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Smoking, drinking and illicit drug abuse among adolescents in Sri Lanka: results of Sri Lanka Global School Health Survey 2016

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Document pages: 8 pages

Abstract: Background the World Health Organization (who) defines adolescence as "the transition from childhood to adulthood ". During this period, increased autonomy, willingness to experiment and peer influence create an environment in which high-risk decisions affecting adolescent health, such as drug abuse and smoking, can be made. The purpose of this study was to assess the prevalence and determinants of smoking, alcohol consumption and illicit drug abuse among adolescents in schools using the data of the 2016 Sri Lanka global school student health survey. method. A cross-sectional survey was conducted among 3650 students in public schools with a self-administered questionnaire. The weighted prevalence was calculated and logistic regression analysis was performedd to determine the correlates. Results. The prevalence of current alcohol, smoking, smokeless tobacco consumption, and substance abuse, 30 days before the survey, was 3.4 (95 CI 2.6 - 4.3), 3.6 (95 CI 2.5-5.0), 2.3 (95 CI 1.5-3.7), and 2.7 (95 CI - 1.7-4.2 ). Male sex and involvement in physical fighting were independently associated with increased risk in all four substance categories assessed. Multivariate analysis using multiple logistic regression revealed that only the male sex and involvement in physical fighting were correlates for four substance categories assessed when confounding effects of other variables were accounted for. Being in the 16-17 age category, parents’ tobacco use and seeing actors consuming alcohol on TV increased the risk of alcohol consumption, smoking, and smokeless tobacco. Having ever attempted suicide was positively associated with increased risk for alcohol consumption, smoking, and illegal substance abuse. Conclusion. Alcohol use, smoking, smokeless tobacco use, and illegal substance abuse by students remain a concern in Sri Lanka and implementing life skills-based interventions at schools is recommended.

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