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Background In this study, we considered to determine the estimation of experience of substance use, cigarette smoking, and alcohol drinking among Iranian students, using the crosswise model estimation. Methods The Cross-sectional study was done in November 2012 to February 2013. A total of 1500 students were selected from Shahroud Universities, using multistage sampling. Three pairs of questions were designed, based on the crosswise model, and the questionnaire was presented to the students after written consent forms were obtained. Data were analyzed using Ch 2 , t-test and crosswise test. Results The Mean ±SD age of girls was 20.26±1.49  vs  boys 20.32±1. 575. Based on the findings, the prevalence of cigarette smoking, alcohol drinking, and substance abuse among students was 20%, 33%, and 7%, respectively. Conclusion Considering the high prevalence of drug use among Iranian students and the unbiased design of this study, it is suggested that the necessary skills be incorporated and introduced in the school curriculum for students at primary schools.

the open public health journal

Experience Assessment of Tobacco Smoking, Alcohol Drinking, and Substance Use Among Shahroud University Students by Crosswise Model Estimation –The Alarm to Families