塞舌尔青少年物质使用与心理社会特征的关联。
Association between substance use and psychosocial characteristics among adolescents of the Seychelles.
机构信息
Institute of Social and Preventive Medicine (IUMSP), University Hospital Center and University of Lausanne, Lausanne, Switzerland.
出版信息
BMC Pediatr. 2011 Oct 11;11:85. doi: 10.1186/1471-2431-11-85.
BACKGROUND
We examined the associations between substance use (cigarette smoking, alcohol drinking, and cannabis use) and psychosocial characteristics at the individual and family levels among adolescents of the Seychelles, a rapidly developing small island state in the African region.
METHODS
A school survey was conducted in a representative sample of 1432 students aged 11-17 years from all secondary schools. Data came from a self-administered anonymous questionnaire conducted along a standard methodology (Global School-based Health Survey, GSHS). Risk behaviors and psychosocial characteristics were dichotomized. Association analyses were adjusted for a possible classroom effect.
RESULTS
The prevalence of cigarette smoking, alcohol drinking and cannabis use was higher in boys than in girls and increased with age. Age-adjusted and multivariate analyses showed that several individual level characteristics (e.g. suicidal ideation and truancy) and family level characteristics (e.g. poor parental monitoring) were associated with substance use among students.
CONCLUSIONS
Our results suggest that health promotion programs should simultaneously address multiple risk behaviors and take into account a wide range of psychosocial characteristics of the students at the individual and family levels.
背景
我们研究了塞舌尔青少年个体和家庭层面的物质使用（吸烟、饮酒和大麻使用）与心理社会特征之间的关联，塞舌尔是非洲地区一个快速发展的小岛屿国家。
方法
对来自所有中学的 1432 名 11-17 岁学生进行了一项代表性的学校调查。数据来自一个自我管理的匿名问卷，该问卷采用了标准方法（全球学校健康调查，GSHS）。风险行为和心理社会特征被分为两类。关联分析调整了可能的课堂效应。
结果
与女孩相比，男孩吸烟、饮酒和吸食大麻的比例更高，且随着年龄的增长而增加。年龄调整和多变量分析表明，一些个体水平的特征（例如，自杀意念和逃学）和家庭水平的特征（例如，父母监督不力）与学生的物质使用有关。
结论
我们的结果表明，健康促进计划应同时针对多种风险行为，并考虑到学生个体和家庭层面的广泛心理社会特征。
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