scholarly journals Alcohol Use and Misuse Among School-Going Adolescents in Thailand: Results of a National Survey in 2015

2019 ◽  
Vol 16 (11) ◽  
pp. 1898 ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Psychological Distress ◽  
Alcohol Use ◽  
Tobacco Use ◽  
Parental Support ◽  
Older Age ◽  
The Past ◽  
Physical Fight ◽  
School Truancy ◽  
Current Tobacco ◽  
Current Alcohol

The aim of this study was to assess the prevalence of alcohol use and misuse, and to identify its associated factors among in-school adolescents in the 2015 Thailand Global School-based Student Health Survey (GSHS). The sample included 5994 school-going adolescents (mean age 14.5 years, SD = 1.7) from Thailand that responded to the 2015 GSHS. Overall, 22.2% were current alcohol users, 24.3% had ever been drunk, 12.1% had drunk two or more alcoholic drinks in a day in the past 30 days and 10.8% had gotten into trouble because of drinking alcohol. In adjusted Poisson regression analysis, older age, psychological distress, current tobacco use, the consumption of one or more soft drinks a day, school truancy, having been in a physical fight in the past 12 months, and having been seriously injured in the past 12 months were associated with current alcohol use. Older age, psychological distress, current tobacco use and injury also increased the odds for lifetime drunkenness, having two or more drinks in a day and trouble resulting from drinking. Soft drink consumption and having been in a physical fight also increased the odds for lifetime drunkenness and having two or more drinks in a day and school truancy also increased the odds for lifetime drunkenness and trouble resulting from drinking. In addition. Parental tobacco use was associated with lifetime drunkenness and trouble resulting from drinking, cannabis use with trouble resulting from drinking, and parental support was protective from trouble resulting from drinking. There were no significant sex differences regarding any of the four alcohol use indicators. More than one in five school-going adolescents in Thailand use and misuse alcohol, and strategies to prevent alcohol misuse, including a cluster of risk behaviours, are needed.

scholarly journals Alcohol use and misuse among school adolescents from national surveys in Saint Lucia and Saint Vincent and the Grenadines in 2018

2021 ◽  
Author(s):  
Karl Peltzer ◽  
Supa Pengpid
Keyword(s):  
Alcohol Use ◽  
Parental Support ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Saint Lucia ◽  
Adjusted Logistic Regression ◽  
School Truancy ◽  
School Surveys ◽  
Current Tobacco ◽  
Current Alcohol

Abstract The study aimed to estimate the prevalence of alcohol use and misuse and associated factors among adolescents in Saint Lucia and Saint Vincent and the Grenadines. Data from 3,847 adolescents (mean age:14.6 years, SD = 1.7) that took part in national cross-sectional school surveys in 2018 in Saint Lucia, and Saint Vincent and the Grenadines were analysed. Students responded in a classroom setting to self-administered questions on substance use and othe variables. The results indicate that 42.7% of the students reported current alcohol use, 27.9% were ever drunk and 11.4% had trouble with alcohol use. In adjusted logistic regression analyses, compared to students from Saint Lucia, students from Saint Vincent and the Granadines had higher odds of trouble from drinking. Older age was associated with current alcohol use and ever drunk but not with trouble from drinking. Severe food insecurity and suicidal ideation were associated with trouble from alcohol use. Current tobacco use and current cannabis use were highly associated with current alcohol use, ever drunk, and trouble with alcohol use, while ever use of amphetamines was associated with ever drunk. School truancy, participation in physical fights, injury, and multiple sexual partners increased the odds, while parental support decreased the odds of current alcohol use, ever drunk, and trouble from alcohol use. In conclusion, high alcohol use and misuse has been identified calling for interventions.

scholarly journals Maternal Tobacco and Alcohol Use in Relation to Child Malnutrition in Gauteng, South Africa: A Retrospective Analysis

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 133
Author(s):  
Perpetua Modjadji ◽  
Mpinane Pitso
Keyword(s):  
South Africa ◽  
Alcohol Use ◽  
Tobacco Use ◽  
Child Growth ◽  
Growth Patterns ◽  
World Health ◽  
Poor Growth ◽  
Growth Standards ◽  
Validated Questionnaire ◽  
Current Tobacco

Tobacco and alcohol use among mothers is associated with numerous adverse consequences for affected offspring, including poor growth and development. This study determined the association between maternal tobacco and alcohol use, and malnutrition, among infants aged ≤ 12 months (n = 300), in selected health facilities situated in Gauteng, South Africa. Data on alcohol and tobacco use were collected using a validated questionnaire, in addition to mothers’ socio-demographic characteristics and obstetric history. Stunting (low height/length-for-age), underweight (low weight-for-age) and thinness (low body mass index-for-age) were calculated using z-scores based on the World Health Organization child growth standards. The association of tobacco and alcohol use with stunting, underweight and thinness was analysed using logistic regression analysis. The results showed a mean age of 29 years (24.0; 35.0) for mothers and 7.6 ± 3 months for infants, and over half of the mothers were unemployed (63%). Approximately 18.7% of mothers had used tobacco and 3% had used alcohol during pregnancy. The prevalence of current tobacco and alcohol use among mothers were estimated at 14.3% and 49.7%, respectively, and almost three-quarters (67.3%) of them were still breastfeeding during the study period. Stunting (55%) was the most prevalent malnutrition indicator among infants, while underweight was 41.7%, and thinness was 22%. Current tobacco use was associated with increased odds of being thin [OR = 2.40, 95% CI: 1.09–5.45), and after adjusting for confounders, current alcohol use was associated with the likelihood of being underweight [AOR = 1.96, 95% CI: 1.06–3.63] among infants. Future prospective cohort studies that examine growth patterns among infants who are exposed to maternal tobacco and alcohol use from the intrauterine life to infancy are necessary to inform, partly, the public health programmes, to reduce malnutrition among children.

scholarly journals Inclusion of Cannabis Users in Alcohol Research Samples: Screening In, Screening Out, and Implications

2020 ◽  
Vol 55 (4) ◽  
pp. 416-423
Author(s):  
Alexandra Venegas ◽  
Lindsay R Meredith ◽  
Ziva D Cooper ◽  
Brandon Towns ◽  
Lara A Ray
Keyword(s):  
Alcohol Use ◽  
Binge Drinking ◽  
Tobacco Use ◽  
Alcohol Use Disorder ◽  
Cannabis Use ◽  
Clinical Severity ◽  
Treatment Seeking ◽  
Higher Alcohol ◽  
The Past ◽  
Heavy Drinkers

Abstract Background Alcohol and cannabis are frequently co-used, as 20–50% of those who drink alcohol report co-using cannabis. This study is based on the argument that alcohol researchers should enroll cannabis users in human laboratory studies of alcohol use disorder (AUD) to strengthen generalizability. This study examines how heavy drinking cannabis users differ from non-cannabis using heavy drinkers. Methods In a community sample of non-treatment-seeking heavy drinkers (n = 551, 35% female), cannabis users were identified through: (a) self-reported cannabis use in the past 6 months and (b) positive urine toxicology test for tetrahydrocannabinol (THC). Cannabis users, identified as described previously, were compared with non-cannabis users on demographic and clinical characteristics. Results Those who endorsed cannabis use in the past 6 months reported more binge drinking days. Participants who tested positive for THC had higher Alcohol Use Disorder Identification Test scores and more binge drinking days. Younger age and being a tobacco smoker were associated with an increased likelihood of cannabis use in the past 6 months, whereas male gender and being a tobacco use were associated with a greater likelihood of testing positive for THC. Individuals with cannabis use disorder (CUD) endorsed more depression and anxiety and had higher AUD symptom counts than cannabis users without CUD. Conclusions The inclusion of cannabis users in AUD samples allows for increased clinical severity. Excluding cannabis users from AUD studies may limit representativeness and expend unnecessary study resources. Lastly, tobacco use may explain a large portion of the effects of cannabis use on sample characteristics. Short Summary Alcohol and cannabis are frequently co-used substances. In a sample of non-treatment-seeking heavy drinkers (n = 551, 35% female), cannabis users reported higher alcohol use and higher likelihood of tobacco use than non-cannabis users. Including cannabis users in alcohol research studies will improve representativeness and likely increase clinical severity.

scholarly journals Prevalence and Correlates of Hazardous, Harmful, or Dependent Alcohol Use and Drug Use Among Persons 15 Years and Older in South Africa: Results of a National Survey in 2017

2020 ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer ◽  
Shandir Ramlagan
Keyword(s):  
South Africa ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Psychological Distress ◽  
Alcohol Use ◽  
Drug Use ◽  
Middle Age ◽  
Older Age ◽  
Negatively Associated ◽  
Adjusted Logistic Regression

The study aimed to assess the prevalence and correlates of hazardous, harmful or dependent alcohol use (HHDA) and drug use among persons 15 years and older in South Africa. In a national cross-sectional 2017 survey, 39,210 persons 15 years and older (Median=34 years) responded to a questionnaire on substance and health variables. Logistic regression was used to assess the determinants of HHDA and any drug use. Results indicate that (10.3%) engaged HHDA, 16.5% among males and 4.6% among females, and past 3-month drug use was 8.6%, 13.3% among males and 4.1% among females. In adjusted logistic regression analysis, among men, middle age (25-34 year olds), higher education, urban residence, drug use, and psychological distress were positively and Indian or Asian and White population groups were negatively associated with HHDA. Among women, middle age (25-34 year olds), Coloureds, residing on rural farms and urban areas, drug use and psychological distress were positively and older age (55 years and older), and Indians or Asians were negatively associated with HHDA. In adjusted logistic regression analysis, among men, having Grade 8-11 education, Coloureds, being unemployed, and HHDA were positively and middle and older age (25 years and older) and being a student or learner were negatively associated with past 3-month any drug use. Among women, Coloureds, Indians or Asians, and HHDA were positively and older age (45 years and older) was negatively associated with past 3-month and drug use. About one in ten participants engaged HHDA and any drug use, and several sociodemographic and health indicators were identified associated with HHDA and any drug use.

Evaluating sociodemographic, behavioral and psychologic disparities in 918 head and neck cancer survivors.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e17541-e17541
Author(s):  
Andrew T Day ◽  
Anupama Vasudevan ◽  
Erin Wynings ◽  
Sanjana Balachandra ◽  
Saad A. Khan ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Psychological Distress ◽  
Depressive Symptoms ◽  
Tobacco Use ◽  
Low Income ◽  
Serious Psychological Distress ◽  
Poverty Threshold ◽  
Income Status ◽  
Current Tobacco ◽  
Age And Sex

e17541 Background: Minority race, low-income status, tobacco dependence, alcohol abuse, and depression negatively impact overall survival among head and neck cancer (HNC) survivors. Understanding the prevalence and associations of these factors will inform the development of targeted HNC survivorship interventions. Methods: We pooled cross-sectional samples of HNC patients participating in the National Health Interview Survey from 1997-2016. Descriptive statistics were used to compare: 1) HNC survivors to age- and sex-matched adults without cancer (1:4) and 2) behavioral and psychologic conditions in HNC survivors by income status. Results: Mean age of the 918 HNC survivors was 64.8 years and 65.2% were male. Most HNC survivors were non-Hispanic white (85.3%); 7.6% were non-Hispanic black, 4.9% were Hispanic, and 2.2% were of other race and ethnicity. A substantial portion reported income below the poverty threshold (13.9%) and 5.0% consumed > 14 alcoholic drinks per week. Compared to adults without cancer (n = 3,612), a higher proportion (p < 0.05) of HNC survivors (n = 903) exhibited: current tobacco use (21.3% vs 17.4%); serious psychological distress (Kessler-6 score of ≥13; 6.9% vs 3.9%); depressive symptoms most or all of the time (14.1% vs 8.9%). There were particularly striking differences in the prevalence of these factors among HNC survivors by income. Specifically, a higher proportion of HNC survivors with income below the poverty threshold (n = 133) were non-Hispanic black (15.5% vs 5.8%) and exhibited current tobacco use (42.9% vs 18.6%), serious psychological distress (17.4% vs 5.7%) and depressive symptoms most or all of the time (25.3% vs 12.7%) compared to those at or above the poverty threshold (n = 646; all p < 0.05). Conclusions: HNC survivors experience a disproportionate burden of behavioral and psychologic health conditions compared to age- and sex-matched adults without cancer. Low-income status exacerbates these disparities. HNC survivors, especially those in low-income settings, require comprehensive survivorship care targeting these needs.

scholarly journals Leisure-Time Sedentary Behavior Is Associated with Psychological Distress and Substance Use among School-Going Adolescents in Five Southeast Asian Countries: A Cross-Sectional Study

2019 ◽  
Vol 16 (12) ◽  
pp. 2091 ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Substance Use ◽  
Regression Analysis ◽  
Psychological Distress ◽  
Sedentary Behavior ◽  
Leisure Time ◽  
Asian Countries ◽  
Cross Sectional ◽  
Current Tobacco ◽  
Southeast Asian Countries ◽  
Current Alcohol

Sedentary behavior has been found to be associated with poorer mental health. The aim of this study was to estimate associations of sedentary behavior with psychological distress and substance use among adolescents in five Southeast Asian countries. The cross-sectional sample included 32,696 nationally representative samples of school-going adolescents (median age 14 years) from Indonesia, Laos, Philippines, Thailand and Timor-Leste. Leisure-time sedentary behavior, physical activity, psychological distress and substance use were assessed by self-report. Overall, the students engaged in <1 h (35.7%), 1–2 h (31.6%), 3–4 h (18.2%), 5–6 h (7.2%), and 7 or more hours (7.2%) of sedentary time a day. The prevalence of psychological distress was 14.6% single and 8.6% multiple psychological distress, and the prevalence of current tobacco use was 13.9% and current alcohol use 12.5%. In fully adjusted multinomial logistic regression analysis, compared to students who spent less than one hour a day engaged in sedentary leisure time, students who spent three or more hours engaged in leisure-time sedentary behavior were more likely to have single and multiple psychological distress. In fully adjusted logistic regression analysis, five or more hours of leisure-time sedentary behavior was associated with current tobacco use and one or more hours of leisure-time sedentary behavior with current alcohol use. Findings suggest an association of leisure-time sedentary behavior with psychological distress and with substance use in this adolescent population.

scholarly journals Victimization and Perpetration of Intimate Partner Violence among Female and Male Youth and Adults in South Africa

2017 ◽  
Vol 9 (10) ◽  
pp. 1
Author(s):  
Karl Peltzer ◽  
Nancy Phaswana-Mafuya ◽  
Supa Pengpid
Keyword(s):  
Logistic Regression ◽  
Psychological Distress ◽  
Alcohol Use ◽  
Intimate Partner ◽  
Multivariable Logistic Regression Analysis ◽  
The Past ◽  
Harmful Alcohol ◽  
Multivariable Logistic Regression ◽  
Younger Age ◽  
Ipv Perpetration

OBJECTIVE: Intimate partner violence (IPV) is a huge public health problem. The aim of the study was to estimate the prevalence and influence of sociodemographic and health characteristics on IPV victimization and perpetration among women and men 15 years and older in South Africa.MATERIALS & METHODS: Data based on the South African national population-based survey in 2012 for 15916 (8532 women and 7384 men) aged 15 years and older who were in an intimate partner relationship were analysed. Bivariate and multivariable logistic regression was conducted to assess the association between sociodemographic factors, health variables and IPV victimization and perpetration.RESULTS: Among women, 8.5% had experienced any form of IPV in the past 12 months, and 3.5% of the women had engaged in IPV perpetration in the past 12 months. Among men, 5.0% had experienced any form of IPV in past 12 months, and 4.4% of the men had engaged in IPV perpetration in the past 12 months. In multivariable logistic regression analysis among women, younger age, being African Black, having psychological distress, having been a victim of violent crime and having had multiple sexual partners were associated with IPV victimization in the past 12 months, while younger age, psychological distress, hazardous or harmful alcohol use, and having had multiple sexual partners was associated with IPV perpetration in the past 12 months. In multivariable logistic regression analysis among men, younger age, psychological distress, hazardous or harmful alcohol use, and having been a victim of violence crime was associated with IPV victimization in the past 12 months, while younger age, poor health status, psychological distress, hazardous or harmful alcohol use, and illicit drug use was associated with IPV perpetration in the past 12 months.CONCLUSION: Past 12-month prevalence of IPV victimization and perpetration among women and men was significant. IPV gender commonalities and differences in risk factors, such as psychological distress, substance use, crime victimization and sexual risk behaviour, may inform strategies of violence prevention programmes.

scholarly journals Trends in alcohol and tobacco use among Brazilian students: 1989 to 2010

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Zila M Sanchez ◽  
Mariangela Cainelli Oliveira Prado ◽  
Adriana Sanudo ◽  
Elisaldo A Carlini ◽  
Solange A Nappo ◽  
...  
Keyword(s):  
Public Schools ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Tobacco Use ◽  
Temporal Trends ◽  
World Health ◽  
The Past ◽  
Epidemiological Surveys ◽  
Brazilian Students ◽  
Self Reporting Questionnaire

OBJECTIVE To analyze temporal trends of the prevalence of alcohol and tobacco use among Brazilian students. METHODS We analyzed data published between 1989 and 2010 from five epidemiological surveys on students from the 6th to the 12th grade of public schools from the ten largest state capitals of Brazil. The total sample consisted of 104,104 students and data were collected in classrooms. The same collection tool – a World Health Organization self-reporting questionnaire – and sampling and weighting procedures were used in the five surveys. The Chi-square test for trend was used to compare the prevalence from different years. RESULTS The prevalence of alcohol and tobacco use varied among the years and cities studied. Alcohol consumption decreased in the 10 state capitals (p < 0.001) throughout 21 years. Tobacco use also decreased significantly in eight cities (p < 0.001). The highest prevalence of alcohol use was found in the Southeast region in 1993 (72.8%, in Belo Horizonte) and the lowest one in Belem (30.6%) in 2010. The highest past-year prevalence of tobacco use was found in the South region in 1997 (28.0%, in Curitiba) and the lowest one in the Southeast in 2010 (7.8%, in Sao Paulo). CONCLUSIONS The decreasing trend in the prevalence of tobacco and alcohol use among students detected all over the Country can be related to the successful and comprehensive Brazilian antitobacco and antialcohol policies. Despite these results, the past-year prevalence of alcohol consumption in the past year remained high in all Brazilian regions.

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