Rural Adolescent Alcohol, Tobacco, and Illicit Drug Use: A Comparison of Students in Victoria, Australia, and Washington State, United States

Rural Adolescent Alcohol, Tobacco, and Illicit Drug Use: A Comparison of Students in Victoria, Australia, and Washington State, United States
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DOI:
10.1111/j.1748-0361.2010.00360.x
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发表时间:
2011-09-01
影响因子:
4.9
通讯作者:
Catalano, Richard F.
Catalano, Richard F.
中科院分区:
医学3区
文献类型:
--
作者:
Coomber, Kerri;Toumbourou, John W.;Catalano, Richard F.

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目的:关于乡村生活对青少年饮酒、吸烟和非法药物使用的影响,研究结果并不一致。因此,目前的研究报告了两个国家的两个具有代表性的州样本对青少年酒精、烟草和非法药物使用的影响,这两个州是美国华盛顿州(WA)和澳大利亚维多利亚州(VIC)。参与者:国际青年发展研究(IYDS)在这两个州招募了具有代表性的7年级(12至13岁)和9年级(14至15岁)的学生样本。共有3729名学生回答了有关酒精、烟草、大麻和其他非法物质使用的问题(n(VIC)=1,852;n(WA)=1,877)。在每个州,男女比例均等,年龄从12岁到15岁不等。方法:对数据进行分析,比较城市、大或小城镇和农村人口普查地区学生的终身和当前(过去30天)药物使用情况。结果根据学校分组进行了调整,并对中位年龄14岁的患病率进行了加权比较。结果:在这两个州,农村学生的终生和当前酒精、烟草和大麻的使用率明显高于城市学生(当前药物使用的优势比=1.31)。结论:在华盛顿州和维多利亚州,早期青少年农村学生比城市学生更频繁地使用药物。未来的研究应该审查将农村青少年置于酒精、烟草和非法药物使用风险中的因素。
Purpose: There are inconsistent research findings regarding the impact of rurality on adolescent alcohol, tobacco, and illicit substance use. Therefore, the current study reports on the effect of rurality on alcohol, tobacco, and illicit drug use among adolescents in 2 state representative samples in 2 countries, Washington State (WA) in the United States and Victoria (VIC) in Australia.Participants: The International Youth Development Study (IYDS) recruited representative samples of students from Grade 7 (aged 12 to 13 years) and Grade 9 (aged 14 to 15) in both states. A total of 3,729 students responded to questions about alcohol, tobacco, cannabis, and other illicit substance use (n(VIC) = 1,852; n(WA) = 1,877). In each state, males and females were equally represented and ages ranged from 12 to 15 years.Methods: Data were analyzed to compare lifetime and current (past 30 days) substance use for students located in census areas classified as urban, large or small town, and rural. Findings were adjusted for school clustering and weighted to compare prevalence at median age 14 years.Findings: Rates of lifetime and current alcohol, tobacco, and cannabis use were significantly higher in rural compared to urban students in both states (odds ratio for current substance use = 1.31).Conclusions: In both Washington State and Victoria, early adolescent rural students use substances more frequently than their urban counterparts. Future studies should examine factors that place rural adolescents at risk for alcohol, tobacco, and illicit drug use.