Pregledni rad
Impact of environmental factors on marijuana use in 11 European countries
Iva Pejnović Franelić
; School and Adolescent Medicine and Addiction Prevention Service Croatian National Institute of Public Health, Zagreb, Croatia
Marina Kuzman
; School and Adolescent Medicine and Addiction Prevention Service Croatian National Institute of Public Health, Zagreb, Croatia
Ivana Pavić Šimetin
; School and Adolescent Medicine and Addiction Prevention Service Croatian National Institute of Public Health, Zagreb, Croatia
Josipa Kern
; Department of Medical Statistics, Epidemiology and Medical Informatics Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
Sažetak
Aim To investigate the association between environmental
factors (perceived availability of marijuana, perceived
use among friends and siblings, use of alcohol and tobacco,
family structure, parental control, school performance)
and lifetime prevalence and frequent and early marijuana
use in high school students.
Methods We used self-reported data from 15-16 years
old participants of the 2003 European School Survey Project
on Alcohol and Other Drugs (ESPAD) conducted in 11
countries: Denmark, Estonia, Norway, Croatia, Slovenia,
Germany, Switzerland, Bulgaria, Czech Republic, Russian
Federation, and Ukraine. Multivariate logistic regression
was used for data analysis.
Results Countries varied according to lifetime prevalence
(8.7%-47.8%) and frequent (8.7%-23.9%) and early (3.0%-
13.0%) marijuana use. Daily tobacco smoking was most
strongly associated with lifetime marijuana use for boys in
7 and for girls in 5 countries, with highest odds ratio (OR,
95% and confidence interval – CI) for boys in Denmark (OR,
13.52; 95% CI, 8.16-22.4), and for girls in the Czech Republic
(OR, 21.21; 95% CI, 12.99-34.62). Perceived marijuana availability
was most strongly associated with frequent marijuana
use for boys in 4 countries (highest in Slovenia: OR,
19.28; 95% CI, 6.52-57.02) and girls in 5 (highest in Slovenia:
OR, 19.05; 95% CI, 5.18-70.04). Perceived use of marijuana
among friends was most strongly associated with frequent
marijuana use in 5 countries, both for boys (highest in Norway:
OR, 23.91; 95% CI, 4.16-137.48) and girls (highest in
Denmark: OR, 75.42; 95% CI, 13.11-433.90). Perceived use
of marijuana among friends was most strongly associated
with early marijuana use in 8 countries for boys (highest in
Norway: OR, 54.03; 95% CI, 3.34-875.19) and 3 countries for
girls (highest in Denmark: OR, 7.29; 95%CI, 1.77-30.12).
Conclusion In each country, marijuana use was associated
with similar factors, regardless of marijuana use prevalence
in that country.The influence of peer group and perceived
availability of marijuana seemed more important than parental
control and family structure.
Ključne riječi
Hrčak ID:
71462
URI
Datum izdavanja:
15.8.2011.
Posjeta: 1.817 *