High prevalence of substance use and associated factors among high school adolescents in Woreta Town, Northwest Ethiopia: multi-domain factor analysis.
High prevalence of substance use and associated factors among high school adolescents in Woreta Town, Northwest Ethiopia: multi-domain factor analysis.
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DOI：
10.1186/1471-2458-14-1186
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发表时间：
2014-11-20
影响因子：
4.5
通讯作者：
Woldeyohannes SM
中科院分区：
文献类型：
--
作者：
Birhanu AM;Bisetegn TA;Woldeyohannes SM
药物使用是全球环境中的一个主要公共卫生问题，并且在青春期非常常见，导致身体和/或心理健康并发症。本研究评估了 2012 年埃塞俄比亚西北部沃雷塔镇高中青少年的药物滥用流行率及相关因素。2012 年 4 月 7 日至 15 日，对沃雷塔镇 684 名 9 至 12 年级高中生进行了一项基于学校的横断面研究。参与者是通过分层抽样选出的，并使用改编自 2008 年关心社区青年调查的匿名调查问卷收集数据。进行双变量和多变量逻辑回归分析以确定与物质使用相关的因素。共有651名学生参与了该研究，响应率为95.2%。目前 Woreta 高中生的物质使用流行率为 47.9%，终生流行率为 65.4%。当前和终生饮酒流行率分别为 40.9% 和 59%。兄弟姐妹的物质使用（AOR [95% CI]：2.72 [1.79, 4.14]）、酒精和物质使用家族史（AOR [95% CI] 2.24 [1.39-3.59]）和朋友的物质使用（AOR [95% CI] 2.14 [1.44-3.18]）是与物质使用正相关的因素。另一方面，宗教信仰和社交技能与物质使用呈负相关，分别为 54%（AOR [95% CI] 0.46，[0.31-0.68]）和 39%（AOR [95% CI] 0.6 [0.40-0.91]）。青少年中酒精、香烟和阿拉伯茶这三种物质的物质使用率很高，其中酒精是最常见的。有利于药物使用的社区规范、酒精和药物使用家族史、兄弟姐妹的药物使用、学习成绩差、药物认知风险低以及朋友使用药物与青少年药物使用呈正相关，而宗教信仰和社交技能与青少年药物使用呈负相关。发起公众宣传活动，让青少年和成年人，特别是家长了解药物使用的风险。建议制定文化友好型、基于性别的青少年和家庭计划，并提高公众意识，以减少青少年的药物使用。
Substance use is a major public health concern in global settings, and is very common during adolescence period leading to physical and/or mental health complications. This study assessed the prevalence of substance use and associated factors among high school adolescents in Woreta Town, Northwest Ethiopia, 2012. A school based cross-sectional study was conducted from April 7 to April 15, 2012 amongst 684 9th to 12th grade high school students in the town of Woreta. Participants were selected by stratified sampling, and data were collected using an anonymous questionnaire adapted from the 2008 Community That Care Youth Survey. Bivariate and multivariate logistic regression analysis was performed to identify factors associated with substance use. A total of 651 students participated in the study with a response rate of 95.2%. The current prevalence of substance use among Woreta high school students was 47.9% and life-time prevalence was 65.4%. The current and lifetime prevalence of alcohol use was 40.9% and 59% respectively. Siblings’ use of substances (AOR [95% CI]: 2.72 [1.79, 4.14]), family history of alcohol and substance use (AOR [95% CI] 2.24 [1.39-3.59]) and friends’ use of substances (AOR [95% CI] 2.14 [1.44-3.18]) were factors positively associated with substance use. On the other hand, religiosity and social skill were found to be 54% (AOR [95% CI] 0.46, [0.31-0.68]) and 39% (AOR [95% CI] 0.6 [0.40-0.91]) negatively associated with substance use. The prevalence of substance use amongst adolescents was high for the three substances namely alcohol, cigarette and khat with alcohol being the most common. Community norms favorable to substance use, family history of alcohol and substance use, siblings’ substance use, poor academic performance, low perceived risk of substances and friends’ use of substances had positive association with adolescent substance use while religiosity and social skills were found to have negative association with adolescent substance use. Initiate public awareness campaigns to inform adolescents and adults, particularly parents, of the risk of substance use. Developing culture friendly, gender based adolescent and family based programs and initiating public awareness are recommended to decrease substance use by adolescents.
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影响因子：
12.7
作者：
Oman, RF;Vesely, S;Marshall, L
通讯作者：
Marshall, L
影响因子：
7.6
作者：
Palen, Lori-Ann;Smith, Edward A.;Mpofu, Elias
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Mpofu, Elias
影响因子：
4.4
作者：
Atwoli, Lukoye;Mungla, Prisca A.;Ogot, Evans M.
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Ogot, Evans M.
影响因子：
7.6
作者：
Beyers, JM;Toumbourou, JW;Hawkins, JD
通讯作者：
Hawkins, JD
影响因子：
3.5
作者：
Bond, L;Toumbourou, JW;Patton, G
通讯作者：
Patton, G