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Alcohol and Drug Prevention Policy in

the US and the Netherlands


Majone
Majone Steketee
Steketee Kevin
Kevin Haggerty
Haggerty
Verwey-Jonker
Verwey-Jonker Institute
Institute Sabrina
Sabrina Oesterle
Oesterle
J.
J. David
David Hawkins,
Hawkins, PI
PI
Social
Social Development
Development
Research
Research Group
Group
University
University of
of Washington
Washington
Funded
Funded by
by NIDA
NIDA and
and ZON/MW
ZON/MW
Differences in law

US NL
Legal age for buying and use Legal age for buying alcohol
of alcohol 21 years. 16 years (wine, beer),
liquor 18 years.
Legal age for buying Legal age for buying
tobacco 18 years. tobacco 16 years
Illegal to buy or use No access to the coffee
cannabis. shop (cannabis, hash) under
the age of 18
Theoretical foundation USA - NL

United States Netherlands


Gateway Experimentation.
All use problematic. Not all use is problematic.
Disease concept of Personal choice to use
addiction. drugs.
Alcohol, tobacco, Distinction between
marijuana, all substances.
considered “drugs”.
Supply reduction. Harm reduction.
National war on drugs. Local social policy.
Hypotheses

Cannabis use higher in


the NL
Hard drug use lower in
the NL
Alcohol and tobacco
use higher in the NL
National data

Monitoring the Future in US


National Drug Monitor in the Netherlands
Student Questionnaire
secondary school
paper and pencil
8th (13/14 year) and 10th (15/16) grade
Number of students:
USA - 33.247
Netherlands – 3.448

Add citations
Johnston, Bachman, O’Malley, Monitoring the Future, 2003
Life Time Use

90%
87%
80%
70%
60%
60%
50%
49%
40%
30% 36%
27% 26%
20%
21%
10% 13%

0%
Alcohol Tobacco Cannabis Other illicit
drugs

US NL
Recent use (past month)

70%

60% 62%

50%

40%

30%
28%
20% 24%

10% 14% 12%


9%
7% 4%
0%
Alcohol Tobacco Cannabis Other illicit
drugs

US NL
Conclusions

In USA:
- More use of marijuana and
hard drugs.

In Netherlands:
- More alcohol use
- More tobacco use
- Less use of soft and hard
drugs
Conclusions

USA: The zero tolerance NL: Harm reduction and


policy distinction between
substances.

It works: low rates of use of


It works: low rates of use of
alcohol and tobacco.
soft drugs and hard drugs.

It doesn’t work: higher


rates of soft and hard drugs. Doesn’t work: More kids
that use alcohol and
tobacco.
Binational research

We have need to know more about


¾ mechanisms through which policies in both
countries affect use?
¾ whether the levels of risk and protection are the
same or different in the two countries?
¾ whether the strength of risk and protective
factors are the same or different in the two
countries?

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