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Epidemiological trends and risk factors for tobacco, alcohol and drug use among adolescents in Scotland, 2002–13

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Petrou, Stavros and Kupek, Emil (2019) Epidemiological trends and risk factors for tobacco, alcohol and drug use among adolescents in Scotland, 2002–13. Journal of Public Health, 41 (1). pp. 62-70. doi:10.1093/pubmed/fdy006 ISSN 1741-3842.

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Official URL: https://doi.org/10.1093/pubmed/fdy006

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Abstract

Background

This study estimates trends in prevalence, and patterns, of individual and multiple substance use between 2002 and 2013 amongst adolescents in Scotland.

Methods

The study uses data from 134 387 participants of the biennial national ‘Scottish Schools Adolescent Lifestyle and Substance Use Survey’ on smoking, alcohol and illicit drug use. Current regular use and current heavy use of smoking, alcohol, illicit drugs and multiple substances was measured. Time trends in the prevalence of each outcome were estimated using univariate and multivariate logistic regression.

Results

Regular smoking, alcohol, illicit drug and multiple substance use declined significantly amongst adolescents in Scotland. However, multivariate analyses that focussed upon high-risk levels of these behaviours revealed an upward linear trend in heavy alcohol (OR = 1.06; 95% CI: 1.04, 1.07) and heavy illicit drug (OR = 1.04; 95% CI: 1.00, 1.08) use (P < 0.05). Non-white pupils were more likely to be involved in individual and multiple substance use than ethnically white British pupils. In comparison to pupils from the least deprived socioeconomic quintile, pupils from the most deprived quintile had increased odds of 1.41 (95% CI: 1.02, 1.97; P < 0.05) and 1.62 (95% CI: 1.14, 2.29; P < 0.05) of being regular and heavy multiple substance users, respectively.

Conclusions

Further effort is required to tackle heavy alcohol and heavy illicit drug use amongst adolescents in Scotland. Prevention strategies should be informed by the risk profiles of substance misusers and evidence around the clinical and cost-effectiveness of preventive interventions.

Item Type: Journal Article
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Teenagers -- Health and hygiene -- Scotland, Youth -- Tobacco use -- Health aspects -- Scotland, Youth -- Alcohol use -- Health aspects -- Scotland, Youth -- Drug use -- Health aspects -- Scotland
Journal or Publication Title: Journal of Public Health
Publisher: Oxford University Press
ISSN: 1741-3842
Official Date: March 2019
Dates:
DateEvent
March 2019Published
2 February 2018Available
8 January 2018Accepted
Volume: 41
Number: 1
Page Range: pp. 62-70
DOI: 10.1093/pubmed/fdy006
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Copyright Holders: The Author(s)
Date of first compliant deposit: 3 January 2018
Date of first compliant Open Access: 2 February 2019
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDBirmingham Science CityUNSPECIFIED
UNSPECIFIEDAdvantage West Midlands (AWM)UNSPECIFIED

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