scholarly journals Substance use classes and symptoms of anxiety and depression among Canadian secondary school students

2021 ◽  
Vol 41 (5) ◽  
pp. 153-164
Author(s):  
Gillian C. Williams ◽  
Karen A. Patte ◽  
Mark A. Ferro ◽  
Scott T. Leatherdale
Keyword(s):  
Substance Use ◽  
Secondary School ◽  
Secondary School Students ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Dual Use ◽  
School Students ◽  
Cross Sectional

Introduction Few studies have assessed patterns of substance use among Canadian adolescents. This cross-sectional study examined substance use classes among Canadian secondary school students and associations with anxiety and depression. Methods This study used data from Year 6 (2017/18) of the COMPASS study. Students (n = 51 767) reported their substance use (alcohol, cannabis, cigarette and e-cigarette use) and anxiety and depression symptoms. We employed latent class analysis to identify substance use classes and multinomial logistic regression to examine how anxiety and depression were associated with class membership. Results Overall, 40% of students indicated having anxiety and/or depression (50% in females; 29% in males) and 60% of students reported substance use (60% in females; 61% in males). We identified three substance use classes: poly-use, dual use, and non-use. Females with both anxiety and depression had the highest odds of being in the poly-use class compared to the non-use class (odds ratio [OR] = 4.09; 95% confidence interval [CI]: 3.59–4.65) followed by females with depression only (OR = 2.65; 95% CI: 2.31–3.04) and males with both anxiety and depression (OR = 2.48; 95% CI: 2.19–2.80). Symptomatology was also associated with belonging to the dual use class except among males with anxiety only (OR = 1.13; 95% CI: 0.94–1.37). Conclusion Canadian secondary school students are engaging in dual and poly-substance use, and anxiety and depression were associated with such use. Females had a higher prevalence of anxiety and depression and should be a priority population for mental health programming.

scholarly journals Associations between Longitudinal Patterns of Substance Use and Anxiety and Depression Symptoms among a Sample of Canadian Secondary School Students

2021 ◽  
Vol 18 (19) ◽  
pp. 10468
Author(s):  
Gillian C. Williams ◽  
Karen A. Patte ◽  
Mark A. Ferro ◽  
Scott T. Leatherdale
Keyword(s):  
Substance Use ◽  
Mixed Models ◽  
Repeated Measures ◽  
Latent Class ◽  
Treatment Strategies ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cigarette Use ◽  
School Students ◽  
Relevant Covariates

The objective of this study is to examine the longitudinal associations between latent classes of substance use and anxiety and depression scores among youth who use substances. This study uses data from three waves (Wave 1: 2017/18, Wave 2: 2018/19, and Wave 3: 2019/20) of the COMPASS study. Students in grades 9 and 10 who reported substance use at baseline (n = 738) report their substance use (alcohol, cannabis, cigarettes, and e-cigarettes) and anxiety and depression symptoms at each wave. A Repeated Measures Latent Class Analysis (RMLCA) is used to determine substance use classes, and mixed models are used to examine the associations between substance use classes and anxiety and depression. We identify three classes of substance use: (1) occasional alcohol and e-cigarette use, (2) escalating poly-substance use, and (3) consistent poly-substance use. After controlling for relevant covariates, consistent poly-substance use is associated with depression (Female OR: 1.24 [95%CI: 0.46, 2.02]; Male OR 1.13 [95%CI: 0.38, 1.87]) but not anxiety. Escalating poly-substance use is associated with depression among males (OR 0.72 [95%CI: 0.10, 1.33]). These findings should be taken into consideration when creating prevention programming and treatment strategies for adolescents. Substance use programming should be comprehensive, consider multiple substances, and be cognizant of symptoms of mental illness, particularly depression.

Depression and Anxiety Plus Levels of Stress among Secondary School Students during the COVID-19 Lockdown: an Online CrossSectional Survey

2021 ◽  
Author(s):  
Gunn Pungpapong ◽  
Rasmon Kalayasiri
Keyword(s):  
Substance Use ◽  
Secondary School ◽  
Secondary School Students ◽  
Female Gender ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Increased Risk ◽  
Patient Health

Objective: To assess prevalence and factors associated with depression, anxiety and stress among adolescents experiencing lockdown during the 2019 coronavirus disease 2019 (COVID-19) in both Asian and Western countries. Material and Methods: From May-June 2020, secondary school students were enrolled in an online cross-sectional survey, through social media; including, but not limited to, Instagram, Snapchat, WhatsApp and LINE. We assessed the presence and severity of depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder Scale-7) and stress (Perceived Stress Scale-10) within the last month, and assessed significant associations with demographics, degree of social distancing, and other associated issues using univariate and multivariate logistic regression analyses.Results: From 392 respondents (56.4% male, 43.1% female), from Thailand (59.2%), the United Kingdom (26.5%) and other countries (14.3%), we identified depressive symptoms in 58.7%, anxiety in 40.3% and high levels of stress in 9.7%. By multivariate analysis, we found significant associations between being female and depression and anxiety, being in late secondary school years and depression, and changes in patterns of substance use and anxiety and stress. Participants not located in Thailand had increased risk of depression.Conclusion: Our study demonstrated depression, anxiety and stress in six, four and one out of ten adolescents, respectively, who were experiencing lockdowns due to the COVID-19 pandemic. We found female gender, older school years, and changes in substance use patterns to be significantly associated with these mental health conditions.

scholarly journals Cross-sectional data on alcohol and marijuana use and sexual behavior among male and female secondary school students in New Providence, The Bahamas

2016 ◽  
Vol 28 (2) ◽  
pp. 133-140 ◽  
Author(s):  
Linda Kaljee ◽  
Bo Wang ◽  
Lynette Deveaux ◽  
Sonja Lunn ◽  
Glenda Rolle ◽  
...  
Keyword(s):  
Substance Use ◽  
Reproductive Health ◽  
Secondary School ◽  
Sexual Behaviors ◽  
Secondary School Students ◽  
Marijuana Use ◽  
School Students ◽  
The Bahamas ◽  
Cross Sectional ◽  
New Providence

Abstract Background: While The Bahamas have significantly reduced poor reproductive health outcomes among adolescents and emerging adults, data indicate that youth are engaged in sexual risk behaviors. Substance use has been linked to increased risk for HIV and sexually transmitted infections in other contexts. There are limited data on Bahamian youth in relation to consumption of alcohol and marijuana use and engagement in sexual behaviors. Objective: This study aimed to assess potential relationships between alcohol and marijuana use and engagement in sexual behavior among government secondary school students in New Providence, The Bahamas. Materials and methods: Total sample size was 2572, and about 56% of respondents were female. Mean age was 14.2 (SD 2.7 years). Cross-sectional data came from a baseline survey conducted as part of a longitudinal randomized controlled evaluation of a school-based HIV prevention and reproductive health program in New Providence. Results: Overall, 46.5% (519) males and 44.8% (652) females reported alcohol consumption; 7.3% (82) males and 1.7% (25) females reported use of marijuana in the last 6 months. About 43% (477) male respondents and 16% (231) female respondents reported ever having vaginal sex. Logistic regression analysis indicates that increased likelihood of engaging in sex during the past 6 months is associated with being older, male, and consuming alcohol and marijuana. Conclusion: These data provide a ‘global correlation’ between substance use and engagement in sexual behaviors among Bahamian adolescents. Longitudinal research is needed to assess event specific risks and identify mediating and moderating factors. These findings indicate the importance of integrating reproductive health and substance use education.

scholarly journals Co-occurrence subgroups of child sexual abuse, health risk behaviors and their associations among secondary school students in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yan Zhang ◽  
Xiayun Zuo ◽  
Yanyan Mao ◽  
Qiguo Lian ◽  
Shan Luo ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Secondary School ◽  
Health Risk ◽  
Risk Behaviors ◽  
Latent Variable ◽  
Secondary School Students ◽  
Latent Class ◽  
Computer Assisted ◽  
School Students

Abstract Background Little is known on the co-occurrence and heterogeneity of child sexual abuse (CSA) or health risk behavior (HRB) prevalence nor the associations among the victims. Objectives To detect the prevalence and subgroups of adolescents reporting CSAs or HRBs, and to examine the association between the subgroups. Methods Participants were secondary school students in a national survey in China (N = 8746). Self-reported CSA and HRB experiences were collected through a computer assisted questionnaire. Prevalence and confidence intervals were calculated. Multigroup latent class analysis (LCA) was used to examine latent subgroups of CSA and HRB. Dual latent class regression analysis was used to examine the association between CSA and HRB classes. Results A total of 8746 students participated in our study. The prevalence of having ever experienced any of the reported seven CSA items was 12.9%. The preferred LCA model consisted of a three-class CSA latent variable, i.e. “Low CSAs”(95.7% of the total respondents), “Verbal or exhibitionism CSAs”(3.3%), and “high multiple CSAs” (1.1%); and a three-class HRB latent variable, i.e. “Low HRBs”(70.5%), “externalizing HRBs” (20.7%), and “internalizing HRBs” (8.7%). Students in the “Verbal or exhibitionism CSAs” or “high multiple CSAs” classes had higher probabilities of being in “externalizing HRBs” or “internalizing HRBs” classes. The probabilities were higher in “high multiple CSAs” class(male externalizing OR 4.05, 95%CI 1.71–9.57; internalizing OR 11.77, 95%CI 4.76–29.13; female externalizing OR 4.97, 95%CI 1.99–12.44; internalizing OR 9.87, 95%CI 3.71–26.25) than those in “Verbal or exhibitionism CSA”(male externalizing OR 2.51, 95%CI 1.50–4.20; internalizing OR 3.08, 95%CI 1.48–6.40; female externalizing OR 2.53, 95%CI 1.63–3.95; internalizing OR 6.05, 95%CI 3.73–9.80). Conclusions Prevalence of CSA items varies. Non-contact CSAs are the most common forms of child sexual abuse among Chinese school students. There are different latent class co-occurrence patterns of CSA items or HRB items among the respondents. CSA experiences are in association with HRB experiences and the associations between latent classes are dose-responded. Multi-victimization has more significantly negative effects. The results could help identify high-risk subgroups and promote more nuanced interventions addressing adverse experiences and risk behaviors among at-risk adolescents.

scholarly journals Prevalence and Types of Gender-Based Violence among Secondary School Students During Covid-19 Pandemic in Anambra State, South-East Nigeria

2021 ◽  
Author(s):  
Ifeoma Bridget Udigwe ◽  
Chioma Phyllis Nnamani ◽  
Chioma Chetachukwu Ajator ◽  
Chioma Pauline Mbachu ◽  
Ogochukwu Chioma Ofiaeli ◽  
...  
Keyword(s):  
Academic Performance ◽  
Secondary School ◽  
Secondary School Students ◽  
Verbal Abuse ◽  
P Value ◽  
Gender Based Violence ◽  
School Students ◽  
Cross Sectional ◽  
Anambra State ◽  
Gender Based

Abstract Background: Gender-based violence (GBV) increases during every type of emergency whether economic crises, conflicts or disease outbreak like in the case of Coronavirus Disease of 2019 (COVID-19) pandemic. This study aimed to determine the prevalence and types of GBV among secondary school students during the COVID-19 pandemic in Anambra State, South East, Nigeria.Methods: The study was a cross-sectional study, conducted among 403 secondary school student who were recruited consecutively after consent and assent were gotten. Self-administered semi-structured questionnaire was used to collect the data. Data was analysed using STATA version 16.0. The level of significance for test of association was set at p-value < 0.05Results: The prevalence of GBV was 63.28%, emotional/verbal abuse were the most prevalent type while sexual abuse was the least type (85.5% vs 8.2%). The highest perpetrator of the emotional/verbal abuse were their fellow students (64.8%). The relationship between GBV and impact of abuse was statistically significant for academic performance, alcohol and tobacco intake (p-values: 0.040, 0.010, 0.029 respectively)Conclusion: The prevalence of GBV is high among students during the COVID-19 pandemic, with the emotional/verbal type being the most prevalent type. GBV has an impact on their academic performance and social lives. We therefore recommend that stakeholders should have target programs to address the diverse effects of GBV on students especially with the pandemic.

scholarly journals A study on prevalence and effects of allergic rhinitis and asthma on quality of life among secondary school’s student in Kinta District, Perak

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Soe AK ◽  
Aizat AF ◽  
Bellahcene MA ◽  
Atiqah N ◽  
Husna N
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Secondary School ◽  
Bronchial Asthma ◽  
Secondary School Students ◽  
School Students ◽  
Cross Sectional ◽  
Chronic Respiratory Diseases ◽  
Validated Questionnaire

Allergic rhinitis (AR) and bronchial asthma (BA) are common inflammatory chronic respiratory diseases, and they are significant public health challenges on a global scale. The prevalence of these diseases are on the rise in all regions of the world, affecting all ages but more commonly among children and adolescences. Both AR and BA affect patients to a different extent with variable restrictions in the physical, emotional, and social aspects of the patient's life. They may be seen as two presentations of the same disease by sharing common epidemiologic, histologic, physiologic, and immunopathologic linkages. To determine the prevalence and impact of allergic rhinitis, asthma and allergic rhinitis with asthma on quality of life among secondary school students in Kinta District, Perak. A cross-sectional study was done among secondary school students from randomly selected three schools in Kinta District, Ipoh, Perak. A well-vetted and validated questionnaire was used to collect the data, and statistical analysis was done to determine the prevalence and impact of AR, BA, or both. A total of 250 secondary school students were involved in this study. Malays were the majority among the participants. The prevalence of AR alone, BA alone, and disease co-occurance were 27.2%, 9.2%, and 8%, respectively. Nearly 20% of the participants were troublesome but low scale in terms of quality of life followed by disturbed sleep, restricted participation in school, and daily activities. Only 6% of the participants experienced sleep disturbance due to asthma, but daily anti-asthmatic medication was essential in only 1.2%. This study showed that although a relatively high prevalence of allergic rhinitis and bronchial asthma. There was no significant low quality of life among sufferers.  

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