Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, Tunisia
Background Early adolescence is a critical period usually associated with substances experimentation. In Tunisia, some studies were carried out recently to evaluate tobacco and cannabis use in the colleges and high schools. However, few studies were led in the middle schools. While onset of subst...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2018-03-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Tobacco-use-the-most-influential-risk-factor-on-cannabis-use-among-middle-schoolchildren,84720,0,2.html |
| _version_ | 1819052169176809472 |
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| author | Nawel Zammit Jihene Maatoug Ferdaous Radaoui Rim Ghammam Sana Bhiri Hassen Ghannem |
| author_facet | Nawel Zammit Jihene Maatoug Ferdaous Radaoui Rim Ghammam Sana Bhiri Hassen Ghannem |
| author_sort | Nawel Zammit |
| collection | DOAJ |
| description | Background
Early adolescence is a critical period usually associated with
substances experimentation. In Tunisia, some studies were carried out recently
to evaluate tobacco and cannabis use in the colleges and high schools. However,
few studies were led in the middle schools. While onset of substances use
usually occur during early adolescence. Aims: To evaluate the prevalence of tobacco and cannabis use and to
determine if there is an association between their use among the young
adolescents of Sousse.
Methods
A cross-sectional study was conducted in the region of Sousse, Tunisia
during the 2013/2014 school year among a proportional and stratified sample of
4272 schoolchildren randomly selected in 16 public middle
schools from the region of Sousse. Data about sociodemographic characteristics,
tobacco products and cannabis use among the schoolchildren, their parents,
their siblings and their friends were collected using a self administrated
questionnaire.
Results
Females
represented 50.5% (2157) of participants. The mean age of schoolchildren was
13.3 ±1.2 years. Among participants, 12.9% (CI 95% : 11.9%-13.9%)
reported lifetime tobacco use, 4.5% (CI 95% : 3.9%-5.1%) were current
cigarette smokers, 3.2% (CI 95% : 2.7%-3.7%) were current water pipe
users and 1.9% (CI 95% : 1.5%-2.3%) reported lifetime cannabis use. The
age of tobacco use onset (11.2 ±2.7 years) was significantly inferior to the
age of cannabis use onset (13.1±2 years) (p< 0.001). The most influential
risk factor on cannabis use was current cigarette smoking with an adjusted odds
ratio of 7.3 (CI 95% : 4.2-12.5).
Conclusions
National school-based substances use prevention program is required in
Tunisia. Tobacco use prevention deserves more efforts as it is a gateway to
other substances use such cannabis. |
| first_indexed | 2024-12-21T12:15:33Z |
| format | Article |
| id | doaj.art-89b338e170e6469a97562d475543bb0a |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-21T12:15:33Z |
| publishDate | 2018-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-89b338e170e6469a97562d475543bb0a2022-12-21T19:04:27ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8472084720Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, TunisiaNawel Zammit0Jihene Maatoug1Ferdaous Radaoui2Rim Ghammam3Sana Bhiri4Hassen Ghannem5Farhat Hached University Hospital, Epidemiology, TunisiaFarhat Hached University Hospital, Epidemiology, TunisiaFarhat Hached University Hospital, Epidemiology, TunisiaFarhat Hached University Hospital, Epidemiology, TunisiaFarhat Hached University Hospital, Epidemiology, TunisiaFarhat Hached University Hospital, Epidemiology, TunisiaBackground Early adolescence is a critical period usually associated with substances experimentation. In Tunisia, some studies were carried out recently to evaluate tobacco and cannabis use in the colleges and high schools. However, few studies were led in the middle schools. While onset of substances use usually occur during early adolescence. Aims: To evaluate the prevalence of tobacco and cannabis use and to determine if there is an association between their use among the young adolescents of Sousse. Methods A cross-sectional study was conducted in the region of Sousse, Tunisia during the 2013/2014 school year among a proportional and stratified sample of 4272 schoolchildren randomly selected in 16 public middle schools from the region of Sousse. Data about sociodemographic characteristics, tobacco products and cannabis use among the schoolchildren, their parents, their siblings and their friends were collected using a self administrated questionnaire. Results Females represented 50.5% (2157) of participants. The mean age of schoolchildren was 13.3 ±1.2 years. Among participants, 12.9% (CI 95% : 11.9%-13.9%) reported lifetime tobacco use, 4.5% (CI 95% : 3.9%-5.1%) were current cigarette smokers, 3.2% (CI 95% : 2.7%-3.7%) were current water pipe users and 1.9% (CI 95% : 1.5%-2.3%) reported lifetime cannabis use. The age of tobacco use onset (11.2 ±2.7 years) was significantly inferior to the age of cannabis use onset (13.1±2 years) (p< 0.001). The most influential risk factor on cannabis use was current cigarette smoking with an adjusted odds ratio of 7.3 (CI 95% : 4.2-12.5). Conclusions National school-based substances use prevention program is required in Tunisia. Tobacco use prevention deserves more efforts as it is a gateway to other substances use such cannabis.http://www.journalssystem.com/tid/Tobacco-use-the-most-influential-risk-factor-on-cannabis-use-among-middle-schoolchildren,84720,0,2.htmlWCTOH |
| spellingShingle | Nawel Zammit Jihene Maatoug Ferdaous Radaoui Rim Ghammam Sana Bhiri Hassen Ghannem Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, Tunisia Tobacco Induced Diseases WCTOH |
| title | Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, Tunisia |
| title_full | Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, Tunisia |
| title_fullStr | Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, Tunisia |
| title_full_unstemmed | Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, Tunisia |
| title_short | Tobacco use: the most influential risk factor on cannabis use among middle schoolchildren in Sousse, Tunisia |
| title_sort | tobacco use the most influential risk factor on cannabis use among middle schoolchildren in sousse tunisia |
| topic | WCTOH |
| url | http://www.journalssystem.com/tid/Tobacco-use-the-most-influential-risk-factor-on-cannabis-use-among-middle-schoolchildren,84720,0,2.html |
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