Department of Cardiological, Thoracic, Vascular Sciences and Public Health, University of Padua, Padova, Italy
Centro Nazionale Dipendenze e Doping, Istituto Superiore di Sanità, Roma, Italy.
BMJ Open. 2019 Nov 11;9(11):e031737. doi: 10.1136/bmjopen-2019-031737.
The aim of this study was to elucidate the pathway of associations linking gambling, alcohol intake, smoking habit, cannabis consumption between each other and with demographic and socioeconomic variables.
A survey was conducted in 2017 on a representative sample of 15 602 Italian 14-year-olds to 17-year-olds attending 201 secondary schools.
Structural Equation Models analysis was used to assess the pathway between gambling, alcohol intake, smoking, cannabis consumption, demographics and socioeconomic factors.
Irrespective of socioeconomic or demographic variables, gambling is positively associated with alcohol and cannabis consumption, while cannabis consumption is predicted by smoking and by alcohol intake, smoking is predicted by alcohol intake. Adolescents with a higher weekly income are more at risk of gambling, drinking alcohol and smoking, while the degree of economic dissatisfaction was positively associated with alcohol intake, cannabis consumption and smoking. Maternal employment appeared to be positively associated with adolescents' smoking, alcohol intake and cannabis consumption.
This is one of the first studies to shed light on the pathways of associations connecting various health-risk behaviours among adolescents with demographic and socioeconomic factors.
本研究旨在阐明赌博、饮酒、吸烟习惯、大麻消费之间相互关联的途径，以及这些关联与人口统计学和社会经济变量之间的关联。
2017 年，对意大利 201 所中学的 15602 名 14 至 17 岁的代表性样本进行了一项调查。
使用结构方程模型分析评估了赌博、饮酒、吸烟、大麻消费、人口统计学和社会经济因素之间的途径。
无论社会经济或人口统计学变量如何，赌博与饮酒和大麻消费呈正相关，而大麻消费由吸烟和饮酒预测，吸烟由饮酒预测。每周收入较高的青少年更有可能赌博、饮酒和吸烟，而经济不满程度与饮酒、大麻消费和吸烟呈正相关。母亲就业似乎与青少年吸烟、饮酒和大麻消费呈正相关。
这是首批阐明青少年各种健康风险行为与人口统计学和社会经济因素之间关联途径的研究之一。
