Page 65 - Petelin, Ana, et al. Eds. 2019. Zdravje otrok in mladostnikov / Health of Children and Adolescents. Zbornik povzetkov z recenzijo / Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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ardous polysubstance use in adolescents from Slovenia psihosocialno zdravje v otroštvu in v mladosti | psychosocial health in childhood and youth
Helena Koprivnikar, Andreja Drev, Maja Roškar, Tina Zupanič,
Helena Jeriček Klanšček
National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia
Introduction: Polysubstance use in adolescence has many negative health out-
comes. In Slovenia, data on single substance use are numerous; however, we
lack data on polysubstance use. The aim of the study was to assess the prev-
alence and characteristics of regular/more hazardous polysubstance use of at
least two psychoactive substances (HPU) - alcohol, tobacco, cannabis - among
Slovene 15-year-old students. Methods: Nationally representative sample of
15-year-old students (n=1651) from the Slovenian arm of the cross-national
2014 HBSC study was used. We assessed the prevalence of HPU and used
logistic regression to explore factors associated with it. Results: 39.7% report-
ed frequent/more hazardous use of at least one substance, while 14.7% report-
ed HPU. HPU was associated with individual (frequent physical fighting), peer
(peer substance use, spending evening time with friends daily), school (low per-
ceived school performance), family (less frequent family meals) and life-style
factors (early sexual intercourse, irregular breakfast, daily energy drinks con-
sumption). Conclusions: The scope of the problem calls for immediate action.
We propose the development of common national strategy on prevention and
reduction of substance use and other risk behaviours to ensure continuous im-
plementation of effective health promotion and prevention programmes.
Keywords: tobacco, alcohol, cannabis, hazardous polysubstance use,
adolescents, Slovenia

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