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Smoking, Alcohol Consumption, and Illegal Substance Abuse among Adolescents in Sri Lanka: Results from Sri Lankan Global School-Based Health Survey 2016

机译:斯里兰卡青少年的吸烟,酗酒和非法滥用药物:2016年斯里兰卡全球学校健康调查结果

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Background. Adolescence is defined by the World Health Organization (WHO) as “the transition period from childhood to adulthood”. Increases in autonomy during this period, willingness to experiment, and peer influence create an environment of taking high-risk decisions influencing adolescent health, such as substance abuse and smoking. The current study was conducted to estimate the prevalence of smoking, alcohol consumption, and illegal substance abuse and their determinants on in-school adolescents using data from the Global School-based Student Health Survey, Sri Lanka in 2016. Methods. A cross-sectional survey was conducted among 3,650 students using a self-administered questionnaire in government schools. Weighted prevalence was calculated, and logistic regression analysis was conducted to determine the correlates. Results. The prevalence of current alcohol, smoking, smokeless tobacco consumption, and substance abuse, 30 days before the survey, was 3.4% (95% CI 2.6 - 4.3), 3.6% (95% CI 2.5-5.0), 2.3% (95% CI 1.5-3.7), and 2.7% (95% CI - 1.7-4.2%). Male sex and involvement in physical fighting were independently associated with increased risk in all four substance categories assessed. Multivariate analysis using multiple logistic regression revealed that only the male sex and involvement in physical fighting were correlates for four substance categories assessed when confounding effects of other variables were accounted for. Being in the 16-17 age category, parents’ tobacco use and seeing actors consuming alcohol on TV increased the risk of alcohol consumption, smoking, and smokeless tobacco. Having ever attempted suicide was positively associated with increased risk for alcohol consumption, smoking, and illegal substance abuse. Conclusion. Alcohol use, smoking, smokeless tobacco use, and illegal substance abuse by students remain a concern in Sri Lanka and implementing life skills-based interventions at schools is recommended.
机译:背景。世界卫生组织(WHO)将青春期定义为“从童年到成年的过渡期”。在此期间,自主权的增加,愿意进行试验以及同伴的影响创造了做出影响青少年健康的高风险决定(例如滥用药物和吸烟)的环境。本研究使用2016年斯里兰卡全球学校为基础的学生健康调查中的数据,进行了估算,以估计在校青少年的吸烟,饮酒和非法滥用毒品的情况及其决定因素。方法。在公立学校中,使用自填式问卷对3,650名学生进行了横断面调查。计算加权患病率,并进行逻辑回归分析以确定相关性。结果。在调查前30天,当前的酗酒,吸烟,无烟烟草消费和药物滥用的患病率分别为3.4%(95%CI 2.6-4.3),3.6%(95%CI 2.5-5.0),2.3%(95%) CI 1.5-3.7)和2.7%(95%CI-1.7-4.2%)。在所评估的所有四种物质类别中,男性性别和与身体打架的参与均独立于风险增加。使用多元逻辑回归的多变量分析显示,当考虑其他变量的混杂影响时,只有男性和参与身体搏斗与四种物质类别相关。父母年龄在16-17岁之间,吸烟和看电视上喝酒的演员会增加饮酒,吸烟和无烟烟草的风险。曾经尝试过自杀与饮酒,吸烟和非法滥用药物的风险增加呈正相关。结论。在斯里兰卡,学生一直在饮酒,吸烟,使用无烟烟草和非法滥用毒品,这仍然是一个令人担忧的问题,因此建议在学校实施基于生活技能的干预措施。

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