Terzic Supic Zorica, Santric Milicevic Milena, Sbutega Isidora, Vasic Vladimir
Institute of Social Medicine, Medical Faculty, University of Belgrade, Belgrade, Serbia.
Iran J Public Health. 2013 Mar 1;42(3):249-60. Print 2013.
Adolescence is transitional stage of physical and mental human development occuring between childhood and adult life. Social interactions and environmental factors together are important predictors of adolescent cannabis use. This study aimed to examine the relationship between the social determinants and adolescents behavior with cannabis consumption.
A cross sectional study as part of the European School Survey Project on Alcohol and other Drugs was conducted among 6.150 adolescents aged 16 years in three regions of Serbia, and three types of schools (gymnasium, vocational - professional, and vocational - handicraft) during May - June 2008. A multivariate logistic regression analysis was carried out to obtain adjusted odds ratios with 95% confidence intervals in which the dependent variable was cannabis consumption non-user and user.
Among 6.7% of adolescents who had tried cannabis at least one in their lives, boys were more involved in cannabis use than girls, especially boys from gymnasium school. Well off family, lower education of mother, worse relations with parents were significantly associated with cannabis use (P < 0.05). Behaviors like skipping from schools, frequent evening outs, and playing on slot machines were also related to cannabis use (P < 0.05).
The study confirmed the importance of family relationship development. Drug use preventive programmes should include building interpersonal trust in a family lifecycle and school culture.
青春期是介于儿童期和成年期之间人类身心发展的过渡阶段。社会交往和环境因素共同是青少年使用大麻的重要预测因素。本研究旨在探讨社会决定因素与青少年大麻消费行为之间的关系。
作为欧洲酒精及其他药物学校调查项目一部分的横断面研究，于2008年5月至6月在塞尔维亚三个地区的6150名16岁青少年以及三类学校（文理中学、职业-专业学校和职业-手工学校）中开展。进行多因素逻辑回归分析以获得调整后的比值比及95%置信区间，其中因变量为大麻消费非使用者和使用者。
在一生中至少尝试过一次大麻的青少年中，有6.7%，男孩比女孩更多地参与大麻使用，尤其是来自文理中学的男孩。富裕家庭、母亲受教育程度较低、与父母关系较差与大麻使用显著相关（P < 0.05）。逃学、频繁夜出和玩老虎机等行为也与大麻使用有关（P < 0.05）。
该研究证实了家庭关系发展的重要性。药物使用预防项目应包括在家庭生命周期和学校文化中建立人际信任。
