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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
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 | ||||||||||||
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| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| 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 |
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| 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: |
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| 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: |
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