Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia

Introduction: While the co-use of tobacco and cannabis is common among adolescents, no data on this topic is currently available for Slovenia. The purpose of this study was therefore to explore the prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia. Met...

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Main Authors: Helena Koprivnikar, Tina Zupanič, Andreja Drev, Helena Jeriček Klanšček
Format: Article
Language:English
Published: Nurses and Midwives Association of Slovenia 2019-06-01
Series:Obzornik zdravstvene nege
Subjects:
Online Access:https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/259
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author Helena Koprivnikar
Tina Zupanič
Andreja Drev
Helena Jeriček Klanšček
author_facet Helena Koprivnikar
Tina Zupanič
Andreja Drev
Helena Jeriček Klanšček
author_sort Helena Koprivnikar
collection DOAJ
description Introduction: While the co-use of tobacco and cannabis is common among adolescents, no data on this topic is currently available for Slovenia. The purpose of this study was therefore to explore the prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia. Methods: We analysed the data obtained from a representative sample of 15-year-old Slovene students (n = 1615) who took part in the 2014 Health Behaviour in School-Aged Children international cross-sectional survey, and performed a chi-square test and multivariate logistic regression analyses. Results: Lifetime tobacco and cannabis use was reported by 19.5 % of 15-year-old students with no gender difference (p = 0.108) and was associated with history of drunkenness (OR = 8.18, 95 % C.I. 5.74−11.64), friends' use of cannabis (OR = 3.93, 95 % C.I. 2.67−5.79) and tobacco (OR = 1.83, 95 % C. I. 1.25−2.69), and with lower perceived family support (OR = 0.88, 95 % C.I. 0.80−0.97). Current co-use was reported by 7.2 % with no gender difference (p = 0.136) and was associated with a history of drunkenness (OR = 8.06, 95 % C.I. 4.43−14.67), friends' use of cannabis (OR = 3.72, 95 % C.I. 2.23−6.19) and living in a reconstructed family (OR = 3.33, 95 % C. I. 1.74−6.40). Discussion and conclusion: Our study advocates for expanding preventive and cessation programmes from one to more psychoactive substances. Peers and family are the key factors which need to be addressed in theseprogrammes. They can be reached through the school and healthcare systems. Environmental prevention measures, including legislative measures, create environments promoting healthy choices and thus contribute to the reduction of such co-use.
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spelling doaj.art-d5e2c7d2ffab4b47be06dade98c7dcaa2022-12-22T01:44:07ZengNurses and Midwives Association of SloveniaObzornik zdravstvene nege1318-29512350-45952019-06-0153210.14528/snr.2019.53.1.259Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in SloveniaHelena Koprivnikar0Tina Zupanič1Andreja Drev2Helena Jeriček Klanšček3National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, SloveniaNational Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, SloveniaNational Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, SloveniaNational Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, SloveniaIntroduction: While the co-use of tobacco and cannabis is common among adolescents, no data on this topic is currently available for Slovenia. The purpose of this study was therefore to explore the prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia. Methods: We analysed the data obtained from a representative sample of 15-year-old Slovene students (n = 1615) who took part in the 2014 Health Behaviour in School-Aged Children international cross-sectional survey, and performed a chi-square test and multivariate logistic regression analyses. Results: Lifetime tobacco and cannabis use was reported by 19.5 % of 15-year-old students with no gender difference (p = 0.108) and was associated with history of drunkenness (OR = 8.18, 95 % C.I. 5.74−11.64), friends' use of cannabis (OR = 3.93, 95 % C.I. 2.67−5.79) and tobacco (OR = 1.83, 95 % C. I. 1.25−2.69), and with lower perceived family support (OR = 0.88, 95 % C.I. 0.80−0.97). Current co-use was reported by 7.2 % with no gender difference (p = 0.136) and was associated with a history of drunkenness (OR = 8.06, 95 % C.I. 4.43−14.67), friends' use of cannabis (OR = 3.72, 95 % C.I. 2.23−6.19) and living in a reconstructed family (OR = 3.33, 95 % C. I. 1.74−6.40). Discussion and conclusion: Our study advocates for expanding preventive and cessation programmes from one to more psychoactive substances. Peers and family are the key factors which need to be addressed in theseprogrammes. They can be reached through the school and healthcare systems. Environmental prevention measures, including legislative measures, create environments promoting healthy choices and thus contribute to the reduction of such co-use.https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/259psychoactive substancesco-useco-user characteristicsadolescents
spellingShingle Helena Koprivnikar
Tina Zupanič
Andreja Drev
Helena Jeriček Klanšček
Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
Obzornik zdravstvene nege
psychoactive substances
co-use
co-user characteristics
adolescents
title Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
title_full Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
title_fullStr Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
title_full_unstemmed Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
title_short Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
title_sort prevalence and characteristics of tobacco and cannabis co use in 15 year old students in slovenia
topic psychoactive substances
co-use
co-user characteristics
adolescents
url https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/259
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AT tinazupanic prevalenceandcharacteristicsoftobaccoandcannabiscousein15yearoldstudentsinslovenia
AT andrejadrev prevalenceandcharacteristicsoftobaccoandcannabiscousein15yearoldstudentsinslovenia
AT helenajericekklanscek prevalenceandcharacteristicsoftobaccoandcannabiscousein15yearoldstudentsinslovenia