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Individual and Environmental Factors Associated with Tobacco Smoking, Alcohol Abuse and Illegal Drug Consumption in University Students: A Mediating Analysis

Author

Listed:
  • Laura Delgado-Lobete

    (Health Integration and Promotion Research Unit (INTEGRA SAÚDE), Faculty of Health Sciences, University of A Coruña, 15006 A Coruña, Spain
    Both authors contributed equally to the study.)

  • Rebeca Montes-Montes

    (TALIONIS Research Group, Faculty of Health Sciences, University of A Coruña, 15008 A Coruña, Spain
    Both authors contributed equally to the study.)

  • Alba Vila-Paz

    (Health Integration and Promotion Research Unit (INTEGRA SAÚDE), Faculty of Health Sciences, University of A Coruña, 15006 A Coruña, Spain)

  • José-Manuel Cruz-Valiño

    (Health Integration and Promotion Research Unit (INTEGRA SAÚDE), Faculty of Health Sciences, University of A Coruña, 15006 A Coruña, Spain
    Institute for Oral Implantology and Rehabilitation of A Coruña (Instituto Coruñés de Implantología y Rehabilitación Oral-ICIRO), 15007 A Coruña, Spain)

  • Berta Gándara-Gafo

    (Health Integration and Promotion Research Unit (INTEGRA SAÚDE), Faculty of Health Sciences, University of A Coruña, 15006 A Coruña, Spain)

  • Miguel-Ángel Talavera-Valverde

    (Health Integration and Promotion Research Unit (INTEGRA SAÚDE), Faculty of Health Sciences, University of A Coruña, 15006 A Coruña, Spain)

  • Sergio Santos-del-Riego

    (Health Integration and Promotion Research Unit (INTEGRA SAÚDE), Faculty of Health Sciences, University of A Coruña, 15006 A Coruña, Spain
    UDC Saudable, Health Promotion Department of University of A Coruña, 15011 A Coruña, Spain)

Abstract

Substance abuse is a major and prevalent public health concern among university students. Tobacco smoking, risky alcohol behavior, and illegal drug consumption may lead to health problems and behavioral and academic issues. Several individual and environmental factors associate with substance abuse in this population, and the mediating effect of alcohol abuse in the relationship between tobacco smoking and drug consumption is yet to be explored. The purposes of this study were to evaluate the association of individual and environmental factors and substance use, and to analyze the relationship between tobacco smoking, alcohol abuse, and drug consumption, considering alcohol abuse as a possible mediator. A total of 550 Spanish undergraduate and postgraduate students completed several questionnaires regarding their smoking status, alcohol use, and drug consumption during the last six months. Bivariate and multivariate analyses were conducted to explore associations between factors. Direct, indirect and mediating effects were tested using a partial least squares approach (PLS-SEM). The results indicated that substance abuse is associated with being male, living with other students, and combined substance consumption. PLS-SEM showed a significant effect of tobacco smoking and alcohol abuse on drug consumption. Alcohol abuse plays a mediating role in the relationship between tobacco smoking and drug use.

Suggested Citation

  • Laura Delgado-Lobete & Rebeca Montes-Montes & Alba Vila-Paz & José-Manuel Cruz-Valiño & Berta Gándara-Gafo & Miguel-Ángel Talavera-Valverde & Sergio Santos-del-Riego, 2020. "Individual and Environmental Factors Associated with Tobacco Smoking, Alcohol Abuse and Illegal Drug Consumption in University Students: A Mediating Analysis," IJERPH, MDPI, vol. 17(9), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3019-:d:350854
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    References listed on IDEAS

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    1. María Fernanda Páramo & Fernando Cadaveira & Carolina Tinajero & María Soledad Rodríguez, 2020. "Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator," IJERPH, MDPI, vol. 17(2), pages 1-14, January.
    2. Alicia Busto Miramontes & Lucía Moure-Rodríguez & Ainara Díaz-Geada & Socorro Rodríguez-Holguín & Montserrat Corral & Fernando Cadaveira & Francisco Caamaño-Isorna, 2019. "Heavy Drinking and Non-Medical Use of Prescription Drugs among University Students: A 9-Year Follow-Up," IJERPH, MDPI, vol. 16(16), pages 1-11, August.
    3. Verónica Varela-Mato & José M. Cancela & Carlos Ayan & Vicente Martín & Antonio Molina, 2012. "Lifestyle and Health among Spanish University Students: Differences by Gender and Academic Discipline," IJERPH, MDPI, vol. 9(8), pages 1-14, August.
    4. Francisco Caamaño-Isorna & Nayara Mota & Alberto Crego & Montserrat Corral & Socorro Rodríguez Holguín & Fernando Cadaveira, 2011. "Consumption of medicines, alcohol, tobacco and cannabis among university students: a 2-year follow-up," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(3), pages 247-252, June.
    5. Sílvia Font-Mayolas & Mark J. M. Sullman & Maria-Eugenia Gras, 2019. "Sex and Polytobacco Use among Spanish and Turkish University Students," IJERPH, MDPI, vol. 16(24), pages 1-14, December.
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    Cited by:

    1. Mark J.M. Sullman & Maria-Eugenia Gras & Antonios Kagialis & Ioulia Papageorgi & Sílvia Font-Mayolas, 2020. "Cigarette, E-Cigarette and Waterpipe Use among Young Adults: Differential Cognitions about These Three Forms of Smoking," IJERPH, MDPI, vol. 17(11), pages 1-7, May.
    2. Pierre-Julien Coulaud & Guillaume Airagnes & Kai McGrath & Naseeb Bolduc & Karine Bertrand & Marie Jauffret-Roustide & Rod Knight, 2022. "Factors Associated with Self-Reported Changes in Alcohol Use among Young Adults during the COVID-19 Pandemic: A Comparative Analysis between Canada and France," IJERPH, MDPI, vol. 19(24), pages 1-17, December.
    3. Robert Tholen & Edwin Wouters & Koen Ponnet & Sara De Bruyn & Guido Van Hal, 2020. "A Social Ecological Approach to Hazardous Alcohol Use among Flemish Higher Education Students," IJERPH, MDPI, vol. 17(21), pages 1-13, November.

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