Home Medicine Tobacco use: the main predictor of illicit substances use among young adolescents in Sousse, Tunisia
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Tobacco use: the main predictor of illicit substances use among young adolescents in Sousse, Tunisia

  • Nawel Zammit EMAIL logo , Jihen Maatoug , Rim Ghammam , Sana Bhiri and Hassen Ghannem
Published/Copyright: October 24, 2018

Abstract

Introduction

Early adolescence is a critical period usually associated with experimentation with illicit substances. In Tunisia few studies explored these risk behaviors among young adolescents.

Aims

To evaluate the prevalence and the predictors of the use of illicit substances among the young adolescents of Sousse.

Methods

A cross-sectional study was conducted in the region of Sousse, Tunisia during the 2013/2014 school year among 4272 schoolchildren in 16 public middle schools. Data about psychosocial characteristics and risk behaviors among the schoolchildren, their parents, their siblings and their friends were collected anonymously using a self-administrated questionnaire.

Results

Females represented 50.5% of participants. The mean age of schoolchildren was 13.3 (±1.2) years. Lifetime illicit substances use prevalence was 2.9% [confidence interval (CI) 95%: (2.4%–3.4%)] and lifetime use of tobacco prevalence was 12.9% [CI 95%: (11.9%–13.9%)]. The age of tobacco onset was significantly younger to the age of experimentation with illicit substances. Insomnia, sadness and illicit substances use among peers were associated with illicit substances use among participants. While the most influential risk factor on illicit substances use was current cigarette smoking with an adjusted odds ratio (OR) of 7.2 [CI 95%: (4.5–11.2)].

Conclusion

A national substances use prevention program should be implemented in the schools of Tunisia with an emphasis on tobacco use prevention.

Acknowledgments

This article was based on a project funded by the “United Health Group” and by the Research Unit “Santé UR12SP28”: Epidemiologic Transition and Prevention of Chronic Disease of the Ministry of Higher Education, Tunisia.

  1. Conflicts of interest: none.

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Received: 2017-12-11
Accepted: 2018-02-19
Published Online: 2018-10-24

©2018 Walter de Gruyter GmbH, Berlin/Boston

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