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Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country

BACKGROUND: Smoking, alcohol drinking and cannabis use ("risk behaviors") are often initiated at a young age but few epidemiological studies have assessed their joined prevalence in children in developing countries. This study aims at examining the joint prevalence of these behaviors in ad...

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Autores principales: Faeh, David, Viswanathan, Bharathi, Chiolero, Arnaud, Warren, Wick, Bovet, Pascal
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1564395/
https://www.ncbi.nlm.nih.gov/pubmed/16803621
http://dx.doi.org/10.1186/1471-2458-6-169
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author Faeh, David
Viswanathan, Bharathi
Chiolero, Arnaud
Warren, Wick
Bovet, Pascal
author_facet Faeh, David
Viswanathan, Bharathi
Chiolero, Arnaud
Warren, Wick
Bovet, Pascal
author_sort Faeh, David
collection PubMed
description BACKGROUND: Smoking, alcohol drinking and cannabis use ("risk behaviors") are often initiated at a young age but few epidemiological studies have assessed their joined prevalence in children in developing countries. This study aims at examining the joint prevalence of these behaviors in adolescents in the Seychelles, a rapidly developing country in the Indian Ocean. METHODS: Cross-sectional survey in a representative sample of secondary school students using an anonymous self-administered questionnaire (Global Youth Tobacco Survey). The questionnaire was completed by 1,321 (92%) of 1,442 eligible students aged 11 to 17 years. Main variables of interest included smoking cigarettes on ≥1 day in the past 30 days; drinking any alcohol beverage on ≥1 day in the past 30 days and using cannabis at least once in the past 12 months. RESULTS: In boys and girls, respectively, prevalence (95% CI) was 30% (26–34)/21% (18–25) for smoking, 49% (45–54)/48% (43–52) for drinking, and 17% (15–20)/8% (6–10) for cannabis use. The prevalence of all these behaviors increased with age. Smokers were two times more likely than non-smokers to drink and nine times more likely to use cannabis. Drinkers were three times more likely than non-drinkers to smoke or to use cannabis. Comparison of observed versus expected frequencies of combination categories demonstrated clustering of these risk behaviors in students (P < 0.001). CONCLUSION: Smoking, drinking and cannabis use were common and clustered among adolescents of a rapidly developing country. These findings stress the need for early and integrated prevention programs.
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spelling pubmed-15643952006-09-14 Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country Faeh, David Viswanathan, Bharathi Chiolero, Arnaud Warren, Wick Bovet, Pascal BMC Public Health Research Article BACKGROUND: Smoking, alcohol drinking and cannabis use ("risk behaviors") are often initiated at a young age but few epidemiological studies have assessed their joined prevalence in children in developing countries. This study aims at examining the joint prevalence of these behaviors in adolescents in the Seychelles, a rapidly developing country in the Indian Ocean. METHODS: Cross-sectional survey in a representative sample of secondary school students using an anonymous self-administered questionnaire (Global Youth Tobacco Survey). The questionnaire was completed by 1,321 (92%) of 1,442 eligible students aged 11 to 17 years. Main variables of interest included smoking cigarettes on ≥1 day in the past 30 days; drinking any alcohol beverage on ≥1 day in the past 30 days and using cannabis at least once in the past 12 months. RESULTS: In boys and girls, respectively, prevalence (95% CI) was 30% (26–34)/21% (18–25) for smoking, 49% (45–54)/48% (43–52) for drinking, and 17% (15–20)/8% (6–10) for cannabis use. The prevalence of all these behaviors increased with age. Smokers were two times more likely than non-smokers to drink and nine times more likely to use cannabis. Drinkers were three times more likely than non-drinkers to smoke or to use cannabis. Comparison of observed versus expected frequencies of combination categories demonstrated clustering of these risk behaviors in students (P < 0.001). CONCLUSION: Smoking, drinking and cannabis use were common and clustered among adolescents of a rapidly developing country. These findings stress the need for early and integrated prevention programs. BioMed Central 2006-06-27 /pmc/articles/PMC1564395/ /pubmed/16803621 http://dx.doi.org/10.1186/1471-2458-6-169 Text en Copyright © 2006 Faeh et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Faeh, David
Viswanathan, Bharathi
Chiolero, Arnaud
Warren, Wick
Bovet, Pascal
Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country
title Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country
title_full Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country
title_fullStr Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country
title_full_unstemmed Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country
title_short Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country
title_sort clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1564395/
https://www.ncbi.nlm.nih.gov/pubmed/16803621
http://dx.doi.org/10.1186/1471-2458-6-169
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