Home Medicine Cannabis and amphetamine use and socio-ecological (proximal and distal) factors among school-going adolescents in four countries in the Caribbean and four countries in South America
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Cannabis and amphetamine use and socio-ecological (proximal and distal) factors among school-going adolescents in four countries in the Caribbean and four countries in South America

  • Karl Peltzer and Supa Pengpid EMAIL logo
Published/Copyright: April 11, 2019

Abstract

The study aimed to assess the prevalence of cannabis and amphetamine use and socio-ecological (proximal and distal) factors among adolescents in eight countries of the Americas. We analysed cross-sectional survey data from 44,904 adolescents [mean age 14.6 years, standard deviation (SD) = 1.4] from Argentina, The Bahamas, Barbados, Belize, Bolivia, Chile, Peru and Trinidad and Tobago that participated in the Global School-Based Student Health Survey (GSHS) in 2011–2013. The prevalence of the past month’s cannabis use was 8.3% and lifetime amphetamine use was 3.0%. In adjusted mixed-effects logistic regression analysis older age, male gender, personal attributes (anxiety, suicidal ideation, current tobacco use, current alcohol use, school truancy and sexual risk behaviour) and environmental stressors (having been in a physical fight, hunger, being bullied) were positively and parental support and peer support were negatively associated with the past month’s cannabis and/or lifetime amphetamine use. Measures to prevent and control cannabis and amphetamine use in this adolescent population should include personal attributes (mental health, substance use, school truancy and sexual risk behaviour), environmental stressors and parental and peer support.

Acknowledgements

The World Health Organisation is thanked for making the data available for this analysis. We are also grateful to the Ministries of Education and Health and the study participants for making the GSHS possible in Argentina, The Bahamas, Barbados, Belize, Bolivia, Chile, Peru and Trinidad and Tobago.

References

[1] Degenhardt L, Stockings E, Patton G, Hall WD, Lynskey M. The increasing global health priority of substance use in young people. Lancet Psychiatry. 2016;3(3):251–64.10.1016/S2215-0366(15)00508-8Search in Google Scholar

[2] Shi Y, Lenzi M, An R. Cannabis liberalization and adolescent cannabis use: a cross-national study in 38 countries. PLoS One. 2015;10(11):e0143562.10.1371/journal.pone.0143562Search in Google Scholar PubMed PubMed Central

[3] Inter-American Drug Abuse Control Commission. A report on students’ drug use in 13 Caribbean countries: Antigua and Barbuda, The Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, St. Kitts and Nevis, St. Lucia, St. Vincent and the Grenadines, Trinidad and Tobago. v.; cm. (OAS. Official records; OEA/Ser.L/XIV.6.46), 2016. Available at http://www.cicad.oas.org/oid/pubs/FINAL%20SCHOOL%20SURVEY%20REPORT%202016.pdf (accessed 20 January 2018).Search in Google Scholar

[4] Kaljee L, Wang B, Deveaux L, Lunn S, Rolle G, Villar ME, et al. Cross-sectional data on alcohol and marijuana use and sexual behavior among male and female secondary school students in New Providence, The Bahamas. Int J Adolesc Med Health. 2016;28(2):133–40.10.1515/ijamh-2014-0079Search in Google Scholar PubMed PubMed Central

[5] Maharajh HD, Konings M. Cannabis and suicidal behaviour among adolescents: a pilot study from Trinidad. Scientific World J. 2005;5:576–85.10.1100/tsw.2005.79Search in Google Scholar PubMed PubMed Central

[6] Howard J, Copeland J. Cannabis use among young people. Bulletin Series 20 – May 2014. Available at https://cannabissupport.com.au/media/3369/ncp282-bulletin-20_cannabis-around-the-world.pdf (accessed 20 January 2018).Search in Google Scholar

[7] Hynes-Dowell M, Mateu-Gelabert P, Barros HM, Delva J. Volatile substance misuse among high school students in South America. Subst Use Misuse. 2011;46(Suppl 1):27–34.10.3109/10826084.2011.580192Search in Google Scholar PubMed PubMed Central

[8] Morello P, Pérez A, Peña L, Braun SN, Kollath-Cattano C, Thrasher JF, et al. Risk factors associated with tobacco, alcohol and drug use among adolescents attending secondary school in three cities from Argentina. Arch Argent Pediatr. 2017;115(2):155–9.10.5546/aap.2017.eng.155Search in Google Scholar

[9] Bejarano J, Ahumada G, Sa´nchez G, Cadenas N, de Marco M. Perception of risk and drug use: An exploratory analysis of explanatory factors in six Latin American countries. J Int Drug Alcohol Tob Res. 2011;1(1):9–17.Search in Google Scholar

[10] United Nations Office on Drugs and Crime (UNODC). World Drug Report 2017. Vienna: UNODC; 2017.Search in Google Scholar

[11] Brook JS, Morojele NK, Pahl K, Brook DW. Predictors of drug use among South African adolescents. J Adolesc Health. 2006;38(1):26–34.10.1016/j.jadohealth.2004.08.004Search in Google Scholar PubMed PubMed Central

[12] Peltzer K, Pengpid S. Cannabis and amphetamine use and associated factors among school-going adolescents in nine African countries. J Child Adolesc Subst Abuse. 2018;27(2):112–8.10.1080/1067828X.2017.1420512Search in Google Scholar

[13] Centers for Disease Control and Prevention (CDC). Global School-based Student Health Survey (GSHS), 2017. Available online: https://www.cdc.gov/gshs/ (accessed on 18 January 2018).Search in Google Scholar

[14] Castillo-Carniglia A. Large increase in adolescent marijuana use in Chile. Addiction. 2015;110(1):185–6.10.1111/add.12765Search in Google Scholar PubMed

[15] Peltzer K, Pengpid S. Cannabis and amphetamine use and associated factors among school-going adolescents in five Asian countries. Cent Asian J Glob Health. 2017;6(1). DOI: 10.5195/cajgh.2017.288|http://cajgh.pitt.edu.Search in Google Scholar PubMed PubMed Central

[16] Tu AW, Ratner PA, Johnson JL. Gender differences in the correlates of adolescents’ cannabis use. Subst Use Misuse. 2008;43(10):1438–63.10.1080/10826080802238140Search in Google Scholar PubMed PubMed Central

[17] Rudatsikira E, Maposa D, Mukandavire Z, Muula AS, Siziya S. Prevalence and predictors of illicit drug use among school-going adolescents in Harare, Zimbabwe. Ann Afr Med. 2009;8(4):215–20.10.4103/1596-3519.59574Search in Google Scholar PubMed

[18] Sznitman SR, Kolobov T, Bogt TT, Kuntsche E, Walsh SD, Boniel-Nissim, et al. Exploring substance use normalization among adolescents: a multilevel study in 35 countries. Soc Sci Med. 2013;97:143–51.10.1016/j.socscimed.2013.08.038Search in Google Scholar PubMed

[19] Faeh D, Viswanathan B, Chiolero A, Warren W, Bovet P. Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country. BMC Pub Health. 2006;6:169.10.1186/1471-2458-6-169Search in Google Scholar PubMed PubMed Central

[20] Siziya S, Muula AS, Besa C, Babaniyi O, Songolo P, Kankiza N, et al. Cannabis use and its socio-demographic correlates among in-school adolescents in Zambia. Ital J Pediatr. 2013;39:13.10.1186/1824-7288-39-13Search in Google Scholar PubMed PubMed Central

[21] Alwan H, Viswanathan B, Rousson V, Paccaud F, Bovet P. Association between substance use and psychosocial characteristics among adolescents of the Seychelles. BMC Pediatr. 2011;11:85.10.1186/1471-2431-11-85Search in Google Scholar PubMed PubMed Central

[22] Peltzer K. Prevalence and correlates of substance use among school children in six African countries. Int J Psychol. 2009;44(5):378–86.10.1080/00207590802511742Search in Google Scholar PubMed

[23] Chivandire CT, January J. Correlates of cannabis use among high school students in Shamva District, Zimbabwe: a descriptive cross-sectional study. Malawi Med J. 2016;28(2):53–6.10.4314/mmj.v28i2.5Search in Google Scholar PubMed PubMed Central

[24] Yusoff F, Sahril N, Rasidi NM, Zaki NA, Muhamad N, Ahmad N. Illicit drug use among school-going adolescents in Malaysia. Asia Pac J Pub Health. 2014;26(5 Suppl):100S–7.10.1177/1010539514542425Search in Google Scholar PubMed

[25] Stapinski LA, Montgomery AA, Araya R. Anxiety, depression and risk of cannabis use: Examining the internalising pathway to use among Chilean adolescents. Drug Alcohol Depend. 2016;166:109–15.10.1016/j.drugalcdep.2016.06.032Search in Google Scholar PubMed

[26] Degenhardt L, Coffey C, Romaniuk H, Swift W, Carlin JB, Hall WD, et al. The persistence of the association between adolescent cannabis use and common mental disorders into young adulthood. Addiction. 2013;108(1):124–33.10.1111/j.1360-0443.2012.04015.xSearch in Google Scholar PubMed

[27] Degenhardt L, Coffey C, Moran P, Carlin JB, Patton GC. The predictors and consequences of adolescent amphetamine use: findings from the Victoria Adolescent Health Cohort Study. Addiction. 2007;102(7):1076–84.10.1111/j.1360-0443.2007.01839.xSearch in Google Scholar PubMed

[28] Agrawal A, Budney AJ, Lynskey MT. The co-occurring use and misuse of cannabis and tobacco: a review. Addiction. 2012;107(7):1221–33.10.1111/j.1360-0443.2012.03837.xSearch in Google Scholar PubMed PubMed Central

[29] Asiseh F, Owusu A, Quaicoe O. An analysis of family dynamics on high school adolescent risk behaviors in Ghana. J Child Adolesc Subst Abuse. 2017;5:425–31.10.1080/1067828X.2017.1322019Search in Google Scholar

[30] Peña L, Lorenzo-Blanco EI, Pérez A, Morello P, Arillo Santillan E, Kollath-Cattano C, et al. Parental style and its association with substance use in Argentinean youth. Subst Use Mis. 2017;52(4):518–26.10.1080/10826084.2016.1245337Search in Google Scholar PubMed PubMed Central

[31] Gaete J, Araya R. Individual and contextual factors associated with tobacco, alcohol, and cannabis use among Chilean adolescents: a multilevel study. J Adolesc. 2017;56:166–78.10.1016/j.adolescence.2017.02.011Search in Google Scholar PubMed

[32] Plüddemann A, Flisher AJ, McKetin R, Parry C, Lombard C. Methamphetamine use, aggressive behavior and other mental health issues among high-school students in Cape Town, South Africa. Drug Alcohol Depend. 2010;109(1–3):14–9.10.1016/j.drugalcdep.2009.11.021Search in Google Scholar PubMed PubMed Central

[33] Valdebenito S, Ttofi M, Eisner M. Prevalence rates of drug use among school bullies and victims: A systematic review and meta-analysis of cross-sectional studies. Aggress Violent Behav. 2015;23:137–46.10.1016/j.avb.2015.05.004Search in Google Scholar

[34] Delva J, Lee W, Sanchez N, Andrade FH, Grogan-Kaylor A, Sanhueza G, et al. Ecological factors and adolescent marijuana use: results of a prospective study in Santiago, Chile. Int J Environ Res Public Health. 2014;11(3):3443–52.10.3390/ijerph110303443Search in Google Scholar PubMed PubMed Central

Received: 2018-01-31
Accepted: 2018-05-27
Published Online: 2019-04-11

©2019 Walter de Gruyter GmbH, Berlin/Boston

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