Download the Research Update The Social Norms Approach to Student Substance Abuse Prevention.
The evidence-based social norms approach to substance abuse prevention is a simple concept with a profound implication: sharing healthy truths can reduce student use of alcohol and other drugs. The reality is that many students around the world do not regularly use alcohol or other substances. By sharing this information with students, their parents, schools, communities, and especially peers, young people are taught to hold healthier, more realistic beliefs and to feel less pressure to "fit in" by using substances.1, 2 Communities that employ the social norms approach to prevention see decreased student use of alcohol and other drugs, no matter what initial levels of use look like.5, 6, 10, 11, 16 How exactly does the social norms approach to substance abuse prevention work? What is the evidence behind it? How can it be used to keep healthy kids healthy?
Common terms used in the social norms approach:
The social norms approach is an evidence-based, outcomes-driven way to prevent unhealthy behavior. The approach finds that while many students of all ages, and most middle and high-schoolers, do not use alcohol or other drugs, they perceive that the majority of their peers do use alcohol, marijuana, and other drugs and often in heavy doses.3, 7, 9, 12, 15 Therefore, the social norms approach to prevention rests on two primary components: (1) gathering information about real social norms—always healthier than students anticipate, and (2) correcting false normative beliefs. Once the whole community is committed and the data is collected, application of the social norms approach at a community level can be a rich and rewarding experience, one where student and adult false perceptions are replaced with healthy, accurate information, and any risky student behavior is replaced with a healthier counterpart rooted in true community norms.4, 14
FCD has surveyed over 65,000 students, across 25 countries and 120 schools, from 2009 to 2015, using its externally validated FCD Student Attitudes and Behavior Survey.17 From this data we can see that when a student perceives an environment to encourage alcohol use, a student is more likely to engage in that behavior. For example:
Attitudes and behavior are linked together, and changing unhealthy attitudes can change unhealthy behaviors.
Older students serve as role models, whether they choose to be or not. Younger students will observe their behavior and make choices based on what they perceive to be "normal behavior." 8, 13 While we expect to see increases in alcohol use as students get older, larger increases can occur when the environment is perceived to encourage alcohol use. For example, 86% of FCD 8th graders do not drink, yet only 41% believe their classmates don't drink. This gap widens as students get older: 70% of FCD 9th graders do not drink, yet only 15% believe their classmates don't drink. As the attitudes shift, so does the behavior: 51% of FCD 10th graders do not drink, yet only 5% believe their classmates don't drink.
Younger students not only hold false perceptions of their peers, but they also misperceive the grades above them. Only 2% of 6th–12th graders think that seniors don't drink. In reality, 25% of 12th graders report not drinking alcohol, a healthier proportion than their younger classmates perceive.
We know from our data that schools that routinely use our services see improvements in their students' attitudes and behaviors. Schools that have employed FCD's Early Intervention Health Systems training see fewer students choosing to binge drink, up to 4% less. Focusing on prevention by tackling the misperceptions surrounding alcohol and other drugs use can make the difference in keeping healthy kids healthy.
FCD, part of the Hazelden Betty Ford Foundation, is the leading international nonprofit provider of school-based substance abuse prevention services. For decades, FCD has worked worldwide to provide students and the adults who care for them with the knowledge, understanding, and skills they need to make intelligent, healthy choices about alcohol, tobacco, and other drugs. Additionally, hundreds of young people find freedom from addiction every year through the Hazelden Betty Ford Foundation, the leading provider of addiction treatment services and educational materials for young people, through its programs for adolescents and young adults.
Don't some students overestimate the health of their peers from time to time, or underestimate use? What is the role of the social norms approach to prevention in such cases?
The efficacy of the social norms approach is founded on the remarkable consistency of student overestimations of use coinciding with underestimations of peer health across countless populations, school communities, and individuals. While a student here or there may underestimate use on a measure or two within a multimeasure survey, thousands of results from social norms–based instruments across decades reveal that virtually all surveyed students overestimate use and underestimate peer health on most of the measures to which they respond. Based on such consistent trends, patterns, and results, communities may reasonably and effectively employ the social norms approach to substance abuse prevention regardless of inevitable variations in student opinion across individuals and communities.
Students and the Adults Who Care for Them: If healthy students can help their peers realize that healthy, and not risky, behavior is the norm, these students can promote an increase in healthy behaviors in their school community. Students should become media literate—many social norms come from the media's portrayal of how youths behave on TV, in movies, in music, and online. When understanding the marketing strategies behind many of these messages, students become informed consumers, unconvinced by exaggerations of use by young people in the media. Students should focus on the positive—the majority of students are making the healthy choice not to abuse alcohol or other drugs. For every student who may drink this weekend, there are plenty of other students who do not. Take the opportunity to readjust false perceptions; when others focus on the unhealthy behavior of a minority.
1. Asch, S. E. (1951). Effects of group pressure on the modification and distortion of judgments. In H. Guetzkow (Ed.), Groups, Leadership and Men: Research in Human Relations, Pittsburgh, PA: Carnegie Press, 177–190.
2. Agostinelli, G., & and Miller, W. R. (1994). Drinking and thinking: How does personal drinking affect judgments of prevalence and risk? Journal of Studies on Alcohol and Drugs, 55, 327–337, 1994.
3. Baer, J. S., & Carney, M. M. (1993). Biases in the perceptions of the consequences of alcohol use among college students. Journal of Studies on Alcohol and Drugs, 54, 54–60.
4. Berkowitz, A. D. (1997). From reactive to proactive prevention: Promoting an ecology of health on campus. In P. C. Rivers & E. R. Shore (Eds.), Substance Abuse on Campus: A Handbook for College and University Personnel, Westport, CT: Greenwood Press, 119–139.
5. Dejong, W., & Linkenbach, J. (1999). Telling it like it is: Using social norms marketing campaigns to reduce student drinking. American Association for Higher Education Bulletin, 32(4), 11–16.
6. Jeffrey, L. R. (2000). The New Jersey higher education consortium social norms project: Decreasing binge drinking in New Jersey colleges and universities by correcting student misperceptions of college drinking norms. Glassboro, NJ: Center for Addiction Studies, Rowan University.
7. Linkenbach, J. (1999). Imaginary peers and the reign of error. Prevention Connection, 3, 1–5.
8. Page, R. M., Scanlan, A., & Gilbert, L. (1999). Relationship of the estimation of binge drinking among college students and personal participation in binge drinking: Implications for health education and promotion. Journal of Health Education, 30, 98–103.
9. Perkins, H. W. (1997). College student misperceptions of alcohol and other drug norms among peers: Exploring causes, consequences, and implication for prevention programs. In Designing Alcohol and Other Drug Prevention Programs in Higher Education, Newton, MA: Higher Education Center for Alcohol and Other Drug Prevention, Department of Education, 177–206.
10. Perkins, H. W., & Berkowitz, A. D. (1986). Perceiving the community norms of alcohol use among students: Some research implications for campus alcohol education programming. International Journal of the Addictions, 21, 961–976.
11. Prentice, D. A. (2008). Mobilizing and weakening peer influence as mechanisms for changing behavior: Implications for alcohol intervention programs. In M. J. Prinstein & K. A. Dodge (Eds.), Understanding Peer Influence in Children and Adolescents. New York, NY: Guilford, 161–180.
12. Prinstein, M. J., & Dodge, K. A. (Eds.). (2008). Understanding peer influence in children and adolescents. New York, NY: Guilford, 161–180.
13. Prentice, D. A., & Miller, D. T. (1993). Pluralistic ignorance and alcohol use on campus: Some consequences of misperceiving the social norm. Journal of Personality and Social Psychology, 64, 243–256.
14. Robinson, S. E., Roth, S. L., Gloria, A. M., Keim, J., & Sattler, H. (1993). Influence of substance abuse education on undergraduates' knowledge, attitudes and behaviors. Journal of Alcohol and Drug Education, 39 (1), 123–130.
15. Schroeder, C. M., & Prentice, D. A. (1998). Exposing pluralistic ignorance to reduce alcohol use among college students. Journal of Applied Social Psychology, 28, 2150–2180.
16. Steffian, G. (1999). Correction of normative misperceptions: An alcohol abuse prevention program. Journal of Drug Education, 29, 115–138.
17. FCD Student Attitudes and Behavior Database, 2015 edition.