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An Examination of the Ethnicity-Specific Prevalence of and Factors Associated with Substance Use and Misuse: Cross-Sectional Analysis of Croatian and Bosniak Adolescents in Bosnia and Herzegovina

Author

Listed:
  • Dusko Bjelica

    (Faculty for Sport and Physical Education, University of Podgorica, Niksic 81400, Montenegro)

  • Kemal Idrizovic

    (Faculty for Sport and Physical Education, University of Podgorica, Niksic 81400, Montenegro)

  • Stevo Popovic

    (Faculty for Sport and Physical Education, University of Podgorica, Niksic 81400, Montenegro)

  • Nedim Sisic

    (Faculty of Kinesiology, University of Split, Split 21000, Croatia
    University of Zenica, Zenica 72000, Bosnia and Herzegovina)

  • Damir Sekulic

    (Faculty of Kinesiology, University of Split, Split 21000, Croatia
    University Department of Health Care Studies, University of Split, Split 21000, Croatia)

  • Ljerka Ostojic

    (Faculty of Kinesiology, University of Split, Split 21000, Croatia
    Faculty of Medicine, University of Mostar, Mostar 88000, Bosnia and Herzegovina
    Academy of Medical Sciences, Sarajevo 71000, Bosnia and Herzegovina)

  • Miodrag Spasic

    (Faculty of Kinesiology, University of Split, Split 21000, Croatia)

  • Natasa Zenic

    (Faculty of Kinesiology, University of Split, Split 21000, Croatia)

Abstract

Substance use and misuse (SUM) in adolescence is a significant public health problem and the extent to which adolescents exhibit SUM behaviors differs across ethnicity. This study aimed to explore the ethnicity-specific and gender-specific associations among sports factors, familial factors, and personal satisfaction with physical appearance (i.e., covariates) and SUM in a sample of adolescents from Federation of Bosnia and Herzegovina. In this cross-sectional study the participants were 1742 adolescents (17–18 years of age) from Bosnia and Herzegovina who were in their last year of high school education (high school seniors). The sample comprised 772 Croatian (558 females) and 970 Bosniak (485 females) adolescents. Variables were collected using a previously developed and validated questionnaire that included questions on SUM (alcohol drinking, cigarette smoking, and consumption of other drugs), sport factors, parental education, socioeconomic status, and satisfaction with physical appearance and body weight. The consumption of cigarettes remains high (37% of adolescents smoke cigarettes), with a higher prevalence among Croatians. Harmful drinking is also alarming (evidenced in 28.4% of adolescents). The consumption of illicit drugs remains low with 5.7% of adolescents who consume drugs, with a higher prevalence among Bosniaks. A higher likelihood of engaging in SUM is found among children who quit sports (for smoking and drinking), boys who perceive themselves to be good looking (for smoking), and girls who are not satisfied with their body weight (for smoking). Higher maternal education is systematically found to be associated with greater SUM in Bosniak girls. Information on the associations presented herein could be discretely disseminated as a part of regular school administrative functions. The results warrant future prospective studies that more precisely identify the causality among certain variables.

Suggested Citation

  • Dusko Bjelica & Kemal Idrizovic & Stevo Popovic & Nedim Sisic & Damir Sekulic & Ljerka Ostojic & Miodrag Spasic & Natasa Zenic, 2016. "An Examination of the Ethnicity-Specific Prevalence of and Factors Associated with Substance Use and Misuse: Cross-Sectional Analysis of Croatian and Bosniak Adolescents in Bosnia and Herzegovina," IJERPH, MDPI, vol. 13(10), pages 1-15, September.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:10:p:968-:d:79519
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    References listed on IDEAS

    as
    1. Natasa Zenic & Admir Terzic & Jelena Rodek & Miodrag Spasic & Damir Sekulic, 2015. "Gender-Specific Analyses of the Prevalence and Factors Associated with Substance Use and Misuse among Bosniak Adolescents," IJERPH, MDPI, vol. 12(6), pages 1-15, June.
    2. Jennifer W. Kahende & Ann M. Malarcher & Anna Teplinskaya & Kat J. Asman, 2011. "Quit Attempt Correlates among Smokers by Race/Ethnicity," IJERPH, MDPI, vol. 8(10), pages 1-18, September.
    3. Mythily Subramaniam & Shazana Shahwan & Restria Fauziana & Pratika Satghare & Louisa Picco & Janhavi Ajit Vaingankar & Siow Ann Chong, 2015. "Perspectives on Smoking Initiation and Maintenance: A Qualitative Exploration among Singapore Youth," IJERPH, MDPI, vol. 12(8), pages 1-15, July.
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    Cited by:

    1. Sime Devcic & Damir Sekulic & Divo Ban & Zvonimir Kutlesa & Jelena Rodek & Dorica Sajber, 2018. "Evidencing Protective and Risk Factors for Harmful Alcohol Drinking in Adolescence: A Prospective Analysis of Sport-Participation and Scholastic-Achievement in Older Adolescents from Croatia," IJERPH, MDPI, vol. 15(5), pages 1-14, May.
    2. Lejla Obradovic Salcin & Vesna Miljanovic Damjanovic & Anamarija Jurcev Savicevic & Divo Ban & Natasa Zenic, 2019. "Prospective Analysis of Prevalence, Trajectories of Change, and Correlates of Cannabis Misuse in Older Adolescents from Coastal Touristic Regions in Croatia," IJERPH, MDPI, vol. 16(16), pages 1-14, August.
    3. Zoran Zubak & Natasa Zenic & Ljerka Ostojic & Ivana Zubak & Haris Pojskic, 2018. "A Prospective Study on the Influence of Scholastic Factors on the Prevalence and Initiation of Illicit Drug Misuse in Adolescence," IJERPH, MDPI, vol. 15(5), pages 1-12, April.
    4. Sime Devcic & Jakob Bednarik & Dora Maric & Sime Versic & Damir Sekulic & Zvonimir Kutlesa & Antonino Bianco & Jelena Rodek & Silvester Liposek, 2018. "Identification of Factors Associated with Potential Doping Behavior in Sports: A Cross-Sectional Analysis in High-Level Competitive Swimmers," IJERPH, MDPI, vol. 15(8), pages 1-16, August.
    5. Natasa Zenic & Djivo Ban & Sanja Jurisic & Mladen Cubela & Jelena Rodek & Ljerka Ostojic & Mario Jelicic & Antonino Bianco & Damir Sekulic, 2017. "Prospective Analysis of the Influence of Sport and Educational Factors on the Prevalence and Initiation of Smoking in Older Adolescents from Croatia," IJERPH, MDPI, vol. 14(4), pages 1-12, April.

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