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Canadian Journal of Public Health

, Volume 99, Issue 3, pp 172–177 | Cite as

A Meta-analysis of Marijuana and Alcohol Use by Socio-economic Status in Adolescents Aged 10–15 Years

  • Mark Lemstra
  • Norman R. Bennett
  • Cory Neudorf
  • Anton Kunst
  • Ushasri Nannapaneni
  • Lynne M. Warren
  • Tanis Kershaw
  • Christina R. Scott
Article

Abstract

Objectives

A majority of population-based studies suggest prevalence of drug and alcohol risk behaviour increases during late adolescence to early adulthood. The purpose of this systematic literature review is to clarify if socio-economic status (SES) is a determinant of marijuana and alcohol risk behaviour in adolescents between the ages of 10–15 years.

Methods

We performed a meta-analysis to identify published or unpublished papers between January 1, 1980 and February 9, 2007 that reviewed marijuana and alcohol risk behaviour by SES in adolescents aged 10–15 years.

Synthesis

We found nine studies that fulfilled our inclusion criteria and passed the methodological quality review. The prevalence of marijuana and alcohol risk behaviour was 22% higher (RR = 1.22; 95% CI 1.14-1.31) in adolescents with low SES in comparison to adolescents with higher SES. Stratification by country of origin revealed that American and New Zealand studies had statistically significant variability in the reported effects as compared to European and UK studies.

Discussion

The evidence suggests that low SES has an inverse association with the prevalence of marijuana and alcohol risk behaviour in adolescents between the ages of 10–15 years. Higher rates of marijuana and alcohol risk behaviour among lower SES adolescents may impact emotional development, limit future educational and occupational achievement, and increase the likelihood for adult marijuana and alcohol addiction.

Conclusion

Lower SES adolescents have higher rates of marijuana and alcohol risk behaviour than higher SES adolescents.

Key words

Alcohol-related disorders alcohol drinking drugs marijuana adolescents smoking and socioeconomic factors 

Résumé

Objectifs

Selon la majorité des études fondées sur des populations, la prévalence des comportements à risque liés à la drogue et à l’alcool augmente entre la fin de l’adolescence et le début de l’âge adulte. Dans cette enquête bibliographique systématique, nous avons voulu déterminer si le statut socioéconomique (SSE) est un déterminant des comportements à risque liés à la marijuana et à l’alcool chez les jeunes de 10 à 15 ans.

Méthode

Nous avons effectué une méta-analyse afin de répertorier les articles publiés ou inédits, pour la période du 1er janvier 1980 au 9 février 2007, portant sur les comportements à risque liés à la marijuana et à l’alcool selon le SSE chez les jeunes de 10 à 15 ans.

Synthèse

Neuf études répondaient à nos critères d’inclusion et de qualité méthodologique. La prévalence des comportements à risque liés à la marijuana et à l’alcool était plus élevée de 22% (ratio des taux [RT] = 1,22; IC de 95% = 1,14-1,31) chez les jeunes de faible SSE comparés aux jeunes de SSE supérieur. Une stratification par pays d’origine a montré que les études américaines et néo-zélandaises présentaient des écarts significatifs dans les effets indiqués, comparées aux études menées en Europe et au Royaume-Uni.

Discussion

Selon ces données, il existerait une corrélation inverse entre un faible SSE et la prévalence de comportements à risque liés à la marijuana et à l’alcool chez les jeunes de 10 à 15 ans. Or, les taux plus élevés de ces comportements chez les jeunes de faible SSE peuvent avoir des répercussions sur leur développement affectif, limiter leurs horizons pédagogiques et professionnels et accroître la probabilité qu’ils soient dépendants de la marijuana et de l’alcool à l’âge adulte.

Conclusion

Les taux de comportements à risque liés à la marijuana et à l’alcool sont plus élevés chez les jeunes de faible SSE que chez les jeunes de SSE supérieur.

Mots clés

troubles liés à l’alcool consommation d’alcool drogue marijuana jeunes tabagisme et facteurs socioéconomiques 

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Copyright information

© The Canadian Public Health Association 2008

Authors and Affiliations

  • Mark Lemstra
    • 1
  • Norman R. Bennett
    • 2
  • Cory Neudorf
    • 3
  • Anton Kunst
    • 4
  • Ushasri Nannapaneni
    • 2
  • Lynne M. Warren
    • 5
  • Tanis Kershaw
    • 5
  • Christina R. Scott
    • 5
  1. 1.Teaching and Research Health UnitSaskatoon Health RegionSaskatoonCanada
  2. 2.Population Health Research UnitSaskatoon Health RegionCanada
  3. 3.Saskatoon Health RegionCanada
  4. 4.Public HealthErasmus UniversityNetherlands
  5. 5.Population Health Research UnitSaskatoon Health RegionCanada

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