Protective correlates of stages in adolescent substance use: a Swiss National Study.

Détails

ID Serval
serval:BIB_11F19BB15496
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Protective correlates of stages in adolescent substance use: a Swiss National Study.
Périodique
Journal of Adolescent Health
Auteur(s)
Stronski S.M., Ireland M., Michaud P., Narring F., Resnick M.D.
ISSN
1054-139X (Print)
ISSN-L
1054-139X
Statut éditorial
Publié
Date de publication
06/2000
Peer-reviewed
Oui
Volume
26
Numéro
6
Pages
420-427
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
OBJECTIVE: To identify factors potentially protective against involvement with additional illicit drugs among adolescent users of marijuana.
DESIGN AND METHODS: A cross-sectional, secondary analysis of a national data set of Swiss adolescents was performed. The original survey was conducted in 1992-1993 (N= 9268). Stages of substance use were conceptualized as lifetime use of marijuana of three or more times and as use of marijuana and other illicit drugs (opiates, inhalants, cocaine, hallucinogens, or stimulants) more than twice in the past month. Behavioral characteristics associated with level of drug use were examined. Based on the resilience literature, factors potentially protective against progression of drug use were examined in their bivariate relationships and analyzed in a multiple regression model.
RESULTS: Almost one quarter of the surveyed adolescents were classified as past or current marijuana users. One in 20 of these adolescents also used other illicit drugs. Prevalence of risk-related behaviors (e.g., antisocial behavior, accidents, suicide attempts) was elevated for marijuana users compared to nonusers and even more elevated for users of marijuana with other illicit drugs. In a multivariate logistic regression model, communicating well with a parent was significantly associated with not having progressed to use of illicit drugs other than marijuana [for males, odds ratio (OR) = 0.72, confidence interval (CI) = 0.55, 0.92; for females, OR = 0.60, CI = 0.39, 0.93]. Other significant protective correlates for boys were academic achievement (OR = 0.66, CI = 0.47, 0.92), type of education: school versus apprenticeship (OR = 0.42, CI = 0.21, 0.87), confiding in a family member (OR = 0.49, CI = 0.28, 0.85), and regular participation in a sports club (OR = 0.39, CI = 0.22, 0.77).
CONCLUSION: Within this national sample of Swiss adolescents, a cross-sectional analysis identified the quality of relationships within the family and factors related to school associated with lack of progression of illicit substance use. However, longitudinal studies will be necessary to confirm these associations and to allow for designing interventions targeting the enhancement of protective factors among young people already at risk for serious substance use.
Mots-clé
Adolescent, Adolescent Behavior/psychology, Adolescent Psychology/statistics & numerical data, Communication, Cross-Sectional Studies, Educational Status, Female, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Logistic Models, Male, Multivariate Analysis, Parents/psychology, Prevalence, Questionnaires, Risk Factors, Risk-Taking, Substance-Related Disorders/epidemiology, Substance-Related Disorders/prevention & control, Switzerland/epidemiology
Pubmed
Web of science
Création de la notice
25/01/2008 14:21
Dernière modification de la notice
20/08/2019 13:39
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