Predictors of hazardous drinking, tobacco smoking and physical inactivity in vocational school students

BMC Public Health

Christian Meyer¹  Ulrich John¹  Corina Salis Gross²  Michael P Schaub²  Severin Haug¹ 

[1] University of Greifswald, Institute of Epidemiology and Social Medicine, Walther-Rathenau-Str. 48, 17487, Greifswald, Germany;Swiss Research Institute for Public Health and Addiction at Zurich University, Konradstrasse 32, 8031, Zurich, Switzerland

关键词: Students;    Young adults;    Adolescents;    Health risk factors;    Health behaviour;   

Others  :  1162206
DOI  :  10.1186/1471-2458-13-475

 received in 2013-01-14, accepted in 2013-05-09,  发布年份 2013

【 摘 要 】

Background

Tobacco smoking, hazardous drinking and physical inactivity during adolescence are risk factors that are associated with poorer health in adulthood. The identification of subgroups of young people with a high prevalence of one or more of these risk factors allows an optimised allocation of preventive measures. This study aimed at investigating hazardous drinking, tobacco smoking and physical inactivity as well as their associations and demographic predictors in vocational school students.

Methods

Out of 57 contacted vocational schools in Switzerland, a total of 24 schools participated in a survey assessing gender, age, immigrant background, educational attainment and vocational field as well as the above mentioned health risk factors. Out of the 2659 students present in 177 included vocational school classes, 2647 (99.5%) completed the survey. Binary logistic regression analyses were conducted to investigate the demographic predictors of each health risk factor and a multinomial logistic regression analysis was conducted to investigate predictors of different risk factor combinations.

Results

Of the surveyed students, 79.4% showed at least one risk factor, 43.6% showed two or more and 9.6% showed all three health risk factors. Hazardous drinking was more prevalent in male, physical inactivity was more prevalent in female vocational school students. The proportion of students with low physical activity and tobacco smoking increased with increasing age. While the combination of hazardous drinking and tobacco smoking was higher in males, the other risk factor combinations were observed particularly among females.

Conclusions

Multiple risk factors were ascertained in a significant proportion of vocational school students. Specifically, tobacco smoking and hazardous drinking were coexistent. The study underlines the need for preventive measures in specific subpopulations of adolescents and young adults with lower educational level.

【 授权许可】

   
2013 Haug et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M: A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012, 380(9859):2224-2260.
• [2]Behrendt S, Wittchen HU, Hofler M, Lieb R, Beesdo K: Transitions from first substance use to substance use disorders in adolescence: is early onset associated with a rapid escalation? Drug Alcohol Depend 2009, 99(1–3):68-78.
• [3]Rangul V, Bauman A, Holmen TL, Midthjell K: Is physical activity maintenance from adolescence to young adulthood associated with reduced CVD risk factors, improved mental health and satisfaction with life: the HUNT Study, Norway. Int J Behav Nutr Phys Act 2012, 9:144. BioMed Central Full Text
• [4]Patrick K, Norman GJ, Calfas KJ, Sallis JF, Zabinski MF, Rupp J, Cella J: Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. Arch Pediatr Adolesc Med 2004, 158(4):385-390.
• [5]Currie C, Nic Gabhainn S, Godeau E: The Health Behaviour in School-aged Children: WHO Collaborative Cross-National (HBSC) study: origins, concept, history and development 1982–2008. Int J Public Health 2009, 54(Suppl 2):131-139.
• [6]Hibell B, Guttormsson U, Ahlström S, Balakireva O, Bjarnason T, Kokkevi A, Kraus L: The 2011 ESPAD report. Substance use among students in 36 European countries. Stockholm, Sweden: The Swedish Council for Information on Alcohol and other Drugs (CAN); 2012.
• [7]Wicki M, Kuntsche E, Gmel G: Drinking at European universities? A review of students’ alcohol use. Addict Behav 2010, 35(11):913-924.
• [8]Steptoe A, Wardle J, Cui W, Bellisle F, Zotti AM, Baranyai R, Sanderman R: Trends in smoking, diet, physical exercise, and attitudes toward health in European university students from 13 countries, 1990–2000. Prev Med 2002, 35(2):97-104.
• [9]Bundesamt für Statistik: [School attendance between the ages of 16 and 26 years in Switzerland 2010/11]. Neuchâtel: Bundesamt für Statistik; 2012. http://www.bfs.admin.ch/bfs/portal/de/index/themen/15/04/00/blank/uebersicht.html webcite
• [10]Hanke M, Ulbricht S, Freyer-Adam J, John U, Meyer C, Haug S: [Tobacco Smoking and Alcohol Consumption among Apprentices at Vocational Schools in West Pomerania, Germany]. Gesundheitswesen 2013, 75(4):216-224.
• [11]Larson NI, Story M, Perry CL, Neumark-Sztainer D, Hannan PJ: Are diet and physical activity patterns related to cigarette smoking in adolescents? Findings from Project EAT. Prev Chronic Dis 2007, 4(3):A51.
• [12]Iannotti RJ, Janssen I, Haug E, Kololo H, Annaheim B, Borraccino A: Interrelationships of adolescent physical activity, screen-based sedentary behaviour, and social and psychological health. Int J Public Health 2009, 54(Suppl 2):191-198.
• [13]Farhat T, Iannotti RJ, Simons-Morton BG: Overweight, obesity, youth, and health-risk behaviors. Am J Prev Med 2010, 38(3):258-267.
• [14]Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR: AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res 2007, 31(7):1208-1217.
• [15]Swiss Service Centre for Occupational Training: Professions and training: vocational fields. 2012. http://www.berufsberatung.ch/dyn/1203.aspx webcite
• [16]Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M: Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption part II. Addiction 1993, 88:617-629.
• [17]Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA: The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory care quality improvement project (ACQUIP). Alcohol use disorders identification test. Arch Intern Med 1998, 158(16):1789-1795.
• [18]Suppli CH, Due P, Henriksen PW, Rayce SL, Holstein BE, Rasmussen M: Low vigorous physical activity at ages 15, 19 and 27: childhood socio-economic position modifies the tracking pattern. Eur J Public Health 2013, 23(1):19-24.
• [19]World Health Organization: Global recommendations on physical activity for health. Geneva: World Health Organization; 2010.
• [20]Gmel G, Kuntsche E, Wicki M, Labhart F: [The European School Survey Project on Alcohol and Other Drugs (ESPAD) in Switzerland: Main results comparing 2003 and 2007]. Lausanne: Schweizerische Fachstelle für Alkohol- und andere Drogenprobleme (SFA); 2009.
• [21]Castellsague X, Munoz N, De Stefani E, Victora CG, Castelletto R, Rolon PA, Quintana MJ: Independent and joint effects of tobacco smoking and alcohol drinking on the risk of esophageal cancer in men and women. Int J Cancer 1999, 82(5):657-664.
• [22]Blot WJ, McLaughlin JK, Winn DM, Austin DF, Greenberg RS, Preston-Martin S, Bernstein L, Schoenberg JB, Stemhagen A, Fraumeni JF Jr: Smoking and drinking in relation to oral and pharyngeal cancer. Cancer Res 1988, 48(11):3282-3287.
• [23]Sakata K, Hoshiyama Y, Morioka S, Hashimoto T, Takeshita T, Tamakoshi A: Smoking, alcohol drinking and esophageal cancer: findings from the JACC Study. J Epidemiol 2005, 15(Suppl 2):S212-S219.
• [24]Ames SC, Werch CE, Ames GE, Lange LJ, Schroeder DR, Hanson AC, Patten CA: Integrated smoking cessation and binge drinking intervention for young adults: a pilot investigation. Ann Behav Med 2010, 40(3):343-349.
• [25]Cunningham JA, Selby P, van Mierlo T: Integrated online services for smokers and drinkers? Use of the check your drinking assessment screener by participants of the Stop Smoking Center. Nicotine Tob Res 2006, 8(Suppl 1):S21-S25.
• [26]Salis Gross C, Soom Ammann E, El Fehri V: [The importance of social networks in smoking cessation]. Sucht Magazin 2012, 38(3&4):26-29.
• [27]Bundesamt für Sport BASPO: [Sports in Switzerland 2008: Report for children and adolescents]. Magglingen: Bundesamt für Sport; 2008.
• [28]Noar SM, Chabot M, Zimmerman RS: Applying health behavior theory to multiple behavior change: considerations and approaches. Prev Med 2008, 46(3):275-280.
• [29]Haug S, Meyer C, Dymalski A, Lippke S, John U: Efficacy of a text messaging (SMS) based smoking cessation intervention for adolescents and young adults: study protocol of a cluster randomised controlled trial. BMC Public Health 2012, 12(1):51. BioMed Central Full Text
• [30]Haug S, Bitter G, Hanke M, Ulbricht S, Meyer C, John U: [Brief Text Messaging (SMS)-Delivered Smoking Cessation Intervention for Apprentices in Vocational Schools: A Longitudinal Intervention Study for Process and Outcome Evaluation.]. Gesundheitswesen; 2013.
• [31]Gmel G, Venzin V, Marmet K, Danko G, Labhart F: A quasi-randomized group trial of a brief alcohol intervention on risky single occasion drinking among secondary school students. Int J Public Health 2012, 57(6):935-944.
• [32]Haug S, Venzin V, Meyer C: [Text messaging-based support of smoking cessation in vocational schools]. Sucht Magazin 2012, 38(3/4):38-42.
• [33]Petty RE, Cacioppo JT: The elaboration likelihood model of persuasion. In Advances in Experimental and Social Psychology. Volume 19. Edited by Berkowitz L. New York: Academic Press; 1986:123-205.
• [34]Cacioppo JT, Petty RE, Feinstein JA, Jarvis WBG: Dispositional differences in cognitive motivation: the life and time of individuals varying in need for cognition. Psychol Bull 1996, 119(2):197-253.
• [35]Carnaghi A, Cadinu M, Castelli L, Kiesner J, Bragantini C: The best way to tell you to use a condom: the interplay between message format and individuals’ level of need for cognition. AIDS Care 2007, 19(3):432-440.
• [36]Haug S, Meyer C, Ulbricht S, Gross B, Rumpf HJ, John U: Need for cognition as a predictor and a moderator of outcome in a tailored letters smoking cessation intervention. Health Psychol 2010, 29(4):367-373.
• [37]Vidrine JI, Simmons VN, Brandon TH: Construction of smoking-relevant risk perceptions among college students: the influence of need for cognition and message content. J Appl Soc Psychol 2007, 37(1):91-114.