Author/Editor		Koprivnikar, Helena; Zupanič, Tina; Drev, Andreja; Jeriček Klanšček, Helena
Title		Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
Translated title		Razširjenost in značilnosti souporabe tobaka in konoplje med 15-letnimi dijaki v Sloveniji
Type		članek
Vol. and No.		Letnik 53, št. 2
Publication year		2019
Volume		str. 104-111
ISSN		1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Language		eng
Abstract		Introduction: While the co-use of tobacco and cannabis is common among adolescents, no data on this topic is currently available for Slovenia. The purpose of this study was therefore to explore the prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia.Methods: We analysed the data obtained from a representative sample of 15-year-old Slovene students (n = 1615) who took part in the 2014 Health Behaviour in School-Aged Children international cross-sectional survey, and performed a chi-square test and multivariate logistic regression analyses.Results: Lifetime tobacco and cannabis use was reported by 19.5 % of 15-year-old students with no gender difference (p = 0.108) and was associated with history of drunkenness (OR = 8.18, 95 % C.I. 5.74-11.64), friends' use of cannabis (OR = 3.93, 95 % C.I. 2.67-5.79) and tobacco (OR = 1.83, 95 % C. I. 1.25-2.69), and with lower perceived family support (OR = 0.88, 95 % C.I. 0.80-0.97). Current co-use was reported by 7.2 % with no gender difference (p = 0.136) and was associated with a history of drunkenness (OR = 8.06, 95 % C.I. 4.43-14.67), friends' use of cannabis (OR = 3.72, 95 % C.I. 2.23-6.19) and living in a reconstructed family (OR = 3.33, 95 % C. I. 1.74-6.40).Discussion and conclusion: Our study advocates for expanding preventive and cessation programmes from one to more psychoactive substances. Peers and family are the key factors which need to be addressed in these programmes. They can be reached through the school and healthcare systems. Environmental prevention measures, including legislative measures, create environments promoting healthy choices and thus contribute to the reduction of such co-use.Uvod: Souporaba tobaka in kanabisa je pogosta med mladostniki, podatkov za Slovenijo ni. Namen raziskave je bil prikazati podatke o souporabi obeh snovi med 15-letniki v Sloveniji. Metode: V analizo je vključen reprezentativni vzorec slovenskih 15-letnih dijakov (n = 1615) iz mednarodne presečne raziskave "Z zdravjem povezana vedenja v šolskem obdobju 2014", uporabljena pa hi-kvadrat test in multivariatna logistična regresija. Rezultati: Kadarkoli v življenju je obe snovi uporabilo 19,5 % 15-letnih dijakov, razlik med spoloma ni (p = 0,108). Uporaba obeh snovi kadarkoli v življenju je povezana z opitostjo v preteklosti (OR = 8,18, 95-% I. Z. 5,74-11,64), uporabo konoplje (OR = 3,93, 95-% I. Z. 2,67-5,79) in uporabo tobaka med prijatelji (OR = 1,83, 95-% I. Z. 1,25-2,69) ter nižjo zaznano podporo družine (OR = 0,88, 95-% I. Z. 0,80-0,97). V času raziskave je obe snovi uporabljalo 7,2 % vseh, brez razlik med spoloma (p = 0,136). Trenutna souporaba je povezana z opitostjo v preteklosti (OR = 8,06, 95-% I.Z. 4,43-14,67), uporabo konoplje med prijatelji (OR = 3,72, 95-% I.Z. 2,23-6,19) in rekonstruirano družino (OR = 3,33, 95-% I.Z. 1,74-6,40). Diskusija in zaključek: Raziskava podpira širitev programov preprečevanja in opuščanja z ene na več psihoaktivnih snovi. Vrstniki in družina so ključni dejavniki, ki jih moramo nasloviti v preventivnih programih; do njih dostopamo v šolskem in zdravstvenem sistemu. Okoljska preventiva, vključno z zakonodajnimi ukrepi, kreira okolja, spodbudna za zdrave izbire, in prispeva k zmanjševanju souporabe.
Keywords		psihoaktivne snovi souporaba značilnosti souporabnika mladostniki psychoactive substances co-use co-user characteristics adolescents