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Digital media are increasingly being used to advertise drugs.

Alcohol remains the number one drug portrayed on American television: 1 drinking scene is shown every 22 minutes, compared with 1 smoking scene every 57 minutes and 1 illicit drug use scene every 112 minutes.

On Music Television (MTV), teenagers can see alcohol use every 14 minutes.

The causes of adolescent substance use are multifactorial, but the media can play a key role.

Tobacco and alcohol represent the 2 most significant drug threats to adolescents.

Drug use also represents one of many risky behaviors that occur during adolescence: teenagers who report that at least half of their friends are sexually active are 31 times more likely to drink, 5 times more likely to smoke, and 22 times more likely to try marijuana than are teenagers who do not report such a high prevalence of sexual activity among friends.

almost half of what the National Institutes of Health spends each year to study all aspects of health (gov/about/budget.htm).In addition, exposure to PG-13– and R-rated movies at an early age may be a major factor in the onset of adolescent tobacco and alcohol use.The American Academy of Pediatrics recommends a ban on all tobacco advertising in all media, limitations on alcohol advertising, avoiding exposure of young children to substance-related (tobacco, alcohol, prescription drugs, illegal drugs) content on television and in PG-13– and R-rated movies, incorporating the topic of advertising and media into all substance abuse–prevention programs, and implementing media education programs in the classroom.In the first 10 months of 2004, drugs companies spent nearly half a billion dollars advertising Viagra, Levitra, and Cialis.Scenes with smoking remain common in movies and, to a lesser extent, on prime-time television.Although parents, schools, and the federal government are trying to get children and teenagers to “just say no” to drugs, more than billion worth of cigarette, alcohol, and prescription drug advertising is effectively working to get them to “just say yes” to smoking, drinking, and other drugs.