Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Department of Psychological Medicine, Faculty of Medicine, Center for Addiction Science Studies (UMCAS), University of Malaya, Kuala Lumpur, Malaysia.
PLoS One. 2021 Jan 21;16(1):e0245593. doi: 10.1371/journal.pone.0245593. eCollection 2021.
Polysubstance use is defined as the use of more than one non-prescribed licit or illicit substance either concurrently or simultaneously. This study aimed to determine the prevalence of single substance users and polysubstance users and 'their associated factors among adolescents in Malaysia.
This study was a secondary data analysis from the National Health and Morbidity Survey (NHMS) 2017, a cross-sectional survey conducted among Malaysian school-going adolescents aged 13 to 17. The NHMS utilised a two-stage stratified cluster sampling. Multivariate Multinomial Logistic Regression analysis was applied.
The overall prevalence of single substance use and polysubstance use among adolescents were 17.2% and 5.1% respectively. The multinomial model showed a higher likelihood of being single or polysubstance user among male (single user OR = 3.0, poly user OR = 4.6), others Bumiputeras vs Malay (single user OR = 1.7, poly user OR = 5.3), those who live with a single parent (single user OR = 1.2, poly user OR = 1.4), involved in truancy (single user OR = 1.7, poly user OR = 3.6) and being bullied (single user OR = 1.3, poly user OR = 3.4), those who had lack of peer support (single user OR = 1.3, poly user OR = 1.4), poor parental bonding (single user OR = 1.4, poly user OR = 1.8), depression (single user OR = 1.4, poly user OR = 3.2) and those who had no close friend (single user OR = 1.3, poly user OR = 2.7).
Our study highlighted multiple significant associated factors of single and polysubstance use among adolescents in Malaysia. This result can assist in the development of specific intervention and prevention programs targeting high-risk groups.
多物质使用是指同时或先后使用一种以上未经处方的合法或非法物质。本研究旨在确定马来西亚青少年中单物质使用者和多物质使用者的流行率及其相关因素。
这是一项对 2017 年全国健康和发病率调查（NHMS）的二次数据分析，这是一项对 13 至 17 岁马来西亚在校青少年进行的横断面调查。NHMS 采用两阶段分层聚类抽样。应用多变量多项逻辑回归分析。
青少年中单物质使用和多物质使用的总体流行率分别为 17.2%和 5.1%。多项模型显示，男性（单物质使用者 OR=3.0，多物质使用者 OR=4.6）、其他非马来裔土著人比马来裔（单物质使用者 OR=1.7，多物质使用者 OR=5.3）、与单亲生活（单物质使用者 OR=1.2，多物质使用者 OR=1.4）、逃学（单物质使用者 OR=1.7，多物质使用者 OR=3.6）和被欺凌（单物质使用者 OR=1.3，多物质使用者 OR=3.4）、缺乏同伴支持（单物质使用者 OR=1.3，多物质使用者 OR=1.4）、亲子关系差（单物质使用者 OR=1.4，多物质使用者 OR=1.8）、抑郁（单物质使用者 OR=1.4，多物质使用者 OR=3.2）以及没有亲密朋友（单物质使用者 OR=1.3，多物质使用者 OR=2.7）的青少年更有可能成为单物质或多物质使用者。
我们的研究强调了马来西亚青少年中单物质和多物质使用的多个显著相关因素。这一结果有助于制定针对高危群体的特定干预和预防计划。
