Effects of lifetime tobacco, alcohol and drug use on psychological and behavioral problems among 10th grade students in Istanbul.
Effects of lifetime tobacco, alcohol and drug use on psychological and behavioral problems among 10th grade students in Istanbul.
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DOI：
10.1515/ijamh-2014-0040
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发表时间：
2015-11-01
影响因子：
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通讯作者：
Ciftci-Demirci, Arzu
中科院分区：
文献类型：
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作者：
Evren, Cuneyt;Evren, Bilge;Ciftci-Demirci, Arzu
目标：本研究的目的是确定终身烟草，酒精和物质使用的心理和行为变量之间的10年级学生在伊斯坦布尔/Turkish.MATERIALS和METHODS：本研究采用了横截面在线自我报告调查，在45所学校从15个区在伊斯坦布尔。调查表中有一个关于物质使用的部分，包括烟草、酒精和毒品。采用青少年心理筛查测验（PSTA）的抑郁、焦虑、愤怒、自信、感觉寻求和冲动分量表。结果：以相关变量和行为变量为因变量，对各学校进行Logistic回归分析。性别、烟草、酒精和药物使用是自变量。所有四个自变量都预测了因变量。终生吸烟和吸毒对所有分量表评分有显著影响，而终生饮酒对除缺乏自信外的所有分量表评分有显著影响，男性是所有分量表评分的显著协变量。药物使用对因变量的影响最大。烟草和酒精对焦虑的影响之间存在交互作用，而烟草和药物对缺乏自信和impulsives.CONCLUSION的影响之间存在交互作用：研究结果表明，终身吸烟，酒精或药物使用的男生有特别高的心理和行为问题的风险。药物组合对这些问题的独特影响可能有助于制定伊斯坦布尔药物使用和滥用问题的二级预防措施。
AIMS: The aim of this study was to determine the effects of life-time tobacco, alcohol, and substance use on psychological and behavioral variables among 10th grade students in Istanbul/Turkey.MATERIALS AND METHODS: This study employed a cross-sectional online self-report survey conducted in 45 schools from the 15 districts in Istanbul. The questionnaire featured a section about use of substances, including tobacco, alcohol, and drugs. The depression, anxiety, anger, assertiveness, sensation seeking and impulsiveness subscales of the Psychological Screening Test for Adolescents (PSTA) were used. The analyses were conducted based on 4957 subjects.RESULTS: Logistic regression analyses were conducted with each school with the related and behavioral variables as the dependent variables. Gender, tobacco, alcohol, and drug use being the independent variables. All four independent variables predicted the dependent variables. Lifetime tobacco and drug use had significant effects on all the subscale score, whereas lifetime alcohol use had significant effects on all the subscale scores other than lack of assertiveness, and male gender was a significant covariant for all the subscale scores. Drug use showed the highest effect on dependent variables. Interaction was found between effects of tobacco and alcohol on anxiety, whereas interactions were found between effects of tobacco and drugs on lack of assertiveness and impulsiveness.CONCLUSION: The findings suggested that male students with lifetime tobacco, alcohol or drug use have particularly high risk of psychological and behavioral problems. The unique effects of substance clusters on these problems may be useful in developing secondary preventive practices for substance use and abuse problems in Istanbul.