A cluster randomised trial of a school-based resilience intervention to decrease tobacco, alcohol and illicit drug use in secondary school students: study protocol

Abstract Introduction Among young adults, high rates of binge drinking were observed in certain European countries. Binge drinking is associated with several health problems (unplanned pregnancy, HIV infections, problems with memory, and injuries). The aim of this questionnaire-based study was to measure the frequency of binge drinking and its association with sociodemographic, familial, lifestyle factors and school performance among secondary and university students (n=2449) in Csongrád County, Hungary. Methods In this cross-sectional study the students’ sociodemographic data, parents’ educational and economic level, and students’ academic performance and self-reported use of tobacco, drugs, and alcohol were collected by a questionnaire. Descriptive statistics and multivariable binary logistic regression analyses were applied using SPSS 24.0 software. Results Altogether 2449 Hungarian secondary school students and university students participated in the study. Nearly one-third of the students were classified as binge drinkers, significantly more male university students. Tobacco or illicit drug use resulted in higher odds of being a binge drinker in both subgroups. Poor school performance and binge drinking were significantly correlated especially among secondary school students. Conclusions Targeting alcohol, tobacco, and illicit drug use together, including education, parent interventions, and public health policies, are crucial in the prevention of possible serious consequences.

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Which Australian secondary school students are at risk of illicit drug use?

Drug and Alcohol Review ◽

10.1111/j.1465-3362.2010.00246.x ◽

2010 ◽

Vol 30 (6) ◽

pp. 589-596 ◽

Cited By ~ 2

Author(s):

TOBY FREEMAN ◽

VICTORIA M. WHITE ◽

ANN M. ROCHE

Keyword(s):

At Risk ◽

Drug Use ◽

Secondary School ◽

Secondary School Students ◽

Illicit Drug ◽

Illicit Drug Use ◽

School Students

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Universal school‐based intervention targeting depressive symptoms in adolescents: a cluster randomised trial

Scandinavian Journal of Medicine and Science in Sports ◽

10.1111/sms.14115 ◽

2021 ◽

Author(s):

Rodrigo Antunes Lima ◽

Mauro Virgílio Gomes de Barros ◽

Jorge Bezerra ◽

Simone José dos Santos ◽

Elena Monducci ◽

...

Keyword(s):

Depressive Symptoms ◽

Randomised Trial ◽

Cluster Randomised Trial ◽

School Based Intervention ◽

School Based ◽

Cluster Randomised

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Prevalence and predictors of alcohol and drug use among secondary school students in Botswana: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-018-6263-2 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 9

Author(s):

Katherine Riva ◽

Lynne Allen-Taylor ◽

Will D. Schupmann ◽

Seipone Mphele ◽

Neo Moshashane ◽

...

Keyword(s):

Drug Use ◽

Secondary School ◽

Secondary School Students ◽

Cross Sectional Study ◽

Sectional Study ◽

School Students ◽

Cross Sectional ◽

Alcohol And Drug Use

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Psychological Distress, Drug Use, and Internet Use: The Association with Poor Sleep Quality in a Sample of Secondary School Students

Substance Abuse Research and Treatment ◽

10.1177/1178221820957306 ◽

2020 ◽

Vol 14 ◽

pp. 117822182095730

Author(s):

Anthony A. Olashore ◽

Oluyemi O. Akanni ◽

Olaniyi O. Ayilara

Keyword(s):

Psychological Distress ◽

Drug Use ◽

Secondary School ◽

Sleep Quality ◽

Secondary School Students ◽

Internet Use ◽

Sleep Problems ◽

Poor Sleep ◽

Poor Sleep Quality ◽

School Students

Sleep problems are common among children and adolescents. Sleep quality plays a significant role in their mental health. We aimed to determine the prevalence of poor sleep quality (PSQ) among secondary school students, identify sociodemographic factors associated with PSQ in this group, and examine the independent associations of psychological distress, stimulant use, and internet use with PSQ. Data were collected from 420 secondary school students from four different schools who were selected using a mixture of convenience and random sampling. A set of questionnaires was administered to collect data, and it consisted of 5 sections measuring: the sociodemographic, drug use, psychological distress, internet use, and sleep quality. A total of 378 questionnaires were analyzed. The participants comprised 174 (46.2%) males and 203 (53.8%) females who were between 10 and 21 years. The mean age was 14.78 years. The prevalence of those who had PSQ was 12.2%. A logistic regression model showed that anxiety (AOR = 1.20, 95% CI: 1.10-1.32), depression (AOR = 1.12, 95% CI: 1.00-1.25), and internet use (AOR = 1.02, 95% CI: 1.00-1.03) were significantly associated with PSQ. PSQ commonly exists among students and has a relationship with their psychological state and potentially addictive behavior, such as internet use. We prescribed the optimal treatment of psychological disorders and addictive behavior, of which sleep problems are a typical fallout.

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Prevalence and perception of drug use amongst secondary school students in two local government areas of Lagos State, Nigeria

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v26i0.1428 ◽

2020 ◽

Vol 26 ◽

Author(s):

Rebecca O. Soremekun ◽

Bukola O. Folorunso ◽

Oluwatosin C. Adeyemi

Keyword(s):

Local Government ◽

Drug Use ◽

Secondary School ◽

Secondary School Students ◽

School Students ◽

Lagos State

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Impact of a school-based water, sanitation and hygiene programme on children’s independent handwashing and toothbrushing habits: a cluster-randomised trial

International Journal of Public Health ◽

10.1007/s00038-020-01514-z ◽

2020 ◽

Vol 65 (9) ◽

pp. 1699-1709

Author(s):

Denise Duijster ◽

Helen Buxton ◽

Habib Benzian ◽

Jed Dimaisip-Nabuab ◽

Bella Monse ◽

...

Keyword(s):

Primary Schools ◽

Randomised Trial ◽

Cluster Randomised Trial ◽

Monday Morning ◽

Daily Group ◽

School Based ◽

Cluster Randomised ◽

Sanitation And Hygiene ◽

Filipino Children ◽

And Control

Abstract Objectives To explore whether a school-based water, sanitation and hygiene programme, which includes group hygiene activities, contributes to the formation of independent handwashing and toothbrushing habits among Filipino children. Methods In this cluster-randomised trial, twenty primary schools were randomly allocated to the intervention or control arm. Intervention schools received group handwashing facilities and implemented daily group handwashing and toothbrushing activities. A soap use to toilet event ratio was calculated to measure children’s independent handwashing behaviour after toilet use, and dental plaque accumulation on Monday morning was measured as a proxy indicator for children’s independent toothbrushing behaviour at home. Results Four months after implementation, handwashing and toothbrushing behaviours did not significantly differ between intervention and control schools. The mean soap use in intervention schools and control schools was 0.41 g and 0.30 g per toilet event, respectively (p = 0.637). Compared to baseline, mean plaque scores reduced by 4.2% and 3.5% in intervention and control schools, respectively (p = 0.857). Conclusions Although health benefits have been established, school-based group handwashing and toothbrushing may not be sufficient to increase children’s uptake of independent hygiene behaviours.

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