Cannabis and Amphetamine Use Among Adolescents in Five Asian Countries

Karl Peltzer, Supa Pengpid

Abstract


Introduction: There has been a global increase in illicit drug use among young people. The aim of this study was to estimate the prevalence of lifetime cannabis and amphetamine use, as well as to explore factors associated with substance use among adolescents in five Asian countries: Iraq, Kuwait, Malaysia, Mongolia, and Vietnam.

Methods: 38,941  school children (mean age 15.4 years, SD=1.5) completed the cross-sectional Global School-Based Student Health Survey (GSHS). Topics covered in the questionnaire included cannabis and amphetamine use. Personal, parental, and environmental attributes were explored as predictors of cannabis and amphetamine use. Logistic regression was used to assess the contribution of potential predictors on lifetime cannabis and lifetime amphetamine use.

Results: Overall, the prevalence of lifetime cannabis use was 0.9% and lifetime amphetamine use was 1.0% among research participants. Cannabis use was influenced by male gender (Kuwait, Mongolia), parental smoking habits (Kuwait, Iraq), and current cigarette smoking in all countries. Amphetamine use was associated with suicidal ideation (Kuwait, Malaysia, Vietnam), school truancy (Malaysia, Mongolia, Vietnam), being a victim of physical assault (Kuwait, Mongolia), bullying victimization (Iraq, Malaysia, Vietnam), as well as anxiety and current cigarette use in all countries. 

Conclusions: Our preliminary results show the importance of personal attributes such as mental distress and environmental stressors on lifetime cannabis and lifetime amphetamine use. Future prospective studies are needed to identify causal relationships among personal attributes, parental attributes, environmental stressors, and illicit substance use.


Keywords


Cannabis use; Amphetamine Use; Adolescents; Asia

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References


Degenhardt L, Stockings E, Patton G, Hall WD, Lynskey M. The increasing global health priority of substance use in young people. Lancet Psychiatry. 2016;3(3): 251-64.

Centers for Disease Control and Prevention (CDC). Global School-based Student Health Survey (GSHS), 2017. Available at: https://www.cdc.gov/gshs/ (Accessed December 4, 2017).

World Health Organization (WHO). ATLAS on substance use: resources for the prevention and treatment of substance use disorders, 2010. Available at: http://www.who.int/substance_abuse/activities/atlas/en/ (Accessed December 4, 2017)

Al-Hemiary NJ, Al-Diwan JK, Hasson AL, Rawson RA. Drug and alcohol use in Iraq: findings of the inaugural Iraqi Community Epidemiological Workgroup. Subst Use Misuse. 2014;49(13):1759-63.

Bajwa HZ, Al-Turki AS, Dawas AM, Behbehani MQ, Al-Mutairi AM, Al-Mahmoud S, Shukkur M, Thalib L. Prevalence and factors associated with the use of illicit substances among male university students in Kuwait. Med Princ Pract. 2013;22(5):458-63.

Howard J, Ali H. Cannabis use among young people in Pacific Island Countries and Territories. Aust N Z J Public Health. 2014;38(1):89-90.

Yusoff F, Sahril N, Rasidi NM, Zaki NA, Muhamad N, Ahmad N. Illicit drug use among school-going adolescents in Malaysia. Asia Pac J Pub Health. 2014, 26(5 Suppl), 100S-7S.

Spencer C, Navaratnam V. Patterns of drug use amongst Malaysian secondary schoolchildren. Drug Alcohol Depend. 1980;5(5):379-91.

United Nations Office on Drugs and Crime (UNODC). Patterns and trends of amphetamine-type stimulants and other drugs: Challenges for Asia and the Pacific. Vienna: UNODC, 2013. Available at: https://www.unodc.org/documents/scientific/2013_Regional_ATS_Report_web.pdf (Accessed December 4, 2017)

Nazarzadeh M, Bidel Z, Mosavi Jarahi A, et al. Prevalence of cannabis lifetime use in Iranian high school and college students: A systematic review, meta-analyses, and meta-regression. Am J Mens Health. 2015;9(5):397-409.

Tsering D, Pal R, Dasgupta A. Licit and illicit substance use by adolescent students in eastern India: Prevalence and associated risk factors. J Neurosci Rural Pract. 2010;1(2):76-81.

Aleissa EI. The frequency of health-related behaviors among Saudi adolescents visiting primary health care centers in Riyadh city. J Family Community Med. 2001;8(1):19-26.

Shi Y, Lenzi M, An R. Cannabis liberalization and adolescent cannabis use: A cross-national study in 38 countries. PLoS One. 2015;10(11):e0143562.

United Nations Office on Drugs and Crime (UNODC). World Drug Report 2010. Vienna: UNODC, 2010. Available at: https://www.unodc.org/documents/wdr/WDR_2010/World_Drug_Report_2010_lo-res.pdf (Accessed December 4, 2017)

Yi S, Peltzer K, Pengpid S, Susilowati IH. Prevalence and associated factors of illicit drug use among university students in the association of southeast Asian nations (ASEAN). Subst Abuse Treat Prev Policy. 2017;12(1):9.

Brook JS, Morojele NK, Pahl K, Brook DW. Predictors of drug use among South African adolescents. J Adolesc Health. 2006;38(1):26-34.

Sznitman SR, Kolobov T, Bogt TT, Kuntsche E, Walsh SD, Boniel-Nissim, Harel-Fisch, Y. Exploring substance use normalization among adolescents: a multilevel study in 35 countries. Soc Sci Med, 2013;97:143-51.

Tu AW, Ratner PA, Johnson JL. Gender differences in the correlates of adolescents’cannabis use. Subst Use Misuse. 2008;43(10):1438-63.

Siziya S, Muula AS, Besa C, Babaniyi O, Songolo P, Kankiza N, Rudatsikira E. Cannabis use and its socio-demographic correlates among in-school adolescents in Zambia. Ital J Pediatr. 2013; 39:13.

Alwan H, Viswanathan B, Rousson V, Paccaud F, Bovet P. Association between substance use and psychosocial characteristics among adolescents of the Seychelles. BMC Pediatrics. 2011; 11:85.

Peltzer K. Prevalence and correlates of substance use among school children in six African countries. Int J Psychol. 2009;44(5): 378-86.

Plüddemann A, Flisher AJ, McKetin R, Parry CD, Lombard CJ. A prospective study of methamphetamine use as a predictor of high school non-attendance in Cape Town, South Africa. Subst Abuse Treat Prev Policy. 2010; 5: 25.

Asiseh F, Owusu A, Quaicoe O. An analysis of family dynamics on high school adolescent risk behaviors in Ghana. J Child Adolesc Subst Abuse. 2017; 5: 425-431.

Rudatsikira E, Maposa D, Mukandavire Z, Muula AS, Siziya S. Prevalence and predictors of illicit drug use among school-going adolescents in Harare, Zimbabwe. Ann Afr Med. 2009;8(4): 215-20.

Peltzer K, Pengpid S. Cannabis use and its social correlates among in-school adolescents in Algeria, Morocco, Palestine, Peru, and Tonga. Mediterranean J Soc Sci. 2014;5(9): 558-563.

Plüddemann A, Flisher AJ, McKetin R, Parry C, Lombard, C. Methamphetamine use, aggressive behavior and other mental health issues among high-school students in Cape Town, South Africa. Drug Alcohol Depend. 2010; 109(1-3):14-9.

McKetin R, Kozel N, Douglas J, Ali R, Vicknasingam B, Lund J, Li JH. The rise of methamphetamine in Southeast and East Asia. Drug Alcohol Rev. 2008;27(3):220-8.

Saban A, Flisher AJ, Distiller G. Association between psychopathology and substance use among school-going adolescents in Cape Town, South Africa. J Psychoactive Drugs. 2010;42(4): 467-76.

United Nations Office on Drugs and Crime (UNODC). Guidelines on drug prevention and treatment for girls and women. Vienna: UNODC, 2016. Available at: https://www.unodc.org/documents/drug-prevention-and-treatment/unodc_2016_drug_prevention_and_treatment_for_girls_and_women_E.pdf (Accessed December 4, 2017)

Suerken CK, Reboussin BA, Sutfin EL, Wagoner KG, Spangler J, Wolfson M. Prevalence of marijuana use at college entry and risk factors for initiation during freshman year. Addict Behav. 2014;39(1):302–7.

Degenhardt L, Coffey C, Moran P, Carlin JB, Patton GC. The predictors and consequences of adolescent amphetamine use: findings from the Victoria Adolescent Health Cohort Study. Addiction. 2007;102(7):1076-84.

Agrawal A, Budney AJ, Lynskey MT. The co-occurring use and misuse of cannabis and tobacco: a review. Addiction. 2012;107(7): 1221-33.

Baumann M, Spitz E, Predine R, Choquet M, Chau N. Do male and female adolescents differ in the effect of individual and family characteristics on their use of psychotropic drugs? Eur J Pediatr. 2007;166(1):29-35.

Siziya S, Muula AS, Rudatsikira E 2007. Prevalence and correlates of truancy among adolescents in Swaziland: findings from the Global School-Based Health Survey. Child Adoles Psychiatry Ment Health, 1(1): 15.

Kuntsche EN, Kuendig H. What is worse? A hierarchy of family-related risk factors predicting alcohol use in adolescence. Subst Use Misuse. 2006;41(1):71-86.




DOI: https://doi.org/10.5195/cajgh.2017.288

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