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A Prospective Study on the Influence of Scholastic Factors on the Prevalence and Initiation of Illicit Drug Misuse in Adolescence

Author

Listed:
  • Zoran Zubak

    (Faculty of Medicine, University of Mostar, 88000 Mostar, Bosnia and Herzegovina
    Special Orthopedic Hospital Biograd n/m, 23210 Biograd, Croatia)

  • Natasa Zenic

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

  • Ljerka Ostojic

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

  • Ivana Zubak

    (Department for Ecology, Agronomy and Aquaculture, University of Zadar, 23000 Zadar, Croatia)

  • Haris Pojskic

    (Department for Health Sciences, Mid Sweden University, 83125 Östersund, Sweden
    Swedish Winter Sports Research Centre, Mid Sweden University, 83125 Östersund, Sweden)

Abstract

Background: This study aimed to prospectively investigate the scholastic factors related to illicit drug misuse (IDM) and the initiation of IDM among older adolescents from Bosnia and Herzegovina. Methods: This 2-year prospective study included 436 participants (202 females), who were an average of 16 years old at the beginning of the study (baseline). The participants were tested at baseline and follow-up (20 months later). The predictors included variables of scholastic-achievement (grade point average, school absences, unexcused absences and behavioral grade). The criteria were: (i) IDM at baseline; (ii) IDM at follow-up; and (iii) initiation of IDM over the study course. Results: Logistic regression indicated increased odds of IDM in adolescents who were more frequent absent from school (baseline: Odds Ratio (OR): 3.73, 95% Confidence Interval (CI): 2.12–6.57; follow-up: OR: 2.91, 95% CI: 1.90–4.65). The lower grade point average and more unexcused absences were evidenced for adolescents who consumed drugs on follow-up (OR: 1.67, 95% CI: 1.11–2.51; OR: 1.74, 95% CI: 1.30–2.32 for grade point average and unexcused absences, respectively). Initiation of IDM was predicted by frequent absences from school (OR: 2.2, 95% CI: 1.3–3.8), and lower behavioral grades (OR: 1.9, 95% CI: 1.2–3.3). Conclusions: The findings confirmed strong correlations between scholastic failure and IDM. Absences from school and lower behavioral grades at baseline were predictive of the initiation of IDM in older adolescents.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:5:p:874-:d:143660
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    References listed on IDEAS

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    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. 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.
    3. Enver Tahiraj & Mladen Cubela & Ljerka Ostojic & Jelena Rodek & Natasa Zenic & Damir Sekulic & Blaz Lesnik, 2016. "Prevalence and Factors Associated with Substance Use and Misuse among Kosovar Adolescents; Cross Sectional Study of Scholastic, Familial-, and Sports-Related Factors of Influence," IJERPH, MDPI, vol. 13(5), pages 1-13, May.
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    2. T. Wing Lo & Jerf W. K. Yeung & Cherry H. L. Tam, 2020. "Substance Abuse and Public Health: A Multilevel Perspective and Multiple Responses," IJERPH, MDPI, vol. 17(7), pages 1-7, April.
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