TY  - JOUR
PY  - 2014//
TI  - Predictors of substance use among vulnerable adolescents in five cities: findings from the well-being of adolescents in vulnerable environments study
JO  - Journal of Adolescent Health
A1  - Olumide, Adesola O.
A1  - Robinson, Allysha C.
A1  - Levy, Paul A.
A1  - Mashimbye, Lawrence
A1  - Brahmbhatt, Heena
A1  - Lian, Qiguo
A1  - Ojengbede, Oladosu
A1  - Sonenstein, Freya L.
A1  - Blum, Robert W.
SP  - S39
EP  - 47
VL  - 55
IS  - 6 Suppl
N2  - PURPOSE: Adolescent substance use has numerous consequences. Our goals in this article are to compare the prevalence and correlates of substance use among ethnically diverse adolescents. <br><br>METHODS: Data were from 2,332 adolescents aged 15-19 years recruited via respondent-driven sampling from disadvantaged settings in five cities. Multivariate logistic regression was used to identify correlates of current substance use. <br><br>RESULTS: About half of the respondents were male. Most adolescents (73.4%) were currently enrolled in school and identified a father (86.2%) and mother (98.6%) figure and strong peer support. Sixty-two percent reported lifetime use of at least one substance. Overall, the most common substances ever used were alcohol (44.6%), cigarettes (26.2%), and marijuana (17.9%). Mean age at first use of alcohol was 14.2 ± 3.1 years. Current alcohol use was highest in Johannesburg (47.4%) and lowest in Delhi (2.1%). The mean age at first use of cigarettes was 14.4 ± 2.8 years. Current cigarette smoking was highest in Johannesburg (32.5%) and lowest in Delhi (3.7%). Male gender predicted current alcohol use in all sites, older age (17-19 years) was also a predictor in Baltimore. Male gender (Johannesburg and Shanghai), older age (Baltimore and Shanghai), and being out of school (Baltimore, Johannesburg, and Shanghai) predicted current cigarette smoking. Absence of a caring father figure was predictive for current alcohol use in Baltimore and Shanghai. Stronger peer support predicted alcohol (Johannesburg and Shanghai) and cigarette use (Johannesburg). <br><br>CONCLUSIONS: Substance use is still a major issue among adolescents around the world, underscoring the need for continued research and interventions.<p /> <p>Language: en</p>
LA  - en
SN  - 1054-139X
UR  - http://dx.doi.org/10.1016/j.jadohealth.2014.08.024
ID  - ref1
ER  -