Does where you live make a difference to your child’s potential alcohol and other drug use?

In Australia we know a great deal about the prevalence of drug use, particularly when compared to other countries in the world. The statistics that we have are often provided for particular states and territories, but you rarely see them broken down into greater detail than that. There are many reasons for this, but most importantly, the more detail given, the greater the chance of being able to identify who provided the information. This is particularly true of data on secondary school students' drug use. Even though teachers and parents often request more detailed information on the drug use in their particular area, it is rarely, if ever, given as there is always the possibility that this could lead to the public identification of a particular school and associated problems.

That said, we do have enough information to suggest that there are certain areas where we are far more likely to see particular drug use than others. For parents, this means that the area you live in could certainly impact on the drugs your child may come into contact with and possibly consider using. The risk of a particular drug being used by a young person can be related to three factors, all of which, to some extent, may be influenced by the area in which you live:

• availability of the drug
• cost of the drug and/or how much money the young person has at their disposal
• cultural acceptance of drug use by the peer group

Without doubt, there are some drugs that are easier to get in some areas than in others (although this has changed in the past 20 years as distribution networks have become more sophisticated and the web has allowed many substances to become far more accessible). Cannabis is possibly the best example here, with the far north coast of NSW acknowledged as one of the 'centres' of cannabis use in Australia, mainly due to the fact that there is a great deal of the drug grown there and particular cultural groups with positive attitudes towards cannabis have gravitated to the area since the 1970s.

It is important to note, however, that even in areas where certain drugs are more available, they are not falling out of the sky! You still need to know someone to get them. As much as the media would love to tell you that there are evil drug dealers hanging out at the end of the schoolyard, this is not the case, and illicit drugs are not always that easy to come by. Drugs are not 'everywhere' and regardless of the perceived ease of availability of drugs in particular areas, it's not usually as simple as just walking down the street and being able to buy a gram of cannabis or a couple of ecstasy pills! Certainly there are a few places in the country where there are (or have been) 'street drug' markets (e.g., Kings Cross in Sydney, Nimbin on the far north coast of NSW) but these are few and far between and certainly not the norm.

In my experience, however, the greatest risk factor is how much money do teens have at their disposal? I know parents in higher socio-economic areas don't like hearing this, but I see a far wider range of illicit drug use occurring in the wealthier parts of the country because to put it bluntly, these kids have the money!

One thing that many people forget is that drugs continue to be expensive. In fact, Australia continues to have some of the most expensive drugs in the world. It is true that some drugs are now much cheaper than they used to be, particularly ecstasy, but in actual fact illicit drugs are often way out of the price range for most young people to use regularly (or they simply have other priorities when it comes to where to spend the money they do have). For many, it is not until they have some sort of income stream that they can afford to outlay a sizeable proportion of their wages on drugs (one of the reasons why you see illicit drug use rise dramatically once they leave school). We don't talk about it enough, but money is one of the major barriers to young people experimenting with alcohol and other drugs. That is why I'm always surprised when I hear of parents handing out large sums of money to their teenage children, or not monitoring where there part-time job income is going. It is amongst this group of young people that I tend to see the most risky behaviour when it comes to alcohol and a range of other drugs, particularly ecstasy.

I can pretty well guarantee that you will not find teens in lower socio-economic areas downing bottles of vodka and whiskey on a regular basis. They simply don't have the money to cover the cost. Now that's not to say that there are not alcohol or other drug problems in these areas – it's just that they're different problems. Those with less money are going to be drinking cheaper alcohol products with higher alcohol content to ensure intoxication (e.g., cask wine or 'goon' as it is often called). As far as other drugs are concerned, if they can afford to buy anything they are going to be looking for a substance which gives them the 'bigger bang for their buck' (this is just one of the reasons why LSD or 'trips' have become increasingly popular recently - they're cheap!).

The final thing to consider is the cultural acceptance of drug use by the peer group. Not all young people are the same and during their adolescence most will identify with a particular group. Their choice of friends is not always something parents are comfortable with but in all reality there is very little you can do about it, particularly if you want to maintain a positive relationship with your child. Some peer groups have a greater acceptance of drug use than others, with some frowning on the use of one particular drug, while encouraging the use of another. Of course, there are also other peer groups that do not find drug use of any kind acceptable.

If you live on the coast there is every likelihood that the surf culture may play a part in you and your child's life.  Cannabis use, in particular, is closely linked to the surf scene and, although not all young people involved in surf culture will use cannabis, it is highly likely that they will come into contact with the drug at one time or another. The same is true for the dance scene. If you live in the inner city of any major city around the country, or in a regional university centre, there is every chance your son or daughter may attach themselves to this scene. Whether or not a young person involved in the dance scene decides to use drugs or not, it is important for parents to know that it is highly likely that their child will come into contact with drugs if they regularly attend dance events.

So with those things in mind, what should you do to best protect your teen if you do live in a high-risk area (either with specific cultural issues or where there's simply lots of money)? Here are just a couple of suggestions:

• talk about your concerns with your teen - acknowledge that they may find themselves in situations where drugs may be available, simply because of where they live or the group they associate with. Discuss what they could do in these situations and, if possible, use your own personal experience and how you dealt with a similar issue - this ensures the discussion is kept 'real' 
• keep the lines of communication open and let them know at every opportunity that they can come to you and talk about anything at anytime
• ensure you make it clear to them that if there is greater access, there is always greater policing and the increased chance of getting caught. Talk about the prevalence of random breath testing (RBT) and roadside drug testing and why these are more likely to be seen in some places than others and why drug detection dogs are more likely to be used in particular areas. What does this mean for them?
• you can't choose your child's friends but you can certainly voice your concerns and set rules and boundaries around behaviour, particularly when it comes to potential drug use. If you are concerned about their peer group, try not to be judgemental and criticise their friends, but, at the same time, don't be afraid to let them know how you feel and why you are worried
• most importantly, make it very clear where you stand about the use of alcohol and other drugs. As much as you may believe your views do not matter to your child, research shows that parental influence is still a major factor in the decisions most young people make
  

The area in which you live will almost certainly make a difference to the drugs your child comes into contact with. At the very least, monitoring where they go and who they're with, as well as how much money they have at their disposal, can make it far more difficult for them to access those drugs. Most importantly however, never forget that it is the relationship you have with your child that is more likely to have a greater influence on how your child responds to that contact and their decision to experiment with that drug or not.