Article |

Drugs, Drinking, and Adolescence

Donald Ian Macdonald, MD
Am J Dis Child. 1984;138(2):117-125. doi:10.1001/archpedi.1984.02140400003001.
Text Size: A A A
Published online

• Despite mounting evidence to the contrary, most physicians do not want to believe that a drug epidemic involving children from all socioeconomic classes across the country is in progress. Prevention efforts are hindered by massive denial at all levels—societal, medical, and parental. Reasons for this denial are many; among them are misconceptions about the risks of experimentation and effectiveness of drug treatment programs, and a tendency to view drug abuse as a moral rather than a health problem. The use of alcohol and other drugs is closely related to rising mortality in older adolescents, for whom the leading causes of death are accidents, suicide, and homicide. The leading causes of disability in this age range are chemical dependency and impairments related to accidents. Chemical dependency, which has trapped millions of children, is best regarded as a progressive, contagious disease that causes serious problems for young people, their families, and society. Pediatricians, well skilled in preventive medicine, must address more seriously this epidemic killer and disabler of young people whose care has been entrusted to them.

(AJDC 1984;138:117-125)


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.