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Gill A, Felker-Kantor E, Cunningham-Myrie C, Greene LG, Lyew-Ayee P, Atkinson U, Abel W, Anderson SG, Theall KP. Neighborhoods and adolescent polysubstance use in Jamaica. PeerJ 2023; 11:e14297. [PMID: 36815978 PMCID: PMC9933737 DOI: 10.7717/peerj.14297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 10/03/2022] [Indexed: 02/15/2023] Open
Abstract
Background The purpose of this study was to identify latent classes of polysubstance use among adolescents in Jamaica and the role of neighborhood factors in the association with polysubstance use class membership. Methods This secondary analysis utilized a national cross-sectional household drug use survey conducted across 357 households in Jamaica (April 2016-July 2016) among a total of 4,625 individuals. A total of 750 adolescents (11-17 years) were included in this analysis. Latent class analysis (LCA) was conducted to identify polysubstance use patterns as well as latent neighborhood constructs. Neighborhood factors included social disorganization, concentrated disadvantage, community resources, community violence, and police station concentration. Multinomial regression analysis was implemented to evaluate the association between polysubstance use class membership and latent classes of neighborhood factors. Result The prevalence of lifetime polysubstance use was 27.56%. Four classes of polysubstance use were identified by comparing a series of five class models. The Bootstrap Likelihood Ratio Test (BLRT) indicated a good fit for the four-class model (<0.001). The prevalence of alcohol latent classes was: (1) heavy alcohol users and experimental smokers (Class I) (15.20%), (2) most hazardous polysubstance users (Class II) (5.33%), (3) heavy smokers and moderate alcohol users (Class III) (7.07%), and (4) experimental alcohol users (Class IV) (72.44%). Three classes of neighborhoods were identified by comparing a series of four-class models. The prevalence of the neighborhood classes was: (1) low social disorganization and disadvantage (Class I) (58.93%), (2) high social disorganization and moderate disadvantage (Class II) (10.93%), and (3) high social disorganization related to perceived drug use and disadvantage (Class III) (30.13%). The BLRT indicated a good fit for the three-class model (p = < 0.004). Multinomial regression analysis indicated that adolescents living in neighborhoods with high disorder and moderate disadvantage (Class II) were 2.43 times (odds ratio (OR)) = 2.43, confidence interval (CI)) = 1.30-4.56) more likely to be heavy alcohol users and experimental smokers (Class I) compared to experimental alcohol users, adjusting for sex, age, ethnicity, religion, and income. Class II of neighborhood classes presented with the highest levels of community violence (100%), perceived disorder crime (64.6%), police station concentration (6.7%), and community resources (low resources is 87.6%), while the concentrated disadvantage was moderate (14.8%). Conclusions Alcohol polysubstance use latent classes were identified among youth in this context. Neighborhoods with high disorder and moderate disadvantage (Class II) were associated with a higher likelihood of polysubstance use. The role of neighborhood conditions in shaping adolescent polysubstance use should be considered in policy, prevention, and treatment interventions.
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Affiliation(s)
- Amrita Gill
- Department of Social, Behavioural and Population Sciences, Tulane University, New Orleans, LA, United States of America
| | - Erica Felker-Kantor
- Department of Social, Behavioural and Population Sciences, Tulane University, New Orleans, LA, United States of America
| | - Colette Cunningham-Myrie
- Department of Community Health and Psychiatry, University of the West Indies, Mona, Kingston, Jamaica
| | - Lisa-Gaye Greene
- Mona Geoinformatics Institute, University of the West Indies, Mona, Kingston, Jamaica
| | - Parris Lyew-Ayee
- Mona Geoinformatics Institute, University of the West Indies, Mona, Kingston, Jamaica
| | - Uki Atkinson
- Ministry of Health and Wellness, National Council on Drug Abuse, Kingston, Jamaica
| | - Wendel Abel
- Department of Community Health and Psychiatry, University of the West Indies, Mona, Kingston, Jamaica
| | - Simon G. Anderson
- Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom,The George Alleyne Chronic Disease Research Centre, Caribbean Institute of Health Research, University of the West Indies, Cave Hill, Barbados
| | - Katherine P. Theall
- Department of Social, Behavioural and Population Sciences, Tulane University, New Orleans, LA, United States of America,Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, United States of America
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Zaheri H, Raziani Y, Khademi N, Moradi Y, Shahriari H, Ghanei‐Gheshlagh R. Prevalence of hookah smoking among Iranian pupils and university students: An updated systematic review and meta‐analysis. THE CLINICAL RESPIRATORY JOURNAL 2022; 16:425-440. [PMID: 35665461 PMCID: PMC9366573 DOI: 10.1111/crj.13511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 05/12/2022] [Accepted: 05/23/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Hamid Zaheri
- Student Research Committee Kurdistan University of Medical Sciences Sanandaj Iran
| | - Yosra Raziani
- Nursing Department Komar University of Science and Technology Sulaymaniyah Iraq
| | - Nesa Khademi
- Student Research Committee Lorestan University of Medical Sciences Khorramabad Iran
| | - Yousef Moradi
- Department of Epidemiology and Biostatistics, Faculty of Medicine Kurdistan University of Medical Sciences Sanandaj Iran
| | - Hossein Shahriari
- Faculty of Para Medicine Shahid Beheshti University of Medical Sciences Tehran Iran
| | - Reza Ghanei‐Gheshlagh
- Social Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj Iran
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de Jonge MC, Bukman AJ, van Leeuwen L, Onrust SA, Kleinjan M. Latent Classes of Substance Use in Young Adults - A Systematic Review. Subst Use Misuse 2022; 57:769-785. [PMID: 35188870 DOI: 10.1080/10826084.2022.2040029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Background: This systematic review provides an overview of studies on latent classes related to the substance use among young adults (18-25 years). Identifying these classes helps to detect high-risk groups, setting a base for selective prevention.Methods: This systematic literature review included peer-reviewed studies (published up to February, 2021) that identified latent classes and investigated predictors of latent classes relating to the use of marijuana, alcohol and/or other substances within samples of young adults.Results: Twenty studies (sample sizes N = 171 to N = 21945) met the inclusion criteria. 14 studies identified 'low-level engagers', 'light alcohol and tobacco use', 'heavy alcohol and tobacco use' and 'heavy use/polysubstance use' classes. Four studies differentiated within the 'heavy/polysubstance' class and found 'traditional clubdrugs', 'hallucinogens' and 'wide-range illicit drugs' classes. Male gender and white race predicted membership of the 'heavy use/polysubstance use' class consistently across studies. Other predictors of polysubstance use that were consistent across studies were peer substance use, depressive symptoms, parental drinking and participating in an honor society.Conclusions: The investigated predictors of class membership provide insight into social settings and characteristics that predict heavy use or polysubstance use. They can contribute to the development of effective prevention interventions by allowing for a more targeted approach.
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Affiliation(s)
| | | | - Lonneke van Leeuwen
- Julius Center for Health Sciences and Primary Care Utrecht, Utrecht, The Netherlands
| | | | - Marloes Kleinjan
- Trimbos Institute, Utrecht, The Netherlands.,Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands
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Macedo TTS, Mussi FC, Sheets D, Campos ACP, Patrão AL, Freitas CLM, Paim MAS. Lifestyle behaviors among undergraduate nursing students: A latent class analysis. Res Nurs Health 2020; 43:520-528. [PMID: 32797687 DOI: 10.1002/nur.22064] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 08/05/2020] [Indexed: 11/06/2022]
Abstract
This is a cross-sectional study whose objective was to identify clustering of lifestyle behaviors among undergraduate nursing students to inform health promotion efforts and improve health outcomes later in life. All 353 undergraduate nursing students from the School of Nursing in a public university, Bahia, Brazil were invited to participate. The inclusion and exclusion criteria were according to the major project. Participants must be enrolled and attending the 1st to 10th semester, with a minimum age of 18 years. Participants were excluded if they had any physical disabilities that limited the collection of anthropometric measures or were completing an internship off-campus. A total of 286 undergraduate nursing students met the criteria and completed the survey. The questionnaires included standardized measures for demographic, academic, and lifestyle behaviors (e.g., tobacco use, alcohol use, physical activity level, sedentary behavior, and fruits and vegetables consumed). Latent class analysis was performed to identify any clustering of lifestyle behaviors. Descriptive analyses indicated that 3.1% of the students were smokers, 23.1% consumed alcohol, 34.3% were inactive, 85.0% were sedentary, and 80.8% did not consume recommended amounts of fruits and vegetables. Latent class analysis produced four distinct subtypes of health risk: (a) low-health risk (33.57%); (b) moderate-health risk (27.97%); (c) high-health risk (19.58%); and (d) very high-health risk (18.88%). Approximately 38.5% of students were in the very high or high-risk classes. The proportion of students with very high and high-health risks emphasizes the importance of health promotion programs for university nursing students.
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Affiliation(s)
- Tassia T S Macedo
- Enfermagem, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - Fernanda C Mussi
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - Debra Sheets
- School of Nursing, University of Victoria, Victoria, British Columbia, Canada
| | - Ana C P Campos
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - Ana L Patrão
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - Caren L M Freitas
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - Melissa A S Paim
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador, Bahia, Brazil
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KHODADOST M, MAAJANI K, ABBASI-GHAHRAMANLOO A, NASERBAKHT M, GHODUSI E, SARVI F, MOHAMMADZADEH A, MOTEVALIAN SA, HAJEBI A. Prevalence of Hookah Smoking among University Students in Iran: A Meta-Analysis of Observational Studies. IRANIAN JOURNAL OF PUBLIC HEALTH 2020; 49:1-13. [PMID: 32309218 PMCID: PMC7152648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
BACKGROUND The rise in popularity of waterpipe smoking among younger people cause increase its deleterious effects on health in recent years. The aim of this study was to estimate the pooled prevalence of water-pipe smoking in university students in Iran. METHODS We performed the literature search from 1946 to January 21, 2019, in several international and national databases such as Medline/PubMed, Web of Science, Scopus, Google Scholar, Magiran, Iranmedex, and IranPsych. To investigate the between-study heterogeneity we used the chi-squared test and I2 index. We used a random-effects model to estimate the pooled prevalence of water-pipe smoking. The potential source of heterogeneity was assessed by subgroup analysis and meta-regression. RESULTS According to the eligibility criteria, we included 37 relevant studies in our meta-analysis. The pooled prevalence of lifetime water-pipe smoking was 25% (95% CI: 22-29) and in male and female subgroups was 37% (95%CI: 30-45), 17% (95%CI: 15-19) respectively. The pooled prevalence of water-pipe smoking in last year was 21% (95%CI: 16-25) and in last month was 8% (95%CI: 5-11). Results of meta-regression analysis showed that there was not any significant association between suspected variables and the prevalence of water-pipe smoking. CONCLUSION The higher prevalence rate of water pipe smoking among university students indicates the emergency need for planning preventive program.
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Affiliation(s)
- Mahmoud KHODADOST
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Khadije MAAJANI
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas ABBASI-GHAHRAMANLOO
- Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Morteza NASERBAKHT
- Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Ebrahim GHODUSI
- Mental and Social Health Office, Ministry of Health, Tehran, Iran
| | - Fatemeh SARVI
- Department of Epidemiology, School of Health, Larestan University of Medical Sciences, Larestan, Iran
| | - Azar MOHAMMADZADEH
- Clinical Research Development Center, Aliasghar Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Seyed Abbas MOTEVALIAN
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran,Corresponding Author: ;
| | - Ahmad HAJEBI
- Research Center for Addiction & Risky Behaviors (ReCARB), Psychiatric Department, Iran University of Medical Sciences, Tehran, Iran,Corresponding Author: ;
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