scholarly journals Marijuana use and repeated attempted suicide among senior high school students in Ghana: Evidence from the WHO Global School-Based Student Health Survey, 2012

2020 ◽  
Vol 33 (6) ◽  
pp. e100311
Author(s):  
John Tetteh ◽  
George Ekem-Ferguson ◽  
Swithin Mustapha Swaray ◽  
Nuworza Kugbey ◽  
Emmanuel Nii-Boye Quarshie ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Health Survey ◽  
Low Income ◽  
Attempted Suicide ◽  
National Level ◽  
Marijuana Use ◽  
Senior High School ◽  
Student Health ◽  
School Based

BackgroundThe association between substance use including marijuana use and attempted suicide has been well documented. However, little is known about marijuana use and its association with attempted suicide repetition among young people in low-income and middle-income contexts.AimsThis analysis was conducted to assess the factors associated with marijuana use and ascertain marijuana use as a determinant of repeated attempted suicide among senior high school (SHS) students in Ghana.MethodsData from the 2012 Global School-Based Student Health Survey in Ghana was used for this study. Modified Poisson, Logistic and Probit models weighted with Mahalanobis distance matching within propensity calliper were employed separately to determine the hypothetical association between marijuana use and repeated attempted suicide. All analysis was performed using Stata 16 and p≤0.05 was deemed statistically significant.ResultsThe prevalence estimates of marijuana use and repeated attempted suicide among SHS students in Ghana were 3.4% (95% CI: 2.3 to 5.1) and 11.5% (95% CI: 9.1 to 14.4), respectively. The prevalence of marijuana use was significantly associated with school grade, smoking exposure, parent smoker, alcohol intake and truancy. Marijuana use was positively associated with repeated attempted suicide among SHS in Ghana (φ correlation=0.23, p<0.001). Repeated attempted suicide among students who use marijuana was approximately threefold and fivefold significant compared with non-marijuana use students, based on the Poisson (adjusted prevalence ratio: 3.02; 95% CI: 1.67 to 5.43, p<0.001) and Logistic (adjusted OR:5.06; 95% CI: 3.19 to 11.64, p<0.001) estimates respectively. Also, the Probit model showed that marijuana use significantly increased the log count of repeated attempted suicide by 95% (aβ: 0.95; 95% CI: 0.49 to 1.41, p<0.001).ConclusionMarijuana use does not only influence the onset of suicidal attempts but also repeated attempted suicide among SHS students in Ghana. Special attention is required for suicide attempters with a history of repeated attempts and current marijuana use among SHS students in Ghana. Early identification of the potential risk and protective factors is recommended to inform school-based interventions. National level structured school-based substance abuse interventions and health promotion programmes would be useful.

scholarly journals Marijuana use and suicidal behaviours among school-going adolescents in Africa: assessments of prevalence and risk factors from the Global School-Based Student Health Survey

2021 ◽  
Vol 34 (4) ◽  
pp. e100558
Author(s):  
John Tetteh ◽  
George Ekem-Ferguson ◽  
Emmanuel Nii-Boye Quarshie ◽  
Swithin Mustapha Swaray ◽  
Martin Amogre Ayanore ◽  
...  
Keyword(s):  
Risk Factors ◽  
High School Students ◽  
Suicidal Ideation ◽  
Attempted Suicide ◽  
Marijuana Use ◽  
Student Health ◽  
School Students ◽  
Factors Associated ◽  
School Based ◽  
Suicide Planning

BackgroundMarijuana use among adolescents, including high school students, has been consistently reported to be associated with a high incidence of suicidal behaviours. Little empirical research has been conducted on the propensity impact of marijuana use on suicidal behaviours in Africa.AimsTo assess factors associated with marijuana use and further quantify marijuana use as an associated factor of suicidal behaviours, including repeated attempted suicide, suicidal ideation and suicide planning, among high school students in Africa.MethodsA cross-sectional study was conducted among 32 802 school-going adolescents using the Global School-Based Student Health Survey data from 10 African countries grouped into West Africa, North Africa, South-East Africa, South Africa and East Africa subregions. Marijuana use and repeated attempted suicide were the main outcome variables. We employed double selection least absolute shrinkage and selection operator poisson regression model to assess risk factors associated with marijuana use and dominance analysis to establish ranked important and common risk factors. Inverse probability weighting poisson regression adjustment was applied to assess impact.ResultsThe prevalence of marijuana use and repeated attempted suicide were 3.7% (95% CI: 3.1 to 4.3) and 6.6% (95% CI: 5.9 to 7.4), respectively. The most important risk factor for marijuana use generally across the countries and specifically in three subregions was alcohol consumption, which constituted approximately 40% of the impact. The average treatment effect on the treated (ATT) indicated that marijuana use significantly increased the risk of suicidal ideation, suicide planning and repeated attempted suicide by 12% (ATT=0.12 (95% CI: 0.02 to 0.22)), 18% (ATT=0.18 (95% CI: 0.13 to 0.22)) and 31% (ATT=0.31 (95% CI: 0.20 to 0.41)), respectively.ConclusionsMarijuana use was significantly associated with suicidal behaviours (suicidal ideation, planning and repeated attempted suicide) among the students. To achieve Sustainable Development Goal 3.5 (to strengthen prevention and treatment of substance abuse), school-based psychosocial interventions should be streamlined to adequately assess and manage marijuana use. Targeting the most dominant risk factors in this population could translate into the reduction of suicidal behaviours in countries within Africa.

scholarly journals Are senior high school students in Ghana meeting WHO’s recommended level of physical activity? Evidence from the 2012 Global School-based Student Health Survey Data

PLoS ONE ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. e0229012
Author(s):  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Ebenezer Agbaglo ◽  
Eugene Kofuor Maafo Darteh ◽  
Edward Kwabena Ameyaw ◽  
...  
Keyword(s):  
Physical Activity ◽  
High School ◽  
High School Students ◽  
Survey Data ◽  
Student Health ◽  
School Students ◽  
School Based ◽  
Health Survey Data ◽  
Recommended Level ◽  
Senior High School Students

scholarly journals A school-based resilience intervention to decrease tobacco, alcohol and marijuana use in high school students

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Rebecca K Hodder ◽  
Justine Daly ◽  
Megan Freund ◽  
Jenny Bowman ◽  
Trevor Hazell ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Marijuana Use ◽  
School Students ◽  
School Based ◽  
Resilience Intervention

scholarly journals Epidemiology of Injury Among School-Going Adolescents in Ghana: Evidence From the Global School-Based Students Health Survey

2020 ◽  
Author(s):  
Samuel Kwaku Essien ◽  
Batholomew Chireh ◽  
Kidest Getu Melese
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Risk Factors ◽  
High School ◽  
Health Survey ◽  
Unintentional Injury ◽  
Senior High School ◽  
Unintentional Injuries ◽  
School Based ◽  
Sleeping Problems

Abstract Background: Unintentional injuries are a serious global public health problem and the second leading cause of death among adolescents age between 10-19 years. It is also the least researched in most low-income countries and Ghana in particular. This study aims to provide estimates of the prevalence, causes, and associated risk factors of unintentional injuries among school-going adolescents in Ghana.Methods: This is a cross-sectional study using data from the Ghana Global School-based Student Health Survey conducted in 2012 (N=3632). A two-stage cluster probability sampling technique was employed to select a representative sample of Junior and Senior High School students in ten administrative regions of the country. Cross tabulations and chi-square tests were used to provide estimates of prevalence, frequency, and causes of injuries. In the multivariable stage, a multiple logistic regression based on SAS 9.4 survey logistic modeling procedure was conducted to examine the association between unintentional injuries with explanatory variables. The final adjusted model was assessed using a significant level of (p<0.05).Results: In this study, 40.96% (1488) of school-aged adolescents reported having experienced an unintentional injury. Of these injuries, 64.5% occurred at home, while the least occurred via traffic (15.0%). The frequency of injury did not differ between boys and girls (P=0.368), but significantly higher in adolescents aged ≤17 than in those ≥ 18 years (P<0.001). Also, injuries were significantly higher in junior high school than in senior high school adolescents. Age, physical activity, sleeping problems, and loneliness were found to be the significant risk factors associated with unintentional injury among adolescents.Conclusion: Prevalence of unintentional injuries were widespread among adolescents in Ghana. Prompt prevention of these injuries among adolescents should be a public health priority. Preventive strategies in schools and homes should be enhanced. Injury preventive measures should emphasize on adolescents. Treatment options should be made available to adolescents struggling with a sleeping problem, loneliness, and those with accidents in physical activity.

scholarly journals Dual Burden of Malnutrition Among Adolescents With Hunger Aged 12–15 Years in 41 Countries: Findings From the Global School-Based Student Health Survey

2022 ◽  
Vol 8 ◽  
Author(s):  
Huaqing Liu ◽  
Min Zhang ◽  
Peipei Fu ◽  
Yan Chen ◽  
Chengchao Zhou
Keyword(s):  
Health Survey ◽  
Low Income ◽  
Overweight And Obesity ◽  
High Income ◽  
Student Health ◽  
Targeted Interventions ◽  
School Based ◽  
Geographical Regions ◽  
Prevalence Of Obesity ◽  
Dual Burden

Background: Hunger is a pandemic among adolescents, resulting in both underweight and obesity, and posing a substantial health challenge.Objective: To estimate the dual burden of malnutrition among adolescents with hunger.Design: Data were from the Global school-based Student Health Survey (GSHS). In total, data from 26,986 adolescents with hunger across 5 regions and 41 countries between 2010 and 2015 were analyzed in this study. Weighted prevalence and mean estimates of underweight, overweight, and obesity were calculated by gender, age, and country. Prevalence and 95% confidence intervals (CI) were calculated for regional and country-level income.Results: The total prevalence of underweight, overweight and obesity among young adolescents with hunger was 6.2% (95% CI: 4.4–8.0%), 25.1% (95% CI: 20.3–29.9%) and 8.9% (95% CI: 6.5–11.3%), respectively. Southeast Asia had the highest prevalence of underweight (17.2%; 95% CI: 7.3–27.0%). America had the highest regional prevalence of obesity (11.1%; 95% CI: 7.2–15.1%) and overweight (28.9%; 95% CI: 21.9–35.9%). Low income countries had relatively high prevalence of underweight (11.5%; 95% CI: 3.2–19.9%). High income countries had the highest prevalence of obesity (17.4%; 95% CI: 14.9–19.9%) and overweight (38.7%; 95% CI: 32.0–45.4%). The co-existence of underweight and overweight among adolescents with hunger was highest in the Eastern Mediterranean region, and in upper-middle and high-income countries.Conclusions: There is a dual burden of underweight and obesity among adolescents with hunger aged 12–15 years, which differs between geographical regions. The integration of targeted interventions and policies is required to simultaneously address both underweight and increasing rates of obesity among adolescents with hunger in different regions.

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