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Health Place. 2016 Jul;40:91-7. doi: 10.1016/j.healthplace.2016.05.006. Epub 2016 May 25.

Where next with theory and research on how the school environment influences young people's substance use?

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Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK. Electronic address:
Cardiff School of Social Sciences, Cardiff University, 1-3 Museum Place, Cardiff CF10 3BD, UK.
Department of Social Science, UCL Institute of Education, Department of Social Science, 18 Woburn Square, London WC1H 0NR.
Nuffield Department of Primary Care Health Sciences, University of Oxford, New Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK.
University of Warwick, Warwick Medical School, Coventry CV4 7AL, UK.


Substance use (smoking, drinking and illicit drug use) remains, a serious problem for young people living in industrialised countries. There is increasing interest in interventions to modify the school, environment, addressing the multiple upstream determinants of young, people's health. This article provides an overview of current theory, about how secondary school environments influence young people's, substance use before focusing on the Theory of Human Functioning and, School Organisation. It critically examines the extent to which this, theory is substantiated by quantitative and qualitative evidence and, considers how the theory might be elaborated to better inform future, empirical research.


Intervention; School; Substance use; Theory; Youth

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