The community of residence (ie, urban vs rural) is one of
the known factors of influence on substance use and misuse (SUM). The aim of
this study was to explore the community-specific prevalence of SUM and the
associations that exist between scholastic, familial, sports and
sociodemographic factors with SUM in adolescents from Bosnia and Herzegovina.
In this cross-sectional study, which was completed between
November and December 2014, the participants were 957 adolescents (aged 17 to
18 years) from Bosnia and Herzegovina (485; 50.6% females). The independent
variables were sociodemographic, academic, sport and familial factors. The
dependent variables consisted of questions on cigarette smoking and alcohol
consumption. We have calculated differences between groups of participants
(gender, community), while the logistic regressions were applied to define
associations between the independent and dependent variables.
In the urban community, cigarette smoking is more prevalent
in girls, while harmful drinking is more
prevalent in boys. When data are weighted by
gender and community, harmful drinking is more prevalent in urban boys, cigarette smoking is more frequent in rural
boys, and urban girls misuse substances to a
greater extent than rural girls. Academic failure is
strongly associated with a higher likelihood of SUM. The associations between
parental factors and SUM are more evident in urban youth. Sports factors are
specifically correlated with SUM for urban girls.
Living in an urban environment should be considered as a
higher risk factor for SUM in girls. Parental variables are more strongly
associated with SUM among urban youth, most probably because of the higher
parental involvement in children' personal lives in urban communities (ie,
college plans, for example). Specific indicators should be monitored in the
prevention of SUM.
Below: Prevalence of harmful alcohol drinking with OR between and within genders. Percentage of reported frequency for boys and girls with n=472 and n=485, respectively, being 100%.
Below: Prevalence of multiple substance use and misuse (simultaneous harmful drinking and cigarette smoking) with OR between and within genders. Percentage of reported frequency for boys and girls with n=472 and n=485, respectively, being 100%.
Full article at: http://goo.gl/Xjzk74
- 1Faculty of Kinesiology, University of Split, Split, Croatia.
- 2Faculty of Kinesiology, University of Split, Split, Croatia University of Mostar, Mostar, Bosnia and Herzegovina Academy of Medical Sciences of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina.
- 3Department for Health Sciences, Mid Sweden University, Östersund, Sweden.
- 4Faculty of Kinesiology, University of Split, Split, Croatia University Department of Health Care Studies, Split, Croatia.
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