ArticlePrevention science : the official journal of the Society for Prevention Research2016
Girls Just Want to Know Where to Have Fun: Preventing Substance Use Initiation in an Under-Resourced Community in South Africa Through HealthWise.
Article in Prevention science : the official journal of the Society for Prevention Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Pooled it
- Effective school-based preventive interventions for alcohol use in Africa: a systematic review.African health sciences · 2020Pooled it
- Systematic review of school tobacco prevention programs in African countries from 2000 to 2016.PloS one · 2018Pooled it
- The Youth Risk Index: psychometrics, predicting the initiation of early adolescent substance use, and the breadth of liability detected.Frontiers in child and adolescent psychiatry · 2025Article
- Assessing the Feasibility of Economic Approaches to Prevent Substance Abuse Among Adolescents: Protocol for a Mixed Methods Study.JMIR research protocols · 2023Article
- Adolescent Substance Use Behavior Change Through School Intervention Is Improved by Teacher and School Implementation Support Together, Especially for Girls.Prevention science : the official journal of the Society for Prevention Research · 2022Article
- Using Mixed Methods to Identify the Primary Mental Health Problems and Needs of Children, Adolescents, and Their Caregivers during the Coronavirus (COVID-19) Pandemic.Child psychiatry and human development · 2021Article
- Leisure Boredom, Timing of Sexual Debut, and Co-Occurring Behaviors among South African Adolescents.Archives of sexual behavior · 2021Article
- Doing a Leisure Activity because there is Nothing Else to Do: Related Outcomes and Intervention Effects for Adolescents.Journal of leisure research · 2020Article
- Parenting Practice, Leisure Experience, and Substance Use Among South African Adolescents.Journal of leisure research · 2020Article
- Highlighting the Role of Cognitive and Brain Reserve in the Substance use Disorder Field.Current neuropharmacology · 2019Review
- Can organized leisure-time activities buffer the negative outcomes of unstructured activities for adolescents' health?International journal of public health · 2018Article
- HIV/AIDS mortality attributable to alcohol use in South Africa: a comparative risk assessment by socioeconomic status.BMJ open · 2018Article
- The state of methamphetamine ('tik') use among youth in the Western Cape, South Africa.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2016Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
This study examined how the perception of the availability of leisure opportunities may prevent substance use initiation through HealthWise, a school-based program focused on reducing risky behavior. In this study, we specifically focused on whether HealthWise increased student perceptions of leisure opportunities between 8th grade and 10th grade (N = 5610) in an under-resourced community in South Africa. Path analyses were used to test hypotheses. Given gender differences in substance use patterns, societal norms, and leisure opportunities in under-resourced communities, such as the townships of Cape Town, South Africa, it was especially important to examine associations within each gender. Results suggested that HealthWise directly reduced the likelihood of initiating alcohol and cigarette use and increased the amount of perceived leisure opportunities among girls but not boys. Perceived leisure opportunities mediated the effect of HealthWise on reducing the initiation of alcohol and cigarette use directly, and marijuana use indirectly, among girls but not boys. This is the first study to demonstrate how experimentally targeting leisure through an intervention can increase perceived leisure opportunities and thereby prevent early substance use initiation for a specific population. The importance of considering the context of gender, age, and location is discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.