Mallory Vanessa, Guarnizo Julie, Holland Kristin, Fogarty Hannah, Voetsch Karen, Roehler Douglas
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
J Community Health. 2025 Jun 1. doi: 10.1007/s10900-025-01477-3.
Legalization by states of medical and non-medical cannabis use is increasing the accessibility of cannabis to Americans. While cannabis use remains illegal for youth, enhanced effective approaches preventing youth's cannabis use are important. The Drug-Free Communities (DFC) Support Program is administered by the White House Office of National Drug Control Policy and represents the nation's leading effort to mobilize communities to prevent and reduce youth substance use. Coalitions use the Seven Strategies for Community Change to ensure the creation of comprehensive action plans and a community-wide approach for preventing youth substance use. This study's objective is to review the cannabis programmatic activities implemented by DFC coalitions, identify common themes, and assess whether activities align with the Seven Strategies for Community Change. Review of biannual progress report (PR) data collected from August 2020 to February 2021 was conducted to determine common themes, strengths, and areas of improvement among cannabis programmatic activities. Of the 727 funded coalitions, 73% (n = 532) identified cannabis as a substance they focused their activities on in their PR submissions, and 488 unique cannabis programmatic activities were reviewed. Cannabis programmatic activities were assigned to one of six common themes: 1) dissemination (n = 167), 2) training and education (n = 147), 3) community partnerships (n = 99), 4) policy and enforcement (n = 51), 5) miscellaneous (n = 15), and 6) communities of focus (n = 9). Findings could inform local organizations about common types of youth cannabis-related prevention activities implemented at the community-level. The least commonly reported strategies, such as communities of focus, may highlight opportunities for expanded prevention efforts for coalitions.
美国各州将医用和非医用大麻使用合法化的举措，正使美国人更容易获取大麻。虽然青少年使用大麻仍然是非法的，但加强预防青少年使用大麻的有效方法至关重要。无毒品社区（DFC）支持计划由白宫国家毒品管制政策办公室管理，是美国动员社区预防和减少青少年药物使用的主要举措。各联盟运用社区变革的七大策略，以确保制定全面的行动计划，并采取全社区范围的方法来预防青少年药物使用。本研究的目的是回顾DFC联盟实施的大麻项目活动，确定共同主题，并评估这些活动是否符合社区变革的七大策略。通过审查2020年8月至2021年2月收集的半年期进展报告（PR）数据，来确定大麻项目活动中的共同主题、优势和改进领域。在727个获得资助的联盟中，73%（n = 532）在其PR提交材料中指出大麻是他们活动所关注的一种物质，共审查了488项独特的大麻项目活动。大麻项目活动被归入六个共同主题之一：1）传播（n = 167），2）培训与教育（n = 147），3）社区伙伴关系（n = 99），4）政策与执法（n = 51），5）其他（n = 15），6）重点关注社区（n = 9）。研究结果可为地方组织提供有关在社区层面实施的青少年大麻相关预防活动常见类型的信息。诸如重点关注社区等最不常被报告的策略，可能凸显了联盟扩大预防工作的机会。
