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Publication Date



UM campus only

Embargo Period


Degree Type


Degree Name

Master of Arts (MA)


Latin American Studies (Arts and Sciences)

Date of Defense


First Committee Member

William J. Pestle

Second Committee Member

Viviana E. Horigian

Third Committee Member

Eric C. Brown

Fourth Committee Member

Diana K. Ter-Ghazaryan


The U.S based substance use prevention system Communities that Care (CTC) has been implemented and adapted to meet the needs of various international populations since its beginning in the 1990s. In 2011, the non-profit organization Corporación Nuevos Rumbos (CNR) adapted this model for the Colombian context. Prevention system Comunidades que se Cuidan (CQC) focuses its programming on adolescent psychoactive substance use. Previous research on the CQC Youth Survey in Colombia indicate the importance of community level risk factors, e.g. availability of drugs in the community, and laws and norms in favor of drug use, in predicting the prevalence of adolescent substance use. While it is recognized that there are variations in risk levels among Colombian municipalities, there are no published data examining the relationship between community risk factors and alcohol prevalence across municipalities in Colombia. Methods: Survey data on adolescent demographics community level risk factors were collected from the 2013-2017 CTC Youth survey in Colombia (64,841 students across 33 municipalities). Multidimensional poverty indices and rural and urban status were collected from the Colombian census at the municipal level. Using Hierarchical General Linear Modeling this study examines the relationships between student level characteristics (age, grade, gender, individual level perception of drug availability, community disorganization, and laws and norms favorable to drug use), municipal level characteristics, and alcohol prevalence among municipalities.


Community; Alcohol Prevention: Communities that Care; Colombia