Pulver Ariel, Davison Colleen, Pickett William
Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada.
J Rural Health. 2015 Spring;31(2):217-28. doi: 10.1111/jrh.12103. Epub 2015 Jan 19.
To examine the relationship between rural and small town adolescents' time-use and an increased risk for recreational use of prescription drugs in rural settings.
Rural students in grades 9 and 10 (n = 2,393) were asked about past-year recreational use of prescription medications and their time-use in structured and unstructured activity contexts in the 2009/2010 Cycle of the Canadian Health Behaviour in School-aged Children survey. Time-use patterns of rural and small town youth from across Canada were examined using multilevel, multivariate Poisson regression analyses to determine whether they may impact the risk of this kind of substance use.
Peer time outside school hours and nonparticipation in extracurricular activities were significantly associated with rural youths' recreational use of prescription drugs. Peer drug use, unhappy home lives and frequent binge drinking explained most of these associations.
Structured and unstructured activity contexts within rural settings play a role in the nonmedical use of prescription medications. Results support interventions aimed at increasing structured time-use opportunities in addition to focusing on peer contexts and multiple risk-taking behaviors among rural youth.
研究农村和小镇青少年的时间利用情况与农村地区处方药娱乐性使用风险增加之间的关系。
在2009/2010年加拿大学龄儿童健康行为调查周期中，对9年级和10年级的农村学生（n = 2393）进行了询问，了解他们过去一年中处方药的娱乐性使用情况以及在结构化和非结构化活动背景下的时间利用情况。使用多级多变量泊松回归分析研究了来自加拿大各地的农村和小镇青少年的时间利用模式，以确定它们是否可能影响此类物质使用的风险。
校外与同龄人相处的时间以及不参加课外活动与农村青少年娱乐性使用处方药显著相关。同龄人吸毒、家庭生活不幸福和频繁酗酒解释了这些关联中的大部分。
农村环境中的结构化和非结构化活动背景在处方药的非医疗使用中起作用。研究结果支持除关注农村青少年的同龄人环境和多种冒险行为外，还应增加结构化时间利用机会的干预措施。
