Cannabis Use among Secondary School Students in Jamaica: Factors Associated with Age of Initiation

IF 0.2 4区医学 Q4 MEDICINE, GENERAL & INTERNAL

West Indian Medical Journal Pub Date : 2017-10-26 DOI:10.7727/WIMJ.2017.214

T. Bernard, W. Abel, P. Whitehorne-Smith, Gabrielle Mitchell, E. Thompson, K. Lalwani, C. Sewell, D. Oshi

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引用次数: 5

Abstract

The aim of this study was to determine whether perception of risk and accessibility of cannabis predicted the age of initiation of cannabis use among Jamaican secondary school students. Data from a nationally representative sample were analysed. Descriptive statistical analysis was done while binary logistic regression was used to compute point estimates and confidence intervals (CIs). The median age of initiation was 13 years. Gender was a predictor of age of initiation, with females having 39% less risk of initiating cannabis use at the age of 13 years or younger before adjusting for covariates (crude odds ratio [COR]: 0.61; 95% CI: 0.48, 0.77), which increased to 42% reduced risk of initiating cannabis use at the age of 13 years or younger after adjusting for covariates (adjusted OR [AOR]: 0.58; 95% CI: 0.39, 0.85). There was a significant inverse association between grade level in school and age of initiation of cannabis use, with 11th grade students having a significantly reduced risk of commencing cannabis use at the age of 13 years or younger (COR: 0.41; 95% CI: 0.23, 0.70; AOR: 0.41; 95% CI: 0.23, 0.72). Participants who perceived cannabis use as moderately harmful were 67% less likely to initiate cannabis use at the age of 13 years or younger compared to participants who thought it was not harmful (AOR: 0.33; 95% CI: 0.12, 0.88). Perceptions of access to cannabis did not predict age of initiation of cannabis use. Being female, being in the 11th grade and the perception that cannabis use was moderately harmful significantly reduced the risk of initiating cannabis use at the age of 13 years or younger.

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牙买加中学生吸食大麻:与开始吸食年龄相关的因素

本研究的目的是确定大麻的风险感知和可及性是否预测牙买加中学生开始使用大麻的年龄。分析了来自全国代表性样本的数据。描述性统计分析和二元逻辑回归计算点估计和置信区间(ci)。起始年龄中位数为13岁。性别是开始使用年龄的预测因子，在调整协变量之前，女性在13岁或13岁以下开始使用大麻的风险降低39%(粗优势比[COR]: 0.61;95% CI: 0.48, 0.77)，调整协变量后，13岁或13岁以下开始使用大麻的风险降低42%(调整or [AOR]: 0.58;95% ci: 0.39, 0.85)。学校年级水平与开始使用大麻的年龄之间存在显著的负相关，11年级学生在13岁或更小的年龄开始使用大麻的风险显著降低(COR: 0.41;95% ci: 0.23, 0.70;优势:0.41;95% ci: 0.23, 0.72)。与认为大麻无害的参与者相比，认为大麻使用中度有害的参与者在13岁或13岁以下开始使用大麻的可能性要低67% (AOR: 0.33;95% ci: 0.12, 0.88)。对获得大麻的看法并不能预测开始使用大麻的年龄。女性、11年级学生以及认为使用大麻有害程度中等的认识大大降低了在13岁或更小的年龄开始使用大麻的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

West Indian Medical Journal 医学-医学：内科

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal is international in scope, with author and editorial contributions from across the globe. The focus is on clinical and epidemiological aspects of tropical and infectious diseases, new and re-emerging infections, chronic non-communicable diseases, and medical conditions prevalent in the Latin America-Caribbean region, and of significance to global health, especially in developing countries. The Journal covers all medical disciplines, as well as basic and translational research elucidating the pathophysiologic basis of diseases or focussing on new therapeutic approaches, and publishes original scientific research, reviews, case reports, brief communications, letters, commentaries and medical images. The Journal publishes four to six issues and four supplements annually. English is the language of publication but Abstracts are also duplicated in Spanish. Most of the articles are submitted at the authors’ initiative, but some are solicited by the Editor-in-Chief. Unless expressly stated, the Editorial Board does not accept responsibility for authors’ opinions. All papers on submission are reviewed by a subcommittee. Those deemed worthy for review are sent to two or three reviewers (one of the three might be a statistician if necessary). The returned papers with reviewer comments are reviewed by the Editor-in-Chief. Papers may be rejected, accepted or sent back to authors for revision. Resubmitted papers from authors are reviewed by the Editor-in-Chief and may be sent back to reviewers or a final decision made by Editor-in-Chief. The decision of the Editorial Board is final with regards to rejected articles. Rejected articles will not be returned to the authors. The editorial subcommittee has the right to return sub-standard manuscripts to the authors, rather than passing them on to the reviewers. This implies outright rejection of the manuscript.