Zuckermann Alexandra M E, Williams Gillian C, Battista Katelyn, Jiang Ying, de Groh Margaret, Leatherdale Scott T
University of Waterloo, School of Public Health and Health Systems, 200 University Avenue, Waterloo, ON N2L 3G1, Canada; Public Health Agency of Canada, Applied Research Division, 785 Carling Ave, Ottawa, ON K1A 0K9, Canada.
University of Waterloo, School of Public Health and Health Systems, 200 University Avenue, Waterloo, ON N2L 3G1, Canada.
Addict Behav. 2020 Aug;107:106400. doi: 10.1016/j.addbeh.2020.106400. Epub 2020 Mar 18.
Youth poly-substance use, associated with long-term negative health and social outcomes, is of increasing concern following the rise of e-cigarette vaping and cannabis legalization in Canada. This work aimed to investigate current evidence on correlates of this behaviour to inform effective prevention and harm reduction programming.
Cross-sectional sample taking part in a cohort study.
Canadian high schools (AB, BC, ON, QC) PARTICIPANTS: 74,501 Canadian high school students who completed the COMPASS student questionnaire in 2018/2019.
Self-report data on use of five substances (alcohol, cigarettes, e-cigarettes, cannabis, and opioids) alongside demographic factors, social and school support, and mental health-related measures.
Of the 39% of youth who reported current substance use, 53% reported using two or more. E-cigarette vaping was most prevalent (28%) and most often combined with other substances. Feeling supported by friends and having no problem with seeking help at school were associated with higher levels of poly-substance use. Family support, school connectedness, and school support to resist drugs decreased the risk of substance co-use.
The evidence presented here suggests that interventions for youth poly-substance use should rely on joint efforts between parents, schools, and communities to focus on structural factors rather than problematizing the individual.
在加拿大电子烟吸食和大麻合法化现象增多之后，青少年多种物质使用现象引发了越来越多的关注，这种现象与长期负面的健康和社会后果相关。这项研究旨在调查有关这种行为相关因素的现有证据，以为有效的预防和减少伤害计划提供信息。
参与队列研究的横断面样本。
加拿大高中（艾伯塔省、不列颠哥伦比亚省、安大略省、魁北克省）
2018/2019年完成COMPASS学生问卷的74501名加拿大高中生。
关于使用五种物质（酒精、香烟、电子烟、大麻和阿片类药物）的自我报告数据，以及人口统计学因素、社会和学校支持，以及与心理健康相关的测量数据。
在报告当前使用物质的39%的青少年中，53%报告使用了两种或更多种物质。电子烟吸食最为普遍（28%），且最常与其他物质同时使用。感到得到朋友的支持以及在学校寻求帮助没有问题，与更高水平的多种物质使用相关。家庭支持、学校归属感以及学校对抵制毒品的支持降低了物质共同使用的风险。
此处呈现的证据表明，针对青少年多种物质使用的干预措施应依靠家长、学校和社区之间的共同努力，关注结构性因素，而不是将个体问题化。
