Substance use by adolescents in Cape Town: Prevalence and correlates
Substance use by adolescents in Cape Town: Prevalence and correlates
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DOI：
10.1016/s1054-139x(02)00445-7
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发表时间：
2003-01-01
影响因子：
7.6
通讯作者：
Lombard, C
中科院分区：
文献类型：
--
作者：
Flisher, AJ;Parry, CDH;Lombard, C
目的：记录开普敦高中生使用香烟、酒精和大麻的流行率，并调查这些物质的使用是否与一组假设的心理社会相关性有关。方法：采用多阶段抽样程序，对开普敦39所高中8年级和11年级的2930名学生进行了自我问卷调查。调查问卷包含了关于学生是否使用过各种物质的项目，并涉及了潜在的兴趣相关因素。结果：上个月(最近)吸烟、饮酒、吸食大麻的患病率分别为27%、31%、7%。黑人女性的这一比例很低。最近每种物质的使用与缺席的天数和在城市生活的年数显著相关。重复一个年级与上个月有色人种(来自亚洲、欧洲和非洲血统)的学生使用香烟和酒精，以及黑人八年级学生使用酒精(种族分类“有色人种”和“黑人”是根据1950年被废除的人口登记法定义的)显著相关。没有被父母抚养的人与黑人和有色人种学生吸烟、有色人种学生饮酒和女学生使用大麻有显著关联。与黑人学生吸烟呈负相关。结论：有必要确定保护黑人女性青少年远离物质使用的因素。如果要避免掩盖群体之间的差异，重要的是要分析地处理种族分类和性别等人口统计因素。(C)青少年医学学会，2003年。
Purpose: To document the prevalence rates for use of cigarettes, alcohol, and cannabis among high school students in Cape Town, and to investigate whether use of these substances is associated with a set of hypothesized psychosocial correlates.Methods: A multistage sampling procedure produced a sample of 2930 students in grades 8 and 11 at 39 high schools in Cape Town, who completed a self-administered questionnaire. The questionnaire contained items about whether the students had used various substances and that addressed the potential correlates of interest. We calculated prevalence rates with 95% confidence intervals and constructed a set of generalized estimating equations of use in the past month of cigarettes, alcohol, or cannabis on the hypothesized correlates.Results: The prevalence rates for previous month (recent) use of cigarettes, alcohol, and cannabis were 27%, 31%, and 7%, respectively. Rates were low for black females. Recent use of each of the substances was significantly associated with the number of days absent and the number of years lived in a city. Repeating a grade was significantly associated with previous month use of cigarettes and alcohol by colored (derived from Asian, European, and African ancestry) students and alcohol use by black grade 8 students (race classifications "colored" and "black" are as defined by the repealed population Registration Act of 1950). Not being raised by both parents was significantly associated with cigarette smoking by black and colored students, alcohol use by colored students, and cannabis use by female students. It was inversely associated with cigarette use by black students.Conclusions: It is necessary to identify the factors that protect black female adolescents from substance use. It is important to address demographic factors such as race classification and gender analytically if one is to avoid obscuring differences among groups. (C) Society for Adolescent Medicine, 2003.