Sociologický časopis / Czech Sociological Review 2013, 49(6): 903-926 | DOI: 10.13060/00380288.2013.49.6.02

Gender-Specific Effectiveness of the Unplugged Prevention Intervention in Reducing Substance Use among Czech Adolescents

Petr Novák, Michal Miovský, Jiří Vopravil, Roman Gabrhelík, Lenka Šťastná, Lucie Jurystová
Department of Psychiatry, First Faculty of Medicine, Charles University and General University Hospital, Prague
Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital, Prague

Impact evaluations of the school-based Unplugged prevention intervention have shown it to have a measurably positive preventive effect on the Czech school population, but only limited data are available to identify its effectiveness in gender-specific terms. This article seeks to determine the gender-specific effectiveness of this drug prevention programme. The authors conducted a randomised trial of the programme on a total of 1874 children (with a mean age of 11.8 years). They collected data using a questionnaire from the European School Survey Project on Alcohol and Other Drugs. Baseline testing was conducted among sixth-grade students immediately prior to the programme's implementation, and five follow-up tests were carried out 9, 12, 21, 24, and 33 months after the baseline testing. Gender-specific effectiveness was tested using three indicators: the 30-day prevalence of any tobacco or cannabis use and the 30-day prevalence of any drunkenness. The results comparing the experimental and control groups provide evidence of statistically significant effects for any drunkenness among boys and any tobacco use among girls in the 30 days prior to testing. The programme was found to have positive effects on both genders' cannabis use, with girls showing lower levels of cannabis use even 33 months after the baseline test. Given the gender equality approach to drug prevention, differences in outcome may be overcome by adding gender-specifi c elements to the intervention programme's curriculum.

Keywords: adolescence, equality in results, gender, psychoactive substances, school-based prevention

Published: December 1, 2013Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Novák, P., Miovský, M., Vopravil, J., Gabrhelík, R., Šťastná, L., & Jurystová, L. (2013). Gender-Specific Effectiveness of the Unplugged Prevention Intervention in Reducing Substance Use among Czech Adolescents. Sociologický časopis / Czech Sociological Review49(6), 903-926. doi: 10.13060/00380288.2013.49.6.02.
Download citation

References

  1. Adámková, Tereza, Lucie Jurystová, Roman Gabrhelík, Lenka Miovská and Michal Miovský. 2009. 'Primary Prevention in Schools Involved in the EUDAP 2 Project.' Adiktologie 9 (2): 86-94.
  2. Agostinalli, Gina, Joel W. Grube and Mark Morgan. 2003. 'Social Distancing in Adolescents' Perceptions of Alcohol Use and Social Disapproval: The Moderating Roles of Culture and Gender.' Journal of Applied Social Psychology 33 (11): 2354-2372. Go to original source...
  3. Anderson, Peter and Ben Baumberg. 2006. Alcohol in Europe: A Public Health Perspective. London: Institute of Alcohol Studies. Go to original source...
  4. Ariza, Carles, Anna Pérez, Francesca Sánchez-Martínez, Marta Diéguez, Albert Espelt, Isabel M. Pasarín, Josep M. Suelves, Rafael De la Torre and Manuel Nebot. 2013. 'Valuation of the Effectiveness of a School-Based Cannabis Prevention Program.' Drug and Alcohol Dependence 132 (1): 257-264. Go to original source...
  5. Best, David, Salman Rawaf, Jenny Rowley, Karen Floyd, Victoria Manning and John Strang. 2000. 'Drinking and Smoking as Concurrent Predictors of Illicit Drug Use and Positive Drug Attitudes in Adolescents.' Drug and Alcohol Dependence 60 (3): 319-322. Go to original source...
  6. Blake, Susan M., Hortensia Amaro, Pamela M. Schwartz and Laura J. Flinchbaugh. 2001. 'A Review of Substance Abuse Prevention Programs for Young Adolescent Girls.' Journal of Early Adolescence 21 (3): 294-324. Go to original source...
  7. Butters, Jennifer E. 2004. 'The Impact of Peers and Social Disapproval on High-Risk Cannabis Use: Gender Differences and Implications for Drug Education.' Drugs: Education, Prevention and Policy 11 (5): 381-390. Go to original source...
  8. Caraballo, Ralph S., Gary A. Giovino and Terry F. Pechacek. 2004. 'Self-reported Cigarette Smoking vs Serum Cotinine among US Adolescents.' Nicotine & Tobacco Research 6 (1): 19-25. Go to original source...
  9. Csémy, Ladislav and Karel Nešpor. 2002. 'Zkušenost s alkoholem, tabákem a marihuanou výrazně zvyšují riziko experimentovaní s heroinem a pervitinem.' (Experience with Alcohol, Tobacco, and Marijuana Increases the Risk of Experimenting with Heroin and Pervitin) Česká a slovenská Psychiatrie 98 (61): 358-359.
  10. Csémy, Ladislav, Pavla Lejčková and Petr Sadílek. 2007. 'Substance Use Among Czech Adolescents: An Overview of Trends in the International Context.' Journal of Drug Issues 37 (1): 119-132. Go to original source...
  11. Danielsson, Anna-Karin, Anders Romelsjö and Anders Tengström. 2011. 'Heavy Episodic Drinking in Early Adolescence: Gender-Specific Risk and Protective Factors.' Substance Use and Misuse 46 (5): 633-643. Go to original source...
  12. Ellickson, Phyllis L., Ron D. Hays and Robert M. Bell. 1992. 'Stepping through the Drug Use Sequence: Longitudinal Scalogram Analysis of Initiation and Regular Use.' Journal of Abnormal Psychology 101 (3): 441-451. Go to original source...
  13. EMCDDA. 2006. A Gender Perspective on Drug Use and Responding to Drug Problems. Lisbon: European Monitoring Centre for Drugs and Drug Addiction.
  14. EMCDDA. 2012. Annual Report 2012: The State of the Drugs Problem in Europe. Lisbon: European Monitoring Centre for Drugs and Drug Addiction.
  15. Faggiano, Fabrizio, Maria R. Galanti, Karl Bohrn, Gregor Burkhart, Federica VignaTaglianti, Luca Cuomo, Leila Fabiani, Massimiliano Panella, Tatiana Perez, Roberta Siliquini, Peer van der Kreeft, Maro Vassara, Gudrun Wiborg and the EU-Dap Study Group. 2008. 'The Effectiveness of a School-Based Substance Abuse Prevention Program: EU-Dap Cluster Randomised Controlled Trial.' Preventive Medicine 47 (5): 537-543. Go to original source...
  16. Faggiano, Fabrizio, Federica Vigna-Taglianti, Gregor Burkhart, Karl Bohrn, Luca Cuomo, Dario Gregori, Massimiliano Panella, Maria Scantigna, Roberta Siliquini, Laura Varona, Peer van der Kreft, Maro Vassara, M., Gudrun Wiborg, Maria R. Galanti and the EU-Dap Study Group. 2010. 'The Effectiveness of a School-Based Substance Abuse Prevention Program: 18-Month Follow-Up of the EU-Dap Cluster Randomized Controlled Trial.' Drug and Alcohol Dependence 108 (1-2): 56-64. Go to original source...
  17. Flay, Brian R. 2009. 'School-Based Smoking Prevention Programs with the Promise of Long-Term Effects.' Tobacco Induced Diseases 5 (6): 1-18. Go to original source...
  18. Gabrhelík, Roman. 2010. 'Teoretické modely v primární prevenci a základní typy preventivních programů.' (Theoretical Models in Primary Prevention and General Types of Prevention Programmes) Pp. 43-52 in Primární prevence rizikového chování ve školství, edited by Michal Miovský, Lenka Skácelová, Jana Zapletalová and Petr Novák. Prague: Sdružení SCAN, Univerzita Karlova v Praze & Togga.
  19. Gabrhelik, Roman, Alexandra Duncan, Michal Miovsky, C. Debra M. Furr-Holden, Lenka Stastna and Lucie Jurystova. 2012a. 'Unplugged: A School-Based Randomized Control Trial to Prevent and Reduce Adolescent Substance Use in the Czech Republic.' Drug and Alcohol Dependence 124 (1-2): 79-87. Go to original source...
  20. Gabrhelik, Roman, Alexandra Duncan, Myong H. Lee, Lenka Stastna, C. Debra M. Furr-Holden and Michal Miovsky. 2012b. 'Sex Specific Trajectories in Cigarette Smoking Behaviors among Students Participating in the Unplugged School-Based Randomized Control Trial for Substance Use Prevention.' Addictive Behaviors 37 (10): 1145-1150. Go to original source...
  21. Gómez Cruz, Generoso, Miguel Barrueco Ferrero, Irene Aparicio Coca, José Á. Maderuelo and Miguel Torrecilla García. 2009. 'Program for the Prevention of Smoking in Secondary School Students.' Archivos De Bronconeumologia 45 (1): 16-23. Go to original source...
  22. Hecht, Stephen S. 1999. 'Tobacco Smoke Carcinogens and Lung Cancer.' Journal of National Cancer Institute 91 (14): 1194-1210. Go to original source...
  23. Hibell, Bjorn, Babro Andersson, Thoroddur Bjarnasson, Salme Ahlstrom, Olga Balakireva, Anna Kokkevi and Mark Morgan. 2004. The ESPAD Report 2003. Alcohol and Other Drug Use Among Students in 35 European Countries. Stockholm: Swedish Council for Information on Alcohol and Other Drugs (CAN) and the Pompidou Group at the Council of Europe.
  24. Hibell, Bjorn, Ulf Guttormosson, Salme Ahlstrom, Olga Balakireva, Thoroddur Bjarnasson, Anna Kokkevi and Ludwig Kraus. 2009. The 2007 ESPAD Report: Substance Use Among Students in 35 European Countries. Stockholm: Swedish Council for Information on Alcohol and Other Drugs.
  25. Hibell, Bjorn, Ulf Guttormosson, Salme Ahlstrom, Olga Balakireva, Thoroddur Bjarnasson, Anna Kokkevi and Ludwig Kraus. 2012. The 2011 ESPAD Report: Substance Use Among Students in 36 European Countries. Stockholm: Swedish Council for Information on Alcohol and Other Drugs.
  26. Horáček, Jiří. 2008. 'Užívání konopných drog a problematika psychotických stavů a schizofrenie.' (Cannabis Use and Psychotic Conditions and Schizophrenia) Pp. 300-312 in Konopí a konopné drogy: adiktologické kompendium, edited by Michal Miovský. Prague: Grada Publishing.
  27. Jarkovská, Lucie. 2009. 'Školní třída pod genderovou lupou.' (The Classroom from a Gender Perspective) Sociologický časopis/Czech Sociological Review 45 (4): 727-752.
  28. Jessor, Richard, Mark S. Turbin, Frances M. Costa, Qi Dong, Hongchuan Zhang and Wang Changhai. 2003. 'Adolescent Problem Behavior in China and the United States: A Cross-National Study of Psychosocial Protective Factors.' Journal of Research on Adolescence 13 (3): 329-360. Go to original source...
  29. Josendal, Ola, Leif E. Aaro, Torbjorn Torsheim and Jon Rasbash. 2005. 'Evaluation of the School-Based Smoking-Prevention Program BE smokeFREE.' Scandinavian Journal of Psychology 46 (2): 189-199. Go to original source...
  30. Jurystová, Lucie, Roman Gabrhelík and Michal Miovský. 2009. 'Unplugged Primary Prevention Programme-Evaluation of the Implementation Process by School Prevention Workers.' Adiktologie 9 (1): 10-19.
  31. Jurystová, Lucie and Michal Miovský. 2010. 'Vybrané aspekty organizační a odborné podpory pedagogů při realizaci metodiky Unplugged ve školách: Výsledky evaluace implementace projektu UEDAP.' (Selected Aspects of Organisational and Expert Support for Teachers and Other Education Professionals in Delivering the Unplugged Programme in Schools: Findings of the Evaluation of the Implementation of the EUDAP Project) Adiktologie 10 (3): 147-153.
  32. Kandel, Denise B., Christine Schaffran, Pamela C. Griesler, Mei-Chen Hu, Mark Davies and Neal Benowitz. 2006. 'Salivary Cotinine Concentration versus Self-reported Cigarette Smoking: Three Patterns of Inconsistency in Adolescence.' Nicotine & Tobacco Research 8 (4): 525-537. Go to original source...
  33. Klein, Susan S. 1991. Handbook for Achieving Sex Equity through Education. Baltimore, MD: The Johns Hopkins University Press.
  34. Krmenčík, Pavel. 2008. 'Somatická rizika spojená s užíváním konopných drog.' (Somatic Risks Associated with Cannabis Use) Pp. 335-354 in Konopí a konopné drogy: adiktologické kompendium, edited by Michal Miovský. Prague: Grada Publishing.
  35. Kumpfer, Karol L., Paula Smith and Julia F. Summerhays. 2008. 'A Wakeup Call to the Prevention Field: Are Prevention Programs for Substance Use Effective for Girls?' Substance Use and Misuse 43 (8-9): 978-1001. Go to original source...
  36. Lerner, Richard M. 1985. 'Adolescent Maturational Changes and Psychosocial Development: A Dynamic Interactional Perspective.' Journal of Youth and Adolescence 14 (4): 335-372. Go to original source...
  37. Mencin Čeplak, Metka. 2012. 'The Individualisation of Responsibility and School Achievement.' Sociologický časopis/Czech Sociological Review 48 (6): 1093-1114.
  38. Miovská, Lenka. 2005. Užívaní drog v národních menšinách v CR-Souhrn dostupných informací. Drugs in Focus 2. (Drug Use among Ethnic Minorities in the Czech Republic-Summary of the Available Information. Drugs in Focus 2) Prague: Úřad vlády ČR.
  39. Miovská, Lenka, Michal Miovský and Alexandra Šulcová. 2008. 'Vliv užívání konopných drog na kognitivní funkce.' (The Effects of Cannabis Use on Cognitive Functions) Pp. 334-365 in Konopí a konopné drogy: adiktologické kompendium, edited by Michal Miovský. Prague: Grada Publishing.
  40. Miovský, Michal, Lenka Skácelová, Jana Zapletalová and Petr Novák (eds.). 2010. Primární prevence rizikového chování ve školství. (Primary Prevention of Risk Behaviour within the School System) Prague: Sdružení SCAN, Univerzita Karlova v Praze & Togga.
  41. Miovsky, Michal, Petr Novak, Lenka Stastna, Roman Gabrhelik, Lucie Jurystova and Jiri Vopravil. 2012. 'The Effect of the School-Based Unplugged Preventive Intervention on Tobacco Use in the Czech Republic.' Adicciones 24 (3): 211-218. Go to original source...
  42. Morgan, Mark and Joel W. Grube. 1994. 'Lifestyle Changes: A Social Psychological Perspective with Reference to Cigarette Smoking among Adolescents.' The Irish Journal of Psychology 15 (1): 179-190. Go to original source...
  43. Mravčík, Viktor, Kateřina Grohmannová, Pavla Chomynová, Vlastimil Nečas, Lucie Grolmusová, Lucia Kiššová, Blanka Nechanská, Hana Fidesová, Kamil Kalina, Jiří Vopravil, Lenka Kostelecká and Lucie Jurystová. 2012. Výroční zpráva o stavu ve věcech drog v České republice v roce 2011. (The 2011 Drug Situation in the Czech Republic -Annual Report) Prague: Úřad vlády České republiky.
  44. Novák, Petr. 2012. 'Normalita v primární prevenci.' (Normality in Primary Prevention) Pp. 99-102 in Výkladový slovník základních pojmů školské prevence rizikového chování, edited by Michal Miovský et al. Prague: Univerzita Karlova v Praze & Togga.
  45. Novák, Petr, Michal Miovský and Lenka Šťastná. 2009. 'The Media Portrayal of Cannabis in Relation to Criminal Activities.' Adiktologie 9 (4): 196-203.
  46. Novák, Petr, Michal Miovský, Jiří Vopravil, Lenka Šťastná, Roman Gabrhelík and Lucie Jurystová. 2011. 'Efektivita školního primárně preventivního programu Unplugged zaměřeného proti užívání konopí.' (The Effectiveness of the School-Based Unplugged Primary Prevention Programme on Cannabis Use) Adiktologie 11 (Supplement): 10-16.
  47. Orosová, Olga, Beáta Gajdošová, Andrea Madarasová-Gecková and Jitse P. van Dijk. 2007. 'Rizikové faktory užívania drog dospievajúcimi.' (Risk Factors in the Prevention of Drug Dependencies) Československá psychologie 51 (1): 32-47.
  48. Post, Ann, Hans Gilljam, Ingvar Rosendahl, Lennard Meurling, Sven Bremberg and Maria R. Galanti. 2005. 'Validity of Self Reports in a Cohort of Swedish Adolescent Smokers and Smokeless Tobacco (snus) Users.' Tobacco Control 14 (2): 114-117. Go to original source...
  49. Sale, Elizabeth, Soledad Sambrano, J. Fred Springer and Charles W. Turner. 2005. 'Risk, Protection, and Substance Use in Adolescents: A Multi-site Model.' Journal of Drug Education 33 (1): 91-105. Go to original source...
  50. Scheier, Lawrence M., Gilbert J. Botvin and Kenneth W. Griffin. 2001. 'Preventive Intervention Effects on Developmental Progression in Drug Use: Structural Equation Modeling Analyses Using Longitudinal Data.' Prevention Science 2 (2): 91-112. Go to original source...
  51. Schinke, Steven P. 1994. 'Prevention Science and Practice: An Agenda for Action.' Journal of Primary Prevention 15 (1): 45-57. Go to original source...
  52. Schmidt, Bettina. 2001. Suchtprävention bei konsumierenden Jugendlichen: suchtpräventive Ansätze in der geschlechtsbezogenen Drogenarbeit. Weinheim and Munich: Juventa Verlag.
  53. Share, Michelle, Margo Quinn and Collette Ryan. 2004. 'Evaluation of a 5-Year SchoolBased County-Wide Smoking Education Programme.' Irish Medical Journal 97 (9): 264-267.
  54. Smetáčková, Irena. 2009. 'Politika genderové rovnosti ve vzdělávání.' (The Policy of Gender Equality in Education) Gender, rovné příležitosti, výzkum 10 (2): 10-19.
  55. Springer, J. Fred, Elizabeth Sale, Jack Hermann, Soledad Sambrano, Rafa Kasim and Mary Nistler. 2004. 'Characteristics of Effective Substance Abuse Prevention Programs for High-Risk Youth.' Journal of Primary Prevention 25 (2): 171-219. Go to original source...
  56. Sussman, Steve, Mitchell Earleywine, Thomas Wills, Christine Cody, Tony Biglan, Clyde W. Dent and Michael D. Newcomb. 2004. 'The Motivation, Skills, and DecisionMaking Model of "Drug Abuse" Prevention.' Substance Use and Misuse 39 (10-12): 1971-2016. Go to original source...
  57. Szalay, Lorand B., Andres Inn and Kathleen T. Doherty. 1996. 'Social Influences: Effects of the Social Environment on the Use of Alcohol and Other Drugs.' Substance Use and Misuse 31 (3): 343-373. Go to original source...
  58. Thomas, Roger E. and Rafael Perera. 2006. 'School-Based Programmes for Preventing Smoking.' The Cochrane Database of Systematic Reviews (3): 1-187. Go to original source...
  59. Tobler, Nancy S., Michael R. Roona, Peter M. Ochshorn, Diana G. Marschall, Andrei V. Streke and Kimberly M. Stackpole. 2000. 'School-Based Adolescent Drug Prevention Programmes: 1998 Meta-Analysis.' Journal of Primary Prevention 20 (4): 275-336. Go to original source...
  60. UNICRI. 2003. School-Based Drug Education: A Guide for Practitioners and the Wider Community. Vienna: United Nations Office for Drug Control and Crime Prevention.
  61. van der Kreeft, Peer, Gudrun Wiborg, Maria R. Galanti, Roberta Siliquini, Karl Bohrn, Maria Scatigna, Ann-Marie Lindahl, Juan C. Melero, Maro Vassara, Fabrizio Faggiano and the EU-Dap Study Group. 2009. 'Unplugged: A New European School Program against Substance Abuse.' Drugs: Education Prevention and Policy 16 (2): 167-181. Go to original source...
  62. Van Ryzin, Mark J., Gregory M. Fosco and Thomas J. Dishion. 2012. 'Family and Peer Predictors of Substance Use from Early Adolescence to Early Adulthood: An 11-Year Prospective Analysis.' Addictive Behaviors 37 (12): 1314-1324. Go to original source...
  63. Vigna-Taglianti, Federica, Serena Vadrucci, Fabrizio Faggiano, Gregor Burkhart, Roberta Siliquini, Maria R. Galanti and the EU-Dap Study Group. 2009. 'Is Universal Prevention against Youths' Substance Misuse Really Universal? Gender-Specific Effects in the EU-Dap School-Based Prevention Trial.' Journal of Epidemiological and Community Health 63 (9): 722-728. Go to original source...
  64. Voelkl, Kristin E. and Michael R. Frone. 2000. 'Predictors of Substance Use at School among High School Students.' Journal of Educational Psychology 92 (3): 583-592. Go to original source...
  65. Vojtíšková, Kateřina. 2011. 'Školní úspěšnost a její (re)produkce na základní škole.' (Academic Success and the Intergenerational Reproduction of Academic Performance at Basic School) Sociologický časopis/Czech Sociological Review 47 (5): 911-935.
  66. Yeh Mei-Yu, I-Chyun Chiang and Song-Yuan Huang. 2006. 'Gender Differences in Predictors of Drinking Behavior in Adolescents.' Addictive Behaviors 31 (10): 1929-1938. Go to original source...
  67. Zábranský, Tomáš. 2008. 'Epidemiologie užívání konopných drog a s ním souvisejících fenoménů.' (Epidemiology of Cannabis Use and Related Phenomena) Pp. 182-211 in Konopí a konopné drogy: adiktologické kompendium, edited by Michal Miovský. Prague: Grada Publishing.

This is an open access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.