Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic
Objectives. The purpose of this study was to examine the association between behavioral problems and tobacco use among adolescent students in six countries of Central America and in the Dominican Republic. Methods. Data were drawn from a multinational collaborative study that included questionnaire...
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Pan American Health Organization
2002
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ftdoajarticles:oai:doaj.org/article:dc3a560e2ed243d887d5bf5f264547d7 2023-05-15T15:14:21+02:00 Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic Kenneth Vittetoe Marsha F. Lopez Jorge Delva Fernando Wagner James C. Anthony 2002-02-01T00:00:00Z https://doi.org/10.1590/s1020-49892002000200003 https://doaj.org/article/dc3a560e2ed243d887d5bf5f264547d7 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002000200003&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 doi:10.1590/s1020-49892002000200003 https://doaj.org/article/dc3a560e2ed243d887d5bf5f264547d7 Revista Panamericana de Salud Pública, Vol 11, Iss 2, Pp 76-82 (2002) Smoking social behavior disorders adolescents Central America Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2002 ftdoajarticles https://doi.org/10.1590/s1020-49892002000200003 2022-12-30T22:31:52Z Objectives. The purpose of this study was to examine the association between behavioral problems and tobacco use among adolescent students in six countries of Central America and in the Dominican Republic. Methods. Data were drawn from a multinational collaborative study that included questionnaire surveys of between 451 and 1 170 school-attending adolescents in each of the seven countries studied. Assessments were based on an adapted, Spanish-language version of the Drug Use Screening Inventory (DUSI). The conditional form of logistic regression was employed for analysis, matching students on type of school and area, with further statistical adjustments for sex, age, and selected risk factors. Results. Occurrence of tobacco use was observed to vary dramatically from country to country. Nonetheless, for the combined group of countries, the estimated odds of tobacco use in youths at the highest levels of behavioral problems was more than five times that for youths at the lowest levels, after controlling for sex, age, lack of participation in recreational activities, level of irritability, and levels of problems with school, family, and mental health. Country- specific analyses show that youths at the highest levels of behavioral problems have a consistently greater occurrence of tobacco use as compared to youths at the lowest levels of behavioral problems. Conclusions. These findings are concordant with prior studies on tobacco use among adolescents with behavioral problems. Although the magnitude of observed associations varied according to the country of residence, the strength of these associations and their significance by conventional standards were observed in nearly all the countries sampled. This is the first study in these seven countries on potentially causal relationships such as these. More research is needed to augment our knowledge regarding the observed cross-country differences and ultimately to develop, implement, and evaluate effective tobacco preventive intervention programs. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 11 2 76 82 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
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language |
English Spanish Portuguese |
topic |
Smoking social behavior disorders adolescents Central America Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Smoking social behavior disorders adolescents Central America Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Kenneth Vittetoe Marsha F. Lopez Jorge Delva Fernando Wagner James C. Anthony Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic |
topic_facet |
Smoking social behavior disorders adolescents Central America Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. The purpose of this study was to examine the association between behavioral problems and tobacco use among adolescent students in six countries of Central America and in the Dominican Republic. Methods. Data were drawn from a multinational collaborative study that included questionnaire surveys of between 451 and 1 170 school-attending adolescents in each of the seven countries studied. Assessments were based on an adapted, Spanish-language version of the Drug Use Screening Inventory (DUSI). The conditional form of logistic regression was employed for analysis, matching students on type of school and area, with further statistical adjustments for sex, age, and selected risk factors. Results. Occurrence of tobacco use was observed to vary dramatically from country to country. Nonetheless, for the combined group of countries, the estimated odds of tobacco use in youths at the highest levels of behavioral problems was more than five times that for youths at the lowest levels, after controlling for sex, age, lack of participation in recreational activities, level of irritability, and levels of problems with school, family, and mental health. Country- specific analyses show that youths at the highest levels of behavioral problems have a consistently greater occurrence of tobacco use as compared to youths at the lowest levels of behavioral problems. Conclusions. These findings are concordant with prior studies on tobacco use among adolescents with behavioral problems. Although the magnitude of observed associations varied according to the country of residence, the strength of these associations and their significance by conventional standards were observed in nearly all the countries sampled. This is the first study in these seven countries on potentially causal relationships such as these. More research is needed to augment our knowledge regarding the observed cross-country differences and ultimately to develop, implement, and evaluate effective tobacco preventive intervention programs. |
format |
Article in Journal/Newspaper |
author |
Kenneth Vittetoe Marsha F. Lopez Jorge Delva Fernando Wagner James C. Anthony |
author_facet |
Kenneth Vittetoe Marsha F. Lopez Jorge Delva Fernando Wagner James C. Anthony |
author_sort |
Kenneth Vittetoe |
title |
Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic |
title_short |
Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic |
title_full |
Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic |
title_fullStr |
Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic |
title_full_unstemmed |
Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic |
title_sort |
behavioral problems and tobacco use among adolescents in central america and the dominican republic |
publisher |
Pan American Health Organization |
publishDate |
2002 |
url |
https://doi.org/10.1590/s1020-49892002000200003 https://doaj.org/article/dc3a560e2ed243d887d5bf5f264547d7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 11, Iss 2, Pp 76-82 (2002) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002000200003&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 doi:10.1590/s1020-49892002000200003 https://doaj.org/article/dc3a560e2ed243d887d5bf5f264547d7 |
op_doi |
https://doi.org/10.1590/s1020-49892002000200003 |
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Revista Panamericana de Salud Pública |
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11 |
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76 |
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