Is vulnerability associated with substance use? A study among youth in Switzerland.

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State: Public
Version: Author's accepted manuscript
License: Not specified
Serval ID
serval:BIB_EFDD35D1B499
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Is vulnerability associated with substance use? A study among youth in Switzerland.
Journal
Archives de pediatrie
Author(s)
Van Ruymbeke C., Barrense-Dias Y., Suris J.C.
ISSN
1769-664X (Electronic)
ISSN-L
0929-693X
Publication state
Published
Issued date
11/2020
Peer-reviewed
Oui
Volume
27
Number
8
Pages
448-451
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Adolescence is a period of exploration and experimentation that includes risk behaviors such as substance use. Adolescents living in a situation of vulnerability could be more prone to using substances. In this cross-sectional study, we aimed to evaluate the association between the level of vulnerability and substance use considering explanatory factors. Data were obtained from the first wave of the GenerationFRee project (http://www.generationfree.ch), a longitudinal study based on data collected yearly between 2014 and 2019 on youth aged 15-24 years in high schools and professional schools. The sample included 5179 participants. We designated four risk behaviors: current tobacco smoking, alcohol misuse, cannabis use, and other illegal drug use. We defined vulnerability based on three criteria: the relationship with parents, school performance, and the family socioeconomic status (SES). According to this definition, participants were divided into three groups: no vulnerability, moderate vulnerability, and high vulnerability. Each substance was compared by vulnerability level and controlled with explanatory factors such as age, gender, perceived health, emotional well-being, academic track, nationality, living with parents, residence, family structure, money earned, and perceived personal financial situation. The results show that all substances except alcohol misuse are associated with vulnerability at the bivariate level. All the explanatory factors were also significant with the exception of academic track and amount of money earned per month. In the multinomial regression, for the moderate- and high-vulnerability groups, cannabis use was the only behavior that remained significant. In conclusion, this study shows the association between level of vulnerability and substance use, especially cannabis use. The results also demonstrate the complexity around vulnerability and how the interaction with social aspects influences vulnerability. Youths presenting familial, educational, or financial problems need to be especially screened for substance use by healthcare providers.
Keywords
Adolescents, Substance use, Vulnerability, Young adults
Pubmed
Web of science
Create date
09/10/2020 14:24
Last modification date
23/02/2021 8:11
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