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The main purpose of the European School Survey Project on Alcohol and Other Drugs ESPAD is to collect comparable data on substance use among to year-old students in order to monitor trends within as well as between countries. Between and , six surveys were conducted in 48 European countries. All of the tables can be downloaded in Excel format and used for further analysis. The present report provides information on the perceived availability of substances, early onset of substance use and prevalence estimates of substance use cigarettes, alcohol, illicit drugs, inhalants, new psychoactive substances and pharmaceuticals. The descriptive information includes indicators of intensive substance use and prevalence estimates of internet use, gaming and gambling by country and gender. For selected indicators, ESPAD trends are shown based on data from 25 countries that participated in at least four including the data collection of the six surveys. Finally, for some indicators, country-specific trends are shown. For comparative reasons, the tables of the ESPAD results contain, in addition to country-specific estimates, an average across all participating countries as well as prevalence estimates for two non-ESPAD countries: Spain and the United States. The instruments used in the Spanish and US surveys overlap to a large degree with the ESPAD questionnaire, and the methodology used in all three surveys allows for rough comparisons across the countries. The ESPAD target population is defined as regular students who turn 16 in the calendar year of the survey and are present in the classroom on the day of the survey. Students who were enrolled in regular, vocational, general or academic studies were included, excluding those who were enrolled in either special schools or special classes for students with learning disorders or severe physical disabilities. In each participating country, a cluster sampling design was used to sample the target population, except in the Faroes, Iceland, Liechtenstein, Malta, Monaco and Montenegro, where all born target students were included. Data were collected by self-administered questionnaires. All countries used a paper-and-pencil questionnaire except for Austria, Latvia, Liechtenstein and the Netherlands, where students answered a web-based questionnaire. The students answered the questionnaires anonymously in the classroom. All samples were nationally representative, apart from Belgium Flanders , Cyprus government-controlled areas and Moldova Transnistria region not included. Sample sizes varied from students in Liechtenstein to 11 in Poland. Both on average and in most individual countries, more boys than girls have smoked cigarettes at the age of 13 or younger. In general, the results on cigarette smoking among European students can be interpreted as showing positive developments. The trend data indicate an overall decrease in lifetime, last- day and daily cigarette use. Moreover, gender differences have narrowed over time. In , boys showed higher rates than girls with regard to all indicators. In , these differences were no longer apparent or became smaller. However, gender convergence is more marked in prevalence of use, whereas problematic patterns of use daily smoking, early onset are still more prevalent among boys. Alcoholic beverages were perceived to be easily available in most countries. In most countries, perceptions of availability among boys and girls were rather similar. Boys were more likely than girls to have used alcohol at an early age. One in twelve students had experienced intoxication at the age of 13 or younger. Higher rates were more likely to be found in the eastern part of Europe. Students who reported alcohol use in the last 30 days drank alcohol on an average of 5. Students from Cyprus and Liechtenstein consumed alcohol on 8. In most countries, boys who drank did so more frequently than girls, with a difference of up to three occasions or more in the last 30 days in Bulgaria and the former Yugoslav Republic of Macedonia. This drinking pattern was found more often in Austria, Cyprus and Denmark, where it was reported by about every second student. The difference between boys and girls was about 5 percentage points on average, with generally higher percentages for boys. Students drank an average of 4. Drinking volume was highest in Denmark 9. Boys reported higher volumes than girls, with significant differences in most countries. In Denmark, Estonia, the Faroes, Ireland, Norway and Sweden, cider accounted for approximately one quarter or more of total alcohol consumption. In these countries, cider was the second preferred alcoholic beverage next to beer or spirits. Most interestingly, both lifetime and last day prevalence decreased markedly after a peak in In Bulgaria e. Countries with the lowest perceived availability of nearly all illicit drugs were the Faroes, Finland, Georgia, Moldova and Ukraine. A general upward trend between and can be seen in the prevalence of illicit drug use. Since , the prevalence has remained largely unchanged. Among students who had used cannabis in the last 12 months, the drug was used on average on 8. Low frequencies of cannabis use were found in the Faroes and Moldova 3. Reported frequency of use was higher among boys than among girls. After cannabis, the most frequently tried illicit drugs are ecstasy, amphetamine, cocaine and LSD or other hallucinogens. Generally, differences in NPS use in the last 12 months between boys and girls were small. The average prevalence of lifetime inhalant use among ESPAD students was the same for boys and girls. The use of inhalants shows generally stable lifetime prevalence rates over the observed period. The gender-specific trends reveal a narrowing of the gender gap, with rates among boys slightly decreasing but rather unchanged rates among girls. Over the past two decades, the lifetime prevalence rates for tranquillisers or sedatives show a slightly downward trend, with rather parallel trends for boys and girls. Conversely, not every student who has tried alcohol has tried another substance. Overall, the students stated that they had used the internet on average on 5. Students in Denmark 6. No gender differences were observed. Between a fifth and a quarter of the students in Cyprus, Finland, Montenegro and Slovenia reported gambling experience, and more than one in ten students in Finland and Ireland gambled frequently. The situation in Acknowledgements and references. Detailed methodology. Master questionnaire. Additional graphs. Additional tables. Country summaries. Download the Report. Methodology The ESPAD target population is defined as regular students who turn 16 in the calendar year of the survey and are present in the classroom on the day of the survey. Alcohol use Alcoholic beverages were perceived to be easily available in most countries. Internet use, gaming, gambling Overall, the students stated that they had used the internet on average on 5. Finally, we note our immense gratitude to the schools, teachers and students without whose participation this report would not have been possible.

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