Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis

Sawitri Assanangkornchai,Edward Mcneil,Darika Saingam,Jing Li

doi:10.1186/s12889-018-6205-z

Sawitri Assanangkornchai, Edward Mcneil + Show 2 more

Open Access

https://doi.org/10.1186/s12889-018-6205-z

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Abstract

BackgroundAlcohol and drug use and other health-risk behaviors tend to cluster together among adolescents and contribute a large amount of harm to both themselves and to others. This paper aims to characterize secondary school students based on their clusters of health-risk behaviors and identify factors determining class membership to these behavior-clusters.MethodsData from a national school survey was used to identify clusters of alcohol and drug use and other health-risk behaviors among secondary school students aged 12–15 years using a latent class regression model. A multinomial logistic regression model was used to identify predictors of the cluster membership.ResultsA total of 25,566 students were included in the analysis, of which 88% were classified as having low-risk behaviors reporting only moderate alcohol use; 11% as having moderate-risk behaviors, such as driving under the influence of alcohol, fighting, carrying a weapon, and alcohol and tobacco use; and 0.6% as having high-risk behaviors, such as use of illicit drugs, particularly kratom and cannabis. Males, older students, those with a poor school performance, not living with parents, drug use by family members and peers, and having a low level of perceived disdain from their friends if they used drugs were significant risk factors for being in the moderate- and high-risk behavior classes.ConclusionsAlcohol, tobacco and drug use, as well as other health-risk behaviors such as fighting, are clustered in Thai secondary school students. This result highlights the importance of comprehensive prevention and education strategies, particularly for moderate to high-risk groups.

Highlights

Alcohol and drug use and other health-risk behaviors tend to cluster together among adolescents and contribute a large amount of harm to both themselves and to others
Sample The 2009 national school survey was conducted among students in levels 1, 3, and 5 of high schools, which are equivalent to years 7, 9, and 11 of the international education system, and level 2 of vocational schools
Drugs were not commonly used, the highest prevalence being for tobacco (5.3%), cannabis (1.0%) and cough syrup (0.8%)

Summary

Introduction

Alcohol and drug use and other health-risk behaviors tend to cluster together among adolescents and contribute a large amount of harm to both themselves and to others. Health-risk behaviors consist of many categories: behaviors that contribute to unintentional injuries and violence, sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, alcohol, tobacco, and other drug use, unhealthy dietary behaviors and inadequate physical activities [1]. These behaviors are common among adolescents and contribute to a large amount of harm to both themselves and to others with whom they may come into contact [2,3,4]. Interventions that simultaneously tackled health behaviors which are clustered have been shown to be more effective and less costly [11]

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