Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar.
College of Medicine, Qatar University, Doha 3050, Qatar.
Int J Environ Res Public Health. 2021 Jun 14;18(12):6426. doi: 10.3390/ijerph18126426.
Virtually no studies appraised the co-use of alcohol, tobacco, and other drug (ATOD) among Finn undergraduates. We assessed the associations between sociodemographic, health, academic, policy, and lifestyle characteristics (independent variables); and individual, multiple and increasing ATOD use (dependent variables) using regression analyses. Data were collected by online questionnaire at the University of Turku, Finland (1177 students). Roughly 22% of the sample smoked, 21% ever used illicit drug/s, 41% were high frequency drinkers, and 31.4%, 16.3%, and 6.7% reported 1, 2, or 3 ATOD behaviors respectively. Individual ATOD use was significantly positively associated with the use of the other two substances [adjusted odds ratio (Adj OR range 1.893-3.311)]. Multiple ATOD use was negatively associated with being single ( = 0.021) or agreeing with total smoking or alcohol ban policy on campus ( < 0.0001 for each); but positively associated with not living with parents ( = 0.004). Increasing ATOD behaviors were significantly less likely among those agreeing with total smoking or alcohol ban policy on campus ( range 0.024 to <0.0001). Demographics significant to either individual, multiple, or increasing ATOD use included males, being single, not living with their parents during semesters, and to some extent, religiosity. Age, depressive symptoms, perceived stress, self-rated health, health awareness, income sufficiency, and academic variables were not associated with individual, multiple, or increasing ATOD use. Education and prevention efforts need to reinforce abstinence from ATOD, highlight their harmful outcomes, and target risk groups highlighted above. University strategies should be part of the wider country-wide successful ATOD control policies.
几乎没有研究评估芬兰本科生同时使用酒精、烟草和其他药物（ATOD）的情况。我们使用回归分析评估了社会人口统计学、健康、学术、政策和生活方式特征（自变量）与个体、多种和递增 ATOD 使用（因变量）之间的关联。数据通过芬兰图尔库大学的在线问卷收集（1177 名学生）。大约 22%的样本吸烟，21%曾使用非法药物/毒品，41%是高频饮酒者，分别有 31.4%、16.3%和 6.7%的学生报告有 1、2 或 3 种 ATOD 行为。个体 ATOD 使用与其他两种物质的使用呈显著正相关[调整后的优势比（Adj OR 范围 1.893-3.311)]。多种 ATOD 使用与单身（ = 0.021）或同意校园内全面禁烟或禁酒政策（每项<0.0001）呈负相关；但与与父母同住（ = 0.004）呈正相关。在那些同意校园内全面禁烟或禁酒政策的人中，递增 ATOD 行为的可能性显著降低（范围 0.024 至<0.0001）。对个体、多种或递增 ATOD 使用有意义的人口统计学因素包括男性、单身、学期期间不与父母同住，在某种程度上还有宗教信仰。年龄、抑郁症状、感知压力、自我评估的健康状况、健康意识、收入充足程度和学术变量与个体、多种或递增 ATOD 使用无关。教育和预防工作需要加强对 ATOD 的戒除，强调其有害后果，并针对上述风险群体。大学策略应成为更广泛的全国成功 ATOD 控制政策的一部分。
