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. 2022 Nov 22;19(23):15457.
doi: 10.3390/ijerph192315457.

Trends in Adolescent Substance Use: Analysis of HBSC Data for Four Eastern European Countries, 1994-2018

Tomas Vaičiūnas  1 , Monika Žemaitaitytė  1 , Shannon Lange  2   3   4 , Mindaugas Štelemėkas  1 , Leila Oja  5 , Janina Petkevičienė  1 , Anna Kowalewska  6 , Iveta Pudule  7 , Jaanika Piksööt  5 , Kastytis Šmigelskas  1
Affiliations

Trends in Adolescent Substance Use: Analysis of HBSC Data for Four Eastern European Countries, 1994-2018

Tomas Vaičiūnas et al. Int J Environ Res Public Health. .

Abstract

The aim of the study was to analyze the trends of adolescent substance use in four eastern European countries over the time period from 1994 to 2018. The four countries in focus were selected based on their shared historical backgrounds and major economic and social transformations experienced.

Methods: Two decades (1993/1994-2017/2018) of repeated cross-sectional data from the Estonian, Latvian, Lithuanian, and Polish Health Behaviour in School-aged Children survey were used. Data comprised 42,169 school children 15 years of age (9th grade). The following categories of substance use were included: regular alcohol consumption and drunkenness, tobacco smoking, electronic cigarette smoking, and cannabis use. Trends in substance use over time were tested using Jonckheere's trend test.

Results: Prevalence of substance use among adolescents over time revealed that the Baltic states and Poland have faced relatively different temporal trends. In the Baltic states, there was a general increase during the period of 1994-2002, which was followed by a period of peaking or stability between 2002-2010, and then decreasing trends of these risky behaviors from 2010 onwards. In Poland, the same period had less consistent patterns, with decreasing trends starting much earlier on. The prevalence of cannabis use, which had been measured since 2006, had its own unique pattern with many fluctuations within and between countries.

Conclusions: The findings on the prevalence of substance use among adolescents from 1994 to 2018 revealed that the Baltic states and Poland have faced relatively different temporal trends. These countries might be facing new public health challenges in a near future, e.g., use of electronic cigarettes and cannabis use among adolescents.

Keywords: HBSC; adolescent; eastern Europe; substance use; trends.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Prevalence of regular cigarette smoking (at least once a week) among 15-year-old boys (a) and girls (b) in the Baltic states and Poland, 1994–2018.
Figure 2
Figure 2
Prevalence of regular alcohol consumption (consumption of any type of alcohol at least once a week) among 15-year-old boys (a) and girls (b) in the Baltic states and Poland, 1994–2018.
Figure 3
Figure 3
Prevalence of drunkenness (defined as having been drunk two or more times in their lifetime) among 15-year-old boys (a) and girls (b) in the Baltic states and Poland, 1994–2018.
Figure 4
Figure 4
Prevalence of cannabis use (at least once in the last 30 days) among 15-year-old boys (a) and girls (b) in the Baltic states and Poland, 2006–2018.
See this image and copyright information in PMC

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