Klump Basma M, Varre Ananya, Karns John P, Garg Esha, Patel Richa, Parikh Urja, Mansour Anthony, Nazaroff Carrie, Restini Carolina
College of Osteopathic Medicine, Michigan State University, East Lansing, MI, United States.
Detroit Medical Center, Michigan State University, Detroit, MI, United States.
Front Public Health. 2025 Apr 8;13:1490166. doi: 10.3389/fpubh.2025.1490166. eCollection 2025.
Substance use epidemics, particularly opioids and e-cigarettes, pose a significant public health crisis, especially among minors. To address opioid and e-cigarette epidemics among young individuals, the Substance Use Prevention (SUP) program educated high school students in southeast Michigan. Through a medical student-led intervention, we implemented interactive educational methods to deliver evidence-based information on the risks associated with these substances.
A quasi-experimental study design assessed the impact of the SUP interventions on the high school students' understanding of addiction mechanisms, health consequences, and prevention strategies. We assessed baseline knowledge (pre-intervention questionnaires), demographic factors, and post-intervention knowledge.
Data analysis among 100 students from four high schools revealed that while students started with varied levels of baseline knowledge, they reported significantly higher confidence in their opioid ( < 0.0001) and e-cigarette ( < 0.0001) knowledge after the intervention. Students significantly ( < 0.05) improved their ability to recognize causes of overdose (scoring 65% vs. 78%), risk factors (21%-84%), and naloxone as emergency treatment (38%-80%) after the intervention.
Subjects showed no changes in individual knowledge of e-cigarettes, which we attribute to school-specific variances and/or high baseline knowledge. The difference in knowledge among schools may be due to disparities in race and differences in socioeconomic status, as shown by the increased poverty level. This study evidenced the importance of raising awareness among adolescents to improve their learning and comprehension of the causes and consequences of substance misuse by sharing medically focused explanations of substances as well as the economic and societal impact.
物质使用流行，尤其是阿片类药物和电子烟，构成了重大的公共卫生危机，在未成年人中尤为严重。为解决年轻人中的阿片类药物和电子烟流行问题，物质使用预防（SUP）项目对密歇根州东南部的高中生进行了教育。通过医学生主导的干预措施，我们采用了互动式教育方法，提供关于这些物质相关风险的循证信息。
一项准实验研究设计评估了SUP干预措施对高中生对成瘾机制、健康后果及预防策略理解的影响。我们评估了基线知识（干预前问卷）、人口统计学因素及干预后的知识。
对来自四所高中的100名学生的数据分析显示，虽然学生们开始时的基线知识水平各不相同，但在干预后，他们对阿片类药物（<0.0001）和电子烟（<0.0001）知识的信心显著提高。干预后，学生们在识别过量用药原因（得分从65%提高到78%）、风险因素（从21%提高到84%）以及纳洛酮作为急救治疗方法（从38%提高到80%）方面的能力有显著（<0.05）提升。
受试者对电子烟的个人知识没有变化，我们将其归因于学校特定差异和/或较高的基线知识。学校之间的知识差异可能是由于种族差异和社会经济地位差异，贫困水平上升就表明了这一点。这项研究证明了提高青少年意识的重要性，通过分享关于物质的医学重点解释以及经济和社会影响，来改善他们对物质滥用原因和后果的学习与理解。
