Student drug use has been investigated in many countries and a
standard method of conducting such surveys is described here. Using
an adapted World Health Organization questionnnairepatterns of drug
use were investigated among the population of secondary school students
in Bermuda (N=3,930). The prevalence of use of alcohol and eight illicit drugs is described and related to students' attitudes, life-styles and demographic characteristics. Factors such as age, sex, race, parental use of alcohol, leisure time activities, allowances and beliefs about drugs all emerge (as they have in other studies) as strongly related to drug use. It is concluded that though these cross cultural similarities exist, there are important sub-cultural differences in drug use patterns which reflect social dynamics and characteristics within communities. It is suggested that a focus on sub-cultural differences may be particularly valuable in future research.