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Prospective Analysis of Prevalence, Trajectories of Change, and Correlates of Cannabis Misuse in Older Adolescents from Coastal Touristic Regions in Croatia

Author

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  • Lejla Obradovic Salcin

    (Clinic for Physical Medicine and Rehabilitation, University Hospital Mostar, Mostar 88000, Bosnia and Herzegovina
    Faculty of Health Sciences, University of Mostar, Mostar 88000, Bosnia and Herzegovina)

  • Vesna Miljanovic Damjanovic

    (Clinic for Physical Medicine and Rehabilitation, University Hospital Mostar, Mostar 88000, Bosnia and Herzegovina
    Faculty of Health Sciences, University of Mostar, Mostar 88000, Bosnia and Herzegovina)

  • Anamarija Jurcev Savicevic

    (Teaching Institute of Public Health of Split Dalmatian County, Split 21000, Croatia)

  • Divo Ban

    (Faculty of Kinesiology, University of Split, Split 21000, Croatia
    University of Dubrovnik, Dubrovnik 22000, Croatia)

  • Natasa Zenic

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

Abstract

The prevalence of illicit drug misuse, including cannabis, in Croatian touristic regions is alarming. This study aimed to identify the prevalence of cannabis consumption (CC), to identify associations between sociodemographic and sport factors and CC, and to evaluate the predictors of CC initiation in adolescents residing in touristic regions. This study enrolled 644 adolescents from two touristic regions in Croatia (Split-Dalmatia and Dubrovnik-Neretva County) who were tested at baseline (16 years of age) and follow-up (18 years of age). The study instrument consisted of questions focused on predictors (age, gender (male, female), place of residence (urban or rural environment), familial social status, and different sport-related factors) and CC outcome. The results indicated a high prevalence of cannabis consumption (>30% of adolescents consumed cannabis), with a higher prevalence in males, and adolescents from rural communities. The prevalence of CC increased by 10% during the study period, with no significant differences between genders in trajectories of changes. Quitting sports was a risk factor for CC at baseline and follow-up. Better sport competitive results (odds ratio (OR): 0.80, 95% confidence interval (CI): 0.65–0.96) and familial social status (socioeconomic status: OR: 0.66, 95% CI: 0.39–0.91; maternal education: OR: 0.65, 95% CI: 0.48–0.88) were associated with lower likelihood of CC at baseline. The adolescents who reported better sport competitive results were at increased risk for initiation of CC during the course of the study (OR: 1.40, 95% CI: 1.03–2.01). The protective effects of sports at baseline were most likely related to various factors that prevent the consumption of substances in youth athletes (i.e., commitment to results, adult supervision); with the end of active participation, adolescent athletes are at high risk for CC initiation.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2924-:d:257737
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    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. Natasa Zenic & Admir Terzic & Ljerka Ostojic & Nedim Sisic & Jose M. Saavedra & Hafrún Kristjánsdóttir & Margrét L. Guðmundsdóttir & Damir Sekulic, 2019. "Educational and sport factors as predictors of harmful alcohol drinking in adolescence: a prospective study in Bosnia and Herzegovina," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(2), pages 185-194, March.
    5. 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.
    6. 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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