Substance use by adolescents in cape town: prevalence and correlates*1

Flisher, Alan J.; Parry, Charles D. H.; Evans, Justine; Muller, Martie; Lombard, Carl

doi:10.1016/s1054-139x(02)00445-7

Cited by 105 publications

(135 citation statements)

References 21 publications

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“…These differences are likely to be related to socioeconomic issues, since families of higher socioeconomic class have greater probability of living in apartments and with less crowding. Flisher et al, 7 in South Africa, also did not detect a significant association between drug use and crowding.…”

Section: Discussionmentioning

confidence: 86%

“…In addition to sociodemographic factors (sex, age, social class), studies indicate associations between drug use and parental or familiar involvement with alcohol or drugs, not being raised by both parents, low perception of maternal and paternal support, absence of religious practice, and lesser frequency of sports practice. 7,12,13,16 Protective factors include trust in parents and peers, religious involvement (participation in youth groups, trust in religious advisers , belief in God, and ability to pray ), educational expectations (being considered as intelligent, being among the best students in class), and having less conflicts and divorce attempts in the family. 14,16 The Brazilian literature highlights especially the importance of sociodemographic factors, which are the subject of most studies.…”

Section: Introductionmentioning

confidence: 99%

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Fatores associados ao uso de drogas entre adolescentes escolares

2004

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ObjectiveTo assess factors associated with drug use among adolescent students from schools providing secondary education. Methods A cross-sectional study was carried out in Pelotas, Southern Brazil, in 1998. An anonymous, self-administered questionnaire was answered by a proportional sample of 10-19-year-old students, enrolled in primary (5 th grade and further) and secondary classes in all public and private schools of the urban area which providing secondary education. Schools were visited up to three times in order to reach absent students. Results were expressed as prevalence ratios (PR). Results 2,410 students were interviewed, losses amounting to 8%. The prevalence of drug use (except alcohol and tobacco) in the last year was 17.1%. After confounder control, associations remained between drug use and parents' divorce (PR=1.46; 95% CI: 1.18-1.80), poor relationship with father (PR=1.67; 95% CI: 1.17-2.38), poor relationship with mother (PR=2.71; 95% CI: 1.64-4.48), open-minded father (PR=1.36; 95% CI: 1.08-1.72), drug user in household (PR=1.61; 95% CI: 1.17-2.18), abuse (PR=1.62; 95% CI: 1.27-2.07), having been mugged or robbed in the previous year (PR=1.38; 95% CI: 1.09-1.76) and absence of religious practice (PR=1.31; 95% CI: 1.07-1.59). ConclusionsThe study suggests associations between several family characteristics and drug use by adolescents, providing useful information for a complete understanding of this problem in Brazil.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Fatores associados ao uso de drogas entre adolescentes escolares

2004

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“…These associations held true when investigated in only those males who had been orphaned, suggesting that school enrolment is a positive force for vulnerable adolescents as well as adolescents overall. Previous studies in the United States (Reininger et al, 2005) and in South Africa (Flisher, Parry, Evans, Muller, & Lombard, 2003; Meghdadpour et al, 2012) have also shown school-related factors to be protective against substance use. School attendance could decrease substance use through connectedness in the form of bonds with teachers and peers (Flisher et al, 2003; Operario, Cluver, Rees, MacPhail, & Pettifor, 2008).…”

Section: Discussionmentioning

confidence: 91%

Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe

Pufall

Eaton

Robertson

et al. 2017

Vulnerable Children and Youth Studies

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There is a growing interest in education as a means to reduce HIV infection in vulnerable children in sub-Saharan Africa; however, the mechanisms by which education reduces HIV infection remain uncertain. Substance use has been associated with high-risk sexual behaviour and could lie on the causal pathway between education and HIV risk. Therefore, we used multivariable regression to measure associations between: (i) orphanhood and substance use (alcohol, recreational drugs, and smoking), (ii) substance use and sexual risk behaviours, and (iii) school enrolment and substance use, in adolescents aged 15–19 years, in Eastern Zimbabwe. We found substance use to be low overall (6.4%, 3.2%, and 0.9% of males reported alcohol, drug, and cigarette use; <1% of females reported any substance use), but was more common in male maternal and double orphans than non-orphans. Substance use was positively associated with early sexual debut, number of sexual partners, and engaging in transactional sex, while school enrolment was associated with lower substance use in males. We conclude that education may reduce sexual risk behaviours and HIV infection rates among male adolescents in sub-Saharan Africa, in part, by reducing substance abuse.

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“…Investigators have made important advances in identifying the predictors of substance use in the United States and other industrialized nations; nevertheless, much remains to be learned about the risk factors in developing countries. At the present time, there are very few studies which have examined the risk factors for marijuana and other drug use in South Africa [ 1,2 ]. This study assesses the predictors of substance use by studying a sample of South African youth who live in a social context in which violence, HIV/AIDS, and low educational attainment are prevalent [ 3,4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Over the past decade, South Africans have been exposed to a number of environmental stressors, including the following: (1) major social changes associated with the transition from apartheid to equality; (2) violence and crime; (3) high rates of unemployment; (4) technological changes; and (5) an ever-worsening AIDS epidemic. In addition, changes in demographic, economic, and political factors, as well as in the production, distribution, and marketing of drugs are postulated to have affected adolescent substance use [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of drug use among South African adolescents

Brook

Morojele

Pahl

et al. 2006

Journal of Adolescent Health

100

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Purpose: To determine the association of frequency of illegal drug use with five groups of factors: environmental stressors; parental drug use; parental child rearing; peer drug use; and adolescent personal attributes.Methods: 1468 male (45%) and female (55%) adolescents, aged 12 to 17 years (mean=14.76, S.D.=1.51), were interviewed at home in Durban and Capetown, South Africa. Independent measures assessed environmental stressors, parental child rearing, parental drug use, peer drug use, and adolescent personal attributes. The dependent variable was the adolescents' frequency of illegal drug use.Results: Regression analyses showed that personal attributes and peer substance use explained the largest percentage of the variance in the adolescents' frequency of illegal drug use. In addition, both parental factors and environmental stressors contributed to the explained variance in adolescent drug use above and beyond the two more proximal domains at a statistically significant level. Conclusions:Knowing the contribution of more proximal versus more distal risk factors for illegal drug use is useful for prioritizing targets for interventions. Targeting changes in the more proximal predictors (e.g., adolescent personal attributes) may be more effective as well as more feasible than trying to produce change in the more distal factors such as environmental stressors.

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Substance use by adolescents in cape town: prevalence and correlates*1

Cited by 105 publications

References 21 publications

Fatores associados ao uso de drogas entre adolescentes escolares

Fatores associados ao uso de drogas entre adolescentes escolares

Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe

Predictors of drug use among South African adolescents

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