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Risk and Protective Profile of Tobacco and Alcohol Use Among Iranian Adolescents: A Population-Based Study Publisher Pubmed



Baheiraei A1 ; Soltani F2 ; Ebadi A3 ; Foroushani AR4 ; Cheraghi MA5
Authors
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Authors Affiliations
  1. 1. Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
  3. 3. Behavioral Sciences Research Center (BSRC), Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
  4. 4. Department of Biostatistics, School of Public Health, Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Adolescent Medicine and Health Published:2017


Abstract

Background: Identification of risk and protective factors is of great importance in designing preventive and interventional programs. The aim of the present study has been to investigate peer/individual, family, school, and community risk and protective factors as predictors of tobacco and alcohol use among Iranian adolescents. Methods: In a cross-sectional population-based study, 870 Iranian adolescents aged 15-18 years old, filled out the adopted form of Communities That Care Youth Survey. Thirty-two risk and protective factors were entered in adjusted logistic regression analyses to predict the lifetime cigarette and alcohol use. Results: Sixteen risk and seven protective factors predicted both lifetime cigarette and alcohol use in the bivariate logistic regression analysis. In the multivariate logistic regression analysis 12 risk factors including friends' use of drugs, interaction with antisocial peers, sensation seeking, intention to use, perceived risks of drug use, family history of drug use, poor family management, parental attitudes favorable toward drug use, family conflict, academic failure, school low commitment, perceived availability of drugs predicted both lifetime cigarette and alcohol use as well as four protective factors including religiosity, self-estee, family rewards for prosocial involvement, and school rewards for prosocial involvement. The highest OR were related to the risk factor of Rewards for antisocial involvement [3.9(1.5-10)], and protective factor of Religiosity [0.1(0.1-0.3)]. Conclusion: The present study has produced evidences about risk and protective factors related to adolescents substance use and can help designing and implementing of preventive interventions for maintaining and promoting adolescents health. © 2017 Walter de Gruyter GmbH, Berlin/Boston.
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