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Characteristics of High-Risk Behaviours Related to Alcohol and Illicit Drug Use and their Associated Factors among Adolescents in Middle and High School
Abstract
Background: Use of narcotics, psychotropic and addictive substances (NPA) in adolescents has become one of the major social problems we are facing in society and it gives a negative impact. This study was done to determine the characteristics and factors that influence high-risk behaviour of NPA use in adolescents in middle and high school, also introducing CRAFFT questionnaire as an early screening tool for alcohol an illicit drugs use.
Methods: Quantitative study (validated questionnaire) was conducted among 514 subjects aged 12-18 years old. CRAFFT questionnaire was used to detect a high-risk behavior of alcohol and illicit drugs use and self-reported questionnaire used to determine the risk factors of NPA.
Result: Most participants (19,6%) were involved in high-risk behaviour of alcohol and illicit drugs, with the majority was males (12,4%). This study showed smoking behaviour (23,8%), drinking alcohol (15,8%) and illicit drugs use (13,6%). The type of drugs being used were cannabis (52,7%), tramadol (15,2%), dextromethorphan (10,7%) and methamphetamine (6,3%). CRAFFT questionnaire has a good internal consistency with Cronbach’s α 0,73. Education level, authoritarian parenting style, unharmonious parents, peer pressure or threat, and extracurricular activities were factors that influenced high-risk behavior of alcohol and illicit drug use
Conclusions: Early detection, comprehensive treatment, and intervention of risk factors of NPA use are needed. CRAFFT can be use as one of the screening tools for detection of alcohol and illicit drugs use in adolescents.
Keywords
DOI: http://dx.doi.org/10.19166/med.v13i3.8883
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1. Badan Narkotik Nasional Republik Indonesia. Hasil penelitian BNN tahun 2011. Jakarta: Pusat Penelitian Data dan Informasi Badan Narkotika Nasional; 2011.
2. Prasodjo RS. Indonesia global school-based student health survey. Jakarta: World Health Organization; 2007 h.14–5.
3. Chen K, Sheth AJ, Elliot DK, Yeager A. Prevalence and correlates of past year substance use, abuse, and dependents in a suburban community sample of high school students. Addict Behav. 2004;29(2):413–423. https://doi.org/10.1016/j.addbeh.2003.08.013
4. Badan Pusat Statistik and Macro International. Indonesia young adult health reproductive survey 2007. Maryland: BPS and Macro International; 2008: 53–84.
5. World Health Organization. European strategy for child and adolescent health and development. Geneva: World Health Organization; 2005.
6. Levy S, Sherritt L, Gabrielli J, Shrier LA, Knight JR. Screening adolescents for substance use related high risk sexual behaviors. J Adolesc Heal. 2009;45(5):1–9. https://doi.org/10.1016%2Fj.jadohealth.2009.03.028
7. Knight JR, Shrier LA, Bravender TD, Farrell M, Vander Bilt J, Shaffer HJ. A new brief screen for adolescent substance abuse. Arch Pediatr Adolesc Med. 1999;153(6):591–596. https://doi.org/10.1001/archpedi.153.6.591
8. Knight JR, Sherritt L, Shrier L , Harris SK, Chang G. Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Arch Pediatr Adolesc Med. 2002;156(6):607–614. https://doi.org/10.1001/archpedi.156.6.607
9. Jull A. The CRAFFT test was accurate for screening for substance abuse among adolescent clinic patients. Evid Based Nurs. 2003;6(1):23. https://doi.org/10.1136/ebn.6.1.23
10. Knight JR, Sherritt L, Harris SK, Gates EC, Chang G. Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcohol Clin Exp Res. 2003;27(1):67–73. https://doi.org/10.1097/01.alc.0000046598.59317.3a
11. Knight J, Harris S, Sherritt L, Van Hook S, Lawrence N, Brooks T, dkk. Adolescents’ preference for substance abuse screening in primary care practice. Subst Abus. 2007;28(4):107–117. https://doi.org/10.1300/j465v28n04_03
12. Subramaniam M, Cheok C, Verma S, Wong J, Chong SA. Validity of a brief screening instrument- CRAFFT in a multiethnic Asian population. Addict Behav. 2010;35(12):1102–1104. https://doi.org/10.1016/j.addbeh.2010.08.004
13. Hidayningsih PS, Tjandrarini DH, Mubasyiroh R, Supanni. Faktor-faktor yang berhubungan dengan perilaku berisiko remaja di kota Makasar tahun 2009. Bul Penelit Kesehat. 2011;39(2):88–98. https://dx.doi.org/10.22435/bpk.v39i2%20Jun.72.88-98
14. Ruangkanchanasetr S, Plitponkarnpim A, Hetrakul P, Kongsakon R. Youth risk behavior survey: Bangkok, Thailand. J Adolesc Health. 2005;36(3):227–35. https://doi.org/10.1016/j.jadohealth.2004.01.013
15. Siddiqui S, Niaz U, Hassan S, Husain H, Ahmed S, Akhter R. A survey of physchosocial correlates of drug abuse in young adults aged 16-21 in Karachi: identyfing “high risk” population target intervention strategies. Pak J Med Sci. 2005; 21(3):271-277. https://pjms.com.pk/issues/julsep05/pdf/drug_abuse.pdf
16. Kramomtong P. Thailand global school-based student health survey. Nonthaburi: World Health Organization; 2008:1–2.
17. Ahmad NA. Malaysia global school-based student health survey. Kuala Lumpur: World Health Organization; 2012:32–5.
18. Tun A. Myanmar global global school-based student health survey. Yangon: World Health Organization; 2007:1–2.
19. Tepirou C. Cambodia global school-based student health survey. Phnom Penh: World Health Organization; 2013:17–9.
20. Segarra AB. Philippines global school-based student health survey. Manila: World Health Organization; 2011:3–4.
21. Tian B. China (Beijing) global school-based student health survey. Beijing: World Health Organization; 2003:1–2.
22. Agarwal M, Nischal A, Agrawal A, Verma J. Substance abuse in children and adolescents in India. J Indian Assoc Child Adolesc Ment Heal. 2013;9(3):62–79. http://dx.doi.org/10.1177/0973134220130302
23. Ogwell A. Kenya global school-based student health survey. Nairobi; 2003:14–5.
24. Twa J. Uganda global school-based student health survey. Kampala: World Health Organization; 2003:1–2.
25. Sithole EG. Zimbabwe global school-based student health survey. Harare: World Health Organization; 2003:1–32.
26. Linetzky B. Argentina global school-based student health survey. Buenos Aires: World Health Organization; 2007:1–2.
27. Baca ME. Peru global school-based student health survey. Lima: World Health Organization; 2010:4–5.
28. Grumbaum S. Uruguay global school-based student health survey. Montevideo: World Health Organization; 2012:3–4.
29. Hibell B, Guttormsson U, Ahlström S, Balakireva O, Bjarnason, Thoroddur Kokkevi A, dkk. The 2011 ESPAD report: substance use among students in 36 European countries. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs (CAN); 2011.
30. The NHS Information Centre Lifestyles Statistics. Statistics on drug misuse : England 2011. London: The Health and Social Care Information Centre; 2011:5–6.
31. Centers for Disease Control and Prevention. Trends in the prevalence of tobacco , alcohol, and illegal drug use on school property national YRBS : 1991–2011. Atlanta; 2011.
32. Epps RP, Manley MW, Glynn TJ. Tobacco use among adolescents : strategies for prevention. Pediatr Clin North Am. 1995;42:389–402. https://doi.org/10.1016/S0031-3955(16)38953-2
33. Merril JC, Kleber HD, Shwartz M, Liu H, Lewis SR. Cigarettes, alcohol, marijuana, other risk behaviors, and American youth. Drug Alcohol Depend. 1999;56(3):205–212. https://doi.org/10.1016/s0376-8716(99)00034-4
34. Republik Indonesia. Peraturan Pemerintah Republik Indonesia No. 109 Tahun 2012 tentang Pengamanan Bahan yang Mengandung Zat Adiktif berupa Produk Tembakau Bagi Kesehatan. Jakarta: Biro Peraturan Perundang-undangan Sekretariat Kabinet Republik Indonesia; 2012.
35. Centers for Disease Control and Prevention. Trends in the prevalence of tobacco, alcohol, and illegal drug use on school property national YRBS : 1991-2011. Atlanta; 2011.
36. Luna JM. Maldives global school-based student health survey. Male: World Health Organization; 2009:33–4.
37. Republik Indonesia. Peraturan Menteri Perdagangan Republik Indonesia No. 43/M-DAG/PER/9/2009 Tahun 2009 tentang Pengadaan, Peredaran, Penjualan, Pengawasan, dan Pengendalian Minuman Beralkohol. Jakarta: Kementrian Perdagangan Republik Indonesia; 2009.
38. Pengpid S, Peltzer K. Prevalence and psychosocial correlates of illicit drug use among school-going adolescents in Thailand. J Soc Sci. 2013;34(3):269–275. http://dx.doi.org/10.1080/09718923.2013.11893138
39. Bryan AD, Schmiege SJ, Magnan RE. Marijuana use and risky sexual behavior among high-risk adolescents: trajectories, risk factors, and event-level relationships. Dev Psychol. 2012;48(5):1429–1442. https://doi.org/10.1037/a0027547
40. Gorzalka BB, Hill MN, Chang SC. Male–female differences in the effects of cannabinoids on sexual behavior and gonadal hormone function. Horm Behav. 2010;58(1):91–99. https://doi.org/10.1016/j.yhbeh.2009.08.009
41. Wongtongkam N, Ward PR, Day A, Winefield AH. The influence of protective and risk factors in individual, peer and school domains on Thai adolescents’ alcohol and illicit drug use: a survey. Addict Behav. 2014;39(1):1447–51. https://doi.org/10.1016/j.addbeh.2014.05.026
42. Nazarzadeh M, Bidel Z, Carson K V. The association between tramadol hydrochloride misuse and other substances use in an adolescent population: phase I of a prospective survey. Addict Behav 2014;39(1):333–7. https://doi.org/10.1016/j.addbeh.2013.09.013
43. Zabihi E, Hoseinzaadeh A, Emami M, Mardani M, Mahmoud B, Akbar MA. Potential for tramadol abuse by patients visiting pharmacies in northern Iran. Subst Abuse. 2011;5:11–5. http://dx.doi.org/10.4137/SART.S6174
44. Bryner JK, Wang UK, Hui JW, Bedodo M, Macdougall C, Anderson IB. Dextromethorphan abuse in adolescence. Arch Pediatr Adolesc Med. 2008;160(12):1217–1222. https://doi.org/10.1001/archpedi.160.12.1217
45. Badan Pengawas Obat dan Makanan Republik Indonesia (Badan POM RI). Keputusan Kepala Badan Pengawas Obat dan Makanan Republik Indonesia No HK.04.1.35.07.13.3855 tahun 2013 tentang Perubahan Atas Keputusan Kepala Badan Pengawas Obat yang Mengandung Dekstrometorfan Sediaan Tunggal. Jakarta: Badan Pengawas Obat dan Makanan Republik Indonesia; 2013.
46. Embry D, Hankins M, Biglan A, Boles S. Behavioral and social correlates of methamphetamine use in a population-based sample of early and later adolescents. Addict Behav. 2009;34(4):343–351. https://doi.org/10.1016/j.addbeh.2008.11.019
47. Springer AE, Peters RJ, Shegog R, White DL, Kelder SH. Methamphetamine use and sexual risk behaviors in U.S. high school students: findings from a national risk behavior survey. Prev Sci. 2007;8(2):103–113. https://doi.org/10.1007/s11121-007-0065-6
48. The National Center on Addiction and Substance Abuse at Columbia University. Adolescent substance use: america’s #1 public health problem. New York: CASA Columbia; 2011.
49. Ljubotina D, Galić J, Jukić V. Prevalence and risk factors of substance use among urban adolescents: Questionnaire study. Croat Med J. 2004;45:88–98.
50. Swadi H. Individual risk factors for adolescent substance use. Drug Alcohol Depend. 19991;55:209-24. https://doi.org/10.1016/s0376-8716(99)00017-4
51. Zimić JI, Jukić V. Familial risk factors favoring drug addiction onset. J Psychoactive Drugs. 2012;44:173–85. https://doi.org/10.1080/02791072.2012.685408
52. Kakleas K, Kandyla B, Karayianni C, Karavanaki K. Psychosocial problems in adolescents with type 1 diabetes mellitus. Diabetes Metab. 2009;35(5):339–350. https://doi.org/10.1016/j.diabet.2009.05.002
53. Malatestinić D, Mićović V, Kendel G, Baricev-Novaković Z. Assessment of psychological and social factors in adolescents risk behavior: questionnaire study. Croat Med J. 2005;46:81–7.
54. Sookung P, Kim HS, Kim H, Sung K. Exploration of the prevalence and correlates of substance use among sheltered adolsecents in South Korea. Adolescence. 2007; 42:603–16. PMID: 18047242
55. Eccles JS, Barber BL. Student council, volunteering, basketball, or marching band: what kind of extracurricular involvement matters? J Adolesc Res. 1999; 14:10–43. https://doi.org/10.1177/0743558499141003
56. Fredricks JA., Eccles JS. Participation in extracurricular activities in the middle school years: are there developmental benefits for African American and European American youth? J Youth Adolesc. 2008;37:1029–43. http://dx.doi.org/10.1007/s10964-008-9309-4
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