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Co-morbid substance use behaviors among youth: Any impact of school environment?

Costello , Mary Jean E.; Leatherdale, Scott T.; Ahmed, Rashid; Church, Dana L; Cunningham, John

Description

Background. Substance use is common among youth; however, our understanding of co-morbid tobacco, alcohol and marijuana use remains limited. The school-environment may play an important role in the likelihood a student engages in high risk substance use behaviors, including co-morbid use. Purpose. This study aims to: (i) describe the prevalence of co-morbid substance use behaviors among youth; (ii) identify and compare the characteristics of youth who currently use a single substance, any two...[Show more]

dc.contributor.authorCostello , Mary Jean E.
dc.contributor.authorLeatherdale, Scott T.
dc.contributor.authorAhmed, Rashid
dc.contributor.authorChurch, Dana L
dc.contributor.authorCunningham, John
dc.date.accessioned2015-12-10T23:22:39Z
dc.date.available2015-12-10T23:22:39Z
dc.identifier.issn1757-9759
dc.identifier.urihttp://hdl.handle.net/1885/66607
dc.description.abstractBackground. Substance use is common among youth; however, our understanding of co-morbid tobacco, alcohol and marijuana use remains limited. The school-environment may play an important role in the likelihood a student engages in high risk substance use behaviors, including co-morbid use. Purpose. This study aims to: (i) describe the prevalence of co-morbid substance use behaviors among youth; (ii) identify and compare the characteristics of youth who currently use a single substance, any two substances, and all three substances; (iii) examine if the likelihood of co-morbid use varies by school and; (iv) examine what factors are associated with co-morbid use. Methods. This study used nationally representative data collected from students in grades 9 to 12 (n = 41,886) as part of the 2006-2007 Canadian Youth Smoking Survey (YSS). Demographic and behavioral data were collected including, current cigarette, alcohol and marijuana use. Results. 6.5% (n = 107,000) reported current use of all three substances and 20.3% (n = 333,000) of any two substances. Multi-level analysis revealed significant between school variability in the odds a student used all three substances and any two substances; accounting for 16.9% and 13.5% of the variability, respectively. Co-morbid use was associated with sex, grade, amount of available spending money and perceived academic performance. Conclusions. Co-morbid substance use is high among youth; however, not all schools share the same prevalence. Knowing the school characteristics that place particular schools at risk for student substance use is important for tailoring drug and alcohol education programs. Interventions that target the prevention of co-morbid substance use are required.
dc.publisherSAGE Publications
dc.sourceGlobal health promotion
dc.subjectKeywords: alcohol; children; education settings; prevention; schools; substance use/abuse; tobacco; youth
dc.titleCo-morbid substance use behaviors among youth: Any impact of school environment?
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume19
dc.date.issued2012
local.identifier.absfor111714 - Mental Health
local.identifier.ariespublicationU3488905xPUB1313
local.type.statusPublished Version
local.contributor.affiliationCostello , Mary Jean E., School of Public Health and Health Systems, University of Waterloo
local.contributor.affiliationLeatherdale, Scott T., School of Public Health and Health Systems, University of Waterloo
local.contributor.affiliationAhmed, Rashid, Department of Statistics and Actuarial Science, University of Waterloo
local.contributor.affiliationChurch, Dana L, University of Waterloo
local.contributor.affiliationCunningham, John, College of Medicine, Biology and Environment, ANU
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage50
local.bibliographicCitation.lastpage59
local.identifier.doi10.1177/1757975911429873
local.identifier.absseo920410 - Mental Health
dc.date.updated2016-02-24T09:59:02Z
local.identifier.scopusID2-s2.0-84868629944
CollectionsANU Research Publications

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