including those that focus on single drugs and use in specific settings and specific amounts. Teens are biologically driven to seek new and exciting behaviors which can put them at increased risk for substance use. Although use of alcohol, nicotine, marijuana, and other drugs is illegal for anyone under age 21 in the US, there are several factors that can make these substances more attractive to this age group including increased availability, normalization of use, and a decrease in perceived harm from use. As such, it is important to recognize the impact of Commercialized Recreational Pharmacology, defined as the super-stimulation of brain reward for profit.8 It is driven by the exploitation of people who use both legal and illegal substances and profits most off heaviest users. The US has a long and troubled history with the legal alcohol and tobacco industries related to youth, and now faces powerful, growing legal vaping and recreational cannabis (marijuana) industries that promote and profit from addiction to their products. Take Action to Promote Adolescent Health and to Reduce the Toll of Future Addiction Addiction is a preventable pediatric-onset disease; reducing the future prevalence of substance use disorders can begin with improving youth prevention. In this effort there are essential roles for parents, families, school and community leaders, health care providers and addiction professionals. What can caring adults do? Articulate the One Choice goal as a health standard for young people. Talk early and often about expectations of no use before the age of 21 of any substances including alcohol, nicotine, and marijuana and its foundation of the science of the developing brain. Fit the One Choice goal into your family’s and community’s vision for youth health and wellness. Identify substance use and intervene early. The American Academy of Pediatrics (AAP) provides guidelines for screening young patients for substance use, noting the importance of normalizing no use and of offering strong, supportive comments when no use is reported.9 When substance use is reported, brief interventions and, when needed, referral to treatment can make a positive difference in the health and wellness trajectory of a young person. Amplify youth voices. Each year, more young Americans are making the decision to not use any alcohol, nicotine, marijuana, or other drugs. Give this growing group opportunities to share the reasons why they make One Choice and how that decision is working out for them. Join the One Choice Community. The nation is searching for policies to reduce the burden of addiction on our nation’s families, communities, and health care, as well as how to save lives from opioid and other drug overdoses. We must begin this important work by promoting strong, clear public health prevention efforts based on the steady, sound, and clear support for no use of any alcohol, nicotine, marijuana, or other drugs for youth under age 21 for reasons of health. We invite you to learn more about the Institute for Behavior and Health’s One Choice initiative and how prevention groups are integrating the message and supporting data into prevention initiatives at www.OneChoicePrevention.org. Robert L. DuPont, MD, IBH President Caroline DuPont, MD, IBH Vice President Corinne Shea, MA, IBH Director of Programs and Communications https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/1f82051d-9895-4362-8af6-5e590ee720d3/one-choice_logo-final.png One Choice Prevention Articles - ONE CHOICE FOR HEALTH: A DATA-INFORMED, YOUTH-DRIVEN PREVENTION MESSAGE - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/22285970-f04b-40d9-ad73-828a0f0a37a2/IBH%2BLogo_300ppi+%281%29.png One Choice Prevention Articles - ONE CHOICE FOR HEALTH: A DATA-INFORMED, YOUTH-DRIVEN PREVENTION MESSAGE - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-three-wstlx monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-four-l6z39 monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/teen-binge-drinking-misuse-of-opioid-medications-linked-to-other-risky-behaviors monthly 0.5 2024-09-02 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/a2fe9bb5-81f8-4c4d-9c37-d1f9d4ccd9fc/Pediatrics%2B-%2BRisky%2BBehaviors%2BAssessed.jpg One Choice Prevention Articles - TEEN BINGE DRINKING, MISUSE OF OPIOID MEDICATIONS LINKED TO OTHER RISKY BEHAVIORS - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/4f48ac57-ffc6-4169-aa05-605decd36554/Pediatrics%2B-%2BOpioid%2BMisuse%2Band%2BOther%2BSubstance%2BUse+%281%29.png One Choice Prevention Articles - TEEN BINGE DRINKING, MISUSE OF OPIOID MEDICATIONS LINKED TO OTHER RISKY BEHAVIORS - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-pwfjt monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-3axb6 monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-ta8hy monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-sgjhw monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-s4bzx monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-two-gr9fn-psftg monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-rx4sh monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-3djmm monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-reducing-addiction-starts-with-prevention monthly 0.5 2025-01-17 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/ea14eb76-0696-4067-b9d4-2b305d518c5f/NSDUH_MJ_8-22%2Bthick%2Bbox+%281%29.png One Choice Prevention Articles - REDUCING FUTURE RATES OF ADULT ADDICTION MUST BEGIN WITH YOUTH PREVENTION - Make it stand out Figure 1. Past Month Use of Other Drugs, if Marijuana is Used, Ages 12-17 These findings show that prevention messaging targeting youth must address all of these three substances specifically. Most current prevention efforts are specific to individual substances or kinds and amounts of use of individual drugs (e.g., cigarette smoking, binge drinking, drunk driving, etc.), all of which have value, but miss a vital broader prevention message. What is needed, based on these new data showing the linkage of all drug use by youth, is a comprehensive drug prevention message: One Choice: no use of any alcohol, nicotine, marijuana or other drugs for youth under age 21 for reasons of health. 5,6,7 This no use prevention message provides clarity for young people, parents, physicians, educators, communities and for policymakers. It is not intended to replace public health prevention messages on specific substances, but enhances them with a clear focus on youth. Some claim adolescent use of alcohol, cigarettes and marijuana is inevitable, a goal of no use of any drug as unrealistic and that the appropriate goal of youth prevention is to prevent the progression of experimentation to later heavy use or problem-generating use. These opinions are misleading and reflect a poor understanding of neurodevelopment that underpins drug use. Teens are driven to seek new and exciting behaviors which can include substance use if the culture makes them available and promotes them. This need not be the case. New data in Figure 2 show over the last four decades, the percentage of American high school seniors who do not use any alcohol, cigarettes, marijuana or other drugs has increased steadily. In 2014, 52% of high school seniors had not used any alcohol, cigarettes, marijuana or other drugs in the past month and 26% had not used any alcohol, cigarettes, marijuana or other drugs in their lifetimes.8 Clearly making the choice of no use of any substances is indeed possible – and growing. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/9e7d8906-5ceb-4d19-adde-1d6ba20f408a/MTF%2BNo%2BUse%2BLifetime%2B%26%2BPast%2BMonth%2B-%2BNo%2BTitle.png One Choice Prevention Articles - REDUCING FUTURE RATES OF ADULT ADDICTION MUST BEGIN WITH YOUTH PREVENTION - Make it stand out Figure 2. Past Month and Lifetime Trends among High School Seniors in Abstaining from Alcohol, Cigarettes, Marijuana and Other Illicit Drugs Key lessons for the future of youth prevention can be learned from the past. Substance use peaked among high school seniors in 1978 when 72% used alcohol, 37% used cigarettes, and 37% used marijuana in the past month.9 These figures have since dropped significantly (see Figure 3). In 2016, 33% of high school seniors used alcohol, 10% used cigarettes and 22% used marijuana in the past month. This impressive public health achievement is largely unrecognized. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/9076ecd3-a371-44f5-8ede-3bba10407406/MTF%2B-%2BParents%2BMovement%2B-%2BLegalization%2BMovement.png One Choice Prevention Articles - REDUCING FUTURE RATES OF ADULT ADDICTION MUST BEGIN WITH YOUTH PREVENTION - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/a4520fcb-4d82-48d0-bd20-8cbc5c483e3b/millions.jpg One Choice Prevention Articles - REDUCING FUTURE RATES OF ADULT ADDICTION MUST BEGIN WITH YOUTH PREVENTION - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/94e801ef-f7f2-471f-baa0-7aa97e8745d5/one-choice_logo-final.png One Choice Prevention Articles - REDUCING FUTURE RATES OF ADULT ADDICTION MUST BEGIN WITH YOUTH PREVENTION - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-5g6p4 monthly 0.5 2024-09-02 https://www.onechoiceprevention.org/one-choice-articles/blog-post-title-one-7klx3-5g6p4-mrb29 monthly 0.5 2024-09-02 https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/bf0ccdf9-e405-41f4-b78d-7d83c50734db/one-choice_logo-final.png One Choice Prevention Articles - TEENS CAN MAKE ONE CHOICE FOR A BETTER FUTURE - IBH COMMENTARY - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/a393931c-1326-48c3-8d5f-52d75600db18/past%2Bmnth%2Bprev.png One Choice Prevention Articles - TEENS CAN MAKE ONE CHOICE FOR A BETTER FUTURE - IBH COMMENTARY - Make it stand out Addiction is rooted in adolescence: 90 percent of adults with substance use disorders begin using in the teenage years. The good news is that a growing percentage of teens in the US are making the choice not to use any substance. Nationally representative data from the National Institute on Drug Abuse (NIDA)-funded Monitoring the Future (MTF) survey show that over the course of the last four decades a steadily increasing percentage of high school seniors report having never used any alcohol, cigarettes, marijuana or other illicit drugs. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/87efaefa-892a-4cee-ad3d-349bb19c2f77/lifetime%2Btrends.png One Choice Prevention Articles - TEENS CAN MAKE ONE CHOICE FOR A BETTER FUTURE - IBH COMMENTARY - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/667988a10edfe8574503066e/9ae0824c-ccdf-4d2d-9005-40c52cf12c71/past%2Bmonth%2Btrends.png One Choice Prevention Articles - TEENS CAN MAKE ONE CHOICE FOR A BETTER FUTURE - IBH COMMENTARY - Make it stand out In 2014, over one quarter (25.5%) of high school seniors had never used any alcohol, cigarettes, marijuana or other drugs in their lifetimes. Half (50%) of high school seniors had not used any substance in the past 30 days. It is possible for every teen to make the choice not to use any substances. More and more teens are making that One Choice. To learn more about One Choice to maintain a healthy brain, visit the IBH website, www.PreventTeenDrugUse.org. Robert L. 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