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Risk and protective profile of tobacco and alcohol use among Iranian adolescents: a population- based study

  • Azam Baheiraei , Farzaneh Soltani EMAIL logo , Abbas Ebadi , Abbas Rahimi Foroushani and Mohammad Ali Cheraghi
Published/Copyright: March 16, 2016

Abstract

Background: Identification of risk and protective factors is of great importance in designing preventive and interventional programs. The aim of the present study has been to investigate peer/individual, family, school, and community risk and protective factors as predictors of tobacco and alcohol use among Iranian adolescents.

Methods: In a cross-sectional population-based study, 870 Iranian adolescents aged 15–18 years old, filled out the adopted form of “Communities That Care Youth Survey”. Thirty-two risk and protective factors were entered in adjusted logistic regression analyses to predict the lifetime cigarette and alcohol use.

Results: Sixteen risk and seven protective factors predicted both lifetime cigarette and alcohol use in the bivariate logistic regression analysis. In the multivariate logistic regression analysis 12 risk factors including friends’ use of drugs, interaction with antisocial peers, sensation seeking, intention to use, perceived risks of drug use, family history of drug use, poor family management, parental attitudes favorable toward drug use, family conflict, academic failure, school low commitment, perceived availability of drugs predicted both lifetime cigarette and alcohol use as well as four protective factors including religiosity, self-esteem, family rewards for prosocial involvement, and school rewards for prosocial involvement. The highest OR were related to the risk factor of “Rewards for antisocial involvement” [3.9(1.5–10)], and protective factor of “Religiosity” [0.1(0.1–0.3)].

Conclusion: The present study has produced evidences about risk and protective factors related to adolescents substance use and can help designing and implementing of preventive interventions for maintaining and promoting adolescents health.


Corresponding author: Farzaneh Soltani, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran

Acknowledgments:

This research has been supported by Tehran University of Medical Sciences & health Services [grant No. 91-03-28-19503].

References

1. Dennis ML, Dawud-Noursi S, Muck RD, McDermeit M. The need for developing and evaluating adolescent treatment models. In: Segal B, Morral AR, Stevens SJ, editors. Adolescent substance abuse treatment in the United States. Exemplary models from a national evaluation study. New York, NY, US: Haworth Press, xix, 2003:3–34.Search in Google Scholar

2. World Health Organization. WHO Report on the global tobacco epidemic, 2009: implementing smoke-free environments. 2012.Search in Google Scholar

3. World Health Organization. WHO Report on the global tobacco epidemic, 2011: warning about the dangers of tobacco. 2011.Search in Google Scholar

4. Jafarabadi MA, Allahverdipour H, Bashirian S. Modeling the underlying predicting factors of tobacco smoking among adolescents. Iran J Public Health 2012;41:46–57.Search in Google Scholar

5. Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Delavari A, et al. Smoking behavior and its influencing factors in a national-representative sample of Iranian adolescents: CASPIAN study. Prev Med 2006;42:423–6.10.1016/j.ypmed.2006.03.001Search in Google Scholar

6. Niknami S, Akbari M, Ahmadi F. Smoking initiation among Iranian adolescents: a qualitative study. East Mediterr Health J 2008;14:1290–300.Search in Google Scholar

7. Rezaei F, Nedjat S, Golestan B, Majdzadeh R. Comparison of onset age and pattern of male adolescent smoking in two different socioeconomic districts of Tehran, Iran Int J Prev Med 2011;2:224–8.Search in Google Scholar

8. Mohammadpoorasl A, Nedjat S, Yazdani K, Fakhari A, Foroushani AR, et al. Intention to start smoking and its related factors in never smoked adolescents in Tabriz, 2010. Int J Prev Med 2012;3:880–6.10.4103/2008-7802.104860Search in Google Scholar

9. Habib E, Shiraz AS, Naseri-Kouzehgarani G. The determinants of high school students smoking habits with special focus on teachers smoking in Iran: a population based study. Pneumologia 2012;61:28–33.Search in Google Scholar

10. Moeini B, Poorolajal J, Gharghani ZG. Prevalence of cigarette smoking and associated risk factors among adolescents in Hamadan City, west of Iran in 2010. J Res Health Sci 2012; 12:31–7.Search in Google Scholar

11. Baheiraei A, Hamzehgardeshi Z, Mohammadi MR, Nedjat S, Mohammadi E. Alcohol and drug use prevalence and factors associated with the Experience of alcohol use in Iranian adolescents. Iran Red Crescent Med 2013;15:212–7.10.5812/ircmj.4022Search in Google Scholar

12. Catalano RF, Fagan AA, Gavin LE, Greenberg MT. Worldwide application of prevention science in adolescent health. Lancet 2012;379:1653–64.10.1016/S0140-6736(12)60238-4Search in Google Scholar

13. Monti PM, Colby SM, Tevyaw TA, editors. Adolescents, alcohol, and substance abuse: reaching teens through brief intervention. New York: Gulford Press, 2012:40–1.Search in Google Scholar

14. Hawkins JD, Van Horn ML, Arthur MW. Community variation in risk and protective factors and substance use outcomes. Prev Sci 2004;5:213–20.10.1023/B:PREV.0000045355.53137.45Search in Google Scholar

15. Jackson CA, Henderson M, Frank JW, Haw SJ. An overview of prevention of multiple risk behaviour in adolescence and young adulthood. J Public Health 2012;34(Suppl 1):i31–40.10.1093/pubmed/fdr113Search in Google Scholar PubMed

16. Cleveland MJ, Feinberg ME, Bontempo DE, Greenberg MT. The role of risk and protective factors in substance use across adolescence. J Adolesc Health 2008;43:157–64.10.1016/j.jadohealth.2008.01.015Search in Google Scholar PubMed PubMed Central

17. Allahverdipour H, Farhadinasab A. Behavioral intention to avoid drug abuse works as protective factor among adolescent. J Res Health Sci 2011;7:6–12.Search in Google Scholar

18. Baheiraei A, Soltani F, Ebadi A, Cheraghi MA, Foroushani AR. Family and peer risk factors as predictors of lifetime tobacco use among Iranian adolescents: gender similarities and differences. Glob J Health Sci 2014;6:63–75.10.5539/gjhs.v6n4p63Search in Google Scholar PubMed PubMed Central

19. Wille N, Bettge S. Risk and protective factors for children’s and adolescents’ mental health: results of the BELLA study. Eur Child Adoles Psy 2008;17(Suppl 1):133–47.10.1007/s00787-008-1015-ySearch in Google Scholar PubMed

20. Yi S, Poudel KC, Yasuoka J, Palmer PH. Role of risk and protective factors in risky sexual behavior among high school students in Cambodia. BMC Public Health 2010;10:477.10.1186/1471-2458-10-477Search in Google Scholar PubMed PubMed Central

21. Fagan AA, Hawkins JD, Catalano RF. Using community epidemiologic data to improve social settings: the communities that care prevention system. In Shin M, editor. Toward positive youth development: transforming schools and community programs Oxford. New York: Oxford University Press, 2008:292–312.10.1093/acprof:oso/9780195327892.003.0016Search in Google Scholar

22. Catalano RF, Hawkins JD. The social development model: a theory of antisocial behavior. In: Hawkins JD, editor. Delinquency and crime: current theories. New York: Cambridge University Press, 1996:149–97.Search in Google Scholar

23. Brown EC, Hawkins JD, Rhew IC, Shapiro VB, Abbott RD, et al. Prevention system mediation of communities that care effects on youth outcomes. Prev Sci 2014;15:623–32.10.1007/s11121-013-0413-7Search in Google Scholar

24. Herrenkohl TI, Huang B, Kosterman R, Hawkins JD, Catalano RF, et al. A comparison of social development processes leading to violent behavior in late adolescence for childhood initiators and adolescent initiators of violence. J Res Crime Delinq 2001;38:45–63.10.1177/0022427801038001003Search in Google Scholar

25. Choi Y, He M, Herenkohl TI, Catalano RF, Toumbourou JW. Multiple identification and risks: examination of peer factors across multiracial and single-race youth. J Youth Adolesc 2012;41:847–62.10.1007/s10964-012-9750-2Search in Google Scholar

26. Arthur MW, Hawkins JD, Pollard JA. Measuring risk and protective factors for substance use, delinquency, and other adolescent problem behaviors: the ommunities that care youth survey. Evaluation Rev 2002;26:575–601.10.1177/019384102237850Search in Google Scholar

27. Baheiraei A, Soltani F, Ebadi A, Cheraghi MA, Foroushani AR, et al. Psychometric properties of the Iranian version of ‘Communities That Care Youth Survey’. Health Promot Int 2014;pii:dau062. doi: 10.1093/heapro/dau062.10.1093/heapro/dau062Search in Google Scholar

28. Coie JD, Watt NF, West SG, Hawkins JD, Asarnow JR, et al. The science of prevention: a conceptual framework and some directions for a national research program. Am Psychol 1993;48:1013–22.10.1037/0003-066X.48.10.1013Search in Google Scholar

29. Mrazek PJ, Haggerty RJ, editors. Committee on prevention of mental disorders, institute of medicine. Reducing risks for mental disorders: frontiers for prevention intervention research. Washington, DC: National Academies Press (US), 1994.Search in Google Scholar

30. World Health Organization. Broadening the horizon. Balancing protection and risk for adolescents. 2002. Retrieved from: http://whqlibdoc.who.int/hq/2001/WHO_FCH_CAH_01.20.pdf.Search in Google Scholar

31. Bukowski W, Rubin KH, Parker J. Peer interactions, relationships, and groups. In: Damon W, Lerner RM, Eisenberg N, editors. Handbook of child psychology: social, emotional, and personality development, 6th ed. New York: Wiley, 2006:571–645.Search in Google Scholar

32. Spear L. The adolescent brain and age-related behavioral manifestations. Neurosci Biobehav Rev 2000;24:417–63.10.1016/S0149-7634(00)00014-2Search in Google Scholar

33. Al Agili DE, Park HK. The prevalence and determinants of tobacco use among adolescents in Saudi Arabia. J Sch Health 2012;82:131–8.10.1111/j.1746-1561.2011.00676.xSearch in Google Scholar PubMed

34. Sinha JW, Cnaan RA, Gelles RJ. Adolescent risk behaviors and religion: findings from a national study. J Adolesc 2007;30: 231–49.10.1016/j.adolescence.2006.02.005Search in Google Scholar PubMed

35. Cnaan RA, Gelles RJ, Sinha JW. Youth and religion: the gameboy generation goes to church. Soc Indic Res 2004;68:175–200.10.1023/B:SOCI.0000025592.60815.37Search in Google Scholar

36. Smith C. Religious participation and parental moral expectations and supervision of American youth. Rev Relig Res 2003;44:414–24.10.2307/3512218Search in Google Scholar

37. Conwell LS, O’Callaghan MJ, Andersen MJ. Early adolescent smoking and a web of personal and social disadvantage. J paediatr Child Health 2003;39:580–5.10.1046/j.1440-1754.2003.00240.xSearch in Google Scholar

38. Windle M, Mason WA. General and specific predictors of behavioral and emotional problems among adolescents. J Emot Behav Disord 2004;12:49–61.10.1177/10634266040120010601Search in Google Scholar

39. Tilson E, McBride CM, Lipkus IM, Catalano RF. Testing the interaction between parent–child relationship factors and parent smoking to predict youth smoking. J Adolesc Health 2004;35:182–9.10.1016/S1054-139X(03)00532-9Search in Google Scholar

40. Karimy M, Niknami S, Heidarnia AR. Prevalence and determinants of male adolescents’ smoking in Iran: an explanation based on the theory of planned behavior. Iran Red Crescent Med J 2013;15:187–93.10.5812/ircmj.3378Search in Google Scholar PubMed PubMed Central

41. Hill KG, Hawkins JD, Catalano RF. Family influences on the risk of daily smoking initiation. J Adolesc Health 2005;37:202–10.10.1016/j.jadohealth.2004.08.014Search in Google Scholar PubMed

42. Skinner ML, Haggerty KP, Catalano RF. parental and peer influences on teen smoking: are White and Black families different? Nicotine Tob Res 2009;11:558–63.10.1093/ntr/ntp034Search in Google Scholar PubMed PubMed Central

43. Swadi H. parenting capacity and substance misuse: an assessment scheme. ACpp Review and Newsletter 1994;16:237–44.Search in Google Scholar

44. Scholes-Balog KE, Hemphill SA, Dowling NA, Toumbourou JW. A prospective study of adolescent risk and protective factors for problem gambling among young adults. J Adolesc 2014;37:215–24.10.1016/j.adolescence.2013.12.006Search in Google Scholar PubMed

45. Maguire ER, Wells W, Katz CM. Measuring community risk and protective factors for adolescent problem behaviors evidence from a developing nation. J Res Crime Delinq 2011;48:594–620.10.1177/0022427810395148Search in Google Scholar

Received: 2015-8-23
Accepted: 2015-12-5
Published Online: 2016-3-16

©2017 Walter de Gruyter GmbH, Berlin/Boston

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