Barriers and Expectations of Adolescents Regarding the Identification and Management of Their Psychoactive Substance Use by Their General Practitioner
Abstract
:1. Introduction
2. Methods
2.1. Type of Study
2.2. Population Concerned
2.3. Method of Investigation
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- Number of times adolescents had visited their GP in the year.
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- Consumption of different PASs by adolescents and their consequences according to the screening scale for problematic alcohol and drug use among adolescents (DEP-ADO) [16].
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- An ad hoc multiple-choice questionnaire exploring adolescents’ expectations of their relationship with their GP, particularly regarding PAS, the various possible contacts for PAS consumption, their point of view on the use of a questionnaire as a tool for identifying PAS consumption, their point of view on the place of parents during a GP consultation, and, last, their knowledge of associations providing assistance to young people and adolescents.
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- Sociodemographic data and the adolescents’ lifestyle: gender, age, level of education, and urban or rural habitat.
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- This study was approved by the ethics commission of the academic department of general medicine of the Midi-Pyrénées region, France, under number 2018-009.
2.4. Screening Scale for Problematic Alcohol and Drug Use among Adolescents: DEP-ADO
2.5. Statistical Analysis
3. Results
3.1. Analysis of Consumption by Gender and PAS Consumed
3.2. Users’ Analysis
3.3. Multiple Correspondence Analysis (MCA)
3.4. Analysis of the Relationship with Their GP according to the Adolescents’ Use Profiles
4. Discussion
5. Implications and Contribution
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Total (N = 277) | Users * (N = 113) | Nonusers † (N = 164) | p Value | |
---|---|---|---|---|
Female gender | 155 (56%) | 56 (50%) | 99 (60%) | 0.08 |
Age (years) | 14.5 ± 1.7 | 15.6 ± 1.4 | 13.8 ± 1.4 | <0.001 |
Housing with parents or family | 273 (99%) | 110 (97%) | 163 (99%) | 0.31 |
Urban localization | 260 (94%) | 104 (92%) | 156 (95%) | 0.29 |
Level of education | <0.001 | |||
Middle school | 161 (58%) | 32 (28%) | 129 (79%) | |
General high school | 57 (21%) | 37 (33%) | 20 (12%) | |
Vocational school | 32 (12%) | 22 (19%) | 10 (6%) | |
Technical school | 18 (6%) | 13 (12%) | 5 (3%) | |
Apprentice training center | 5 (2%) | 5 (4%) | 0 (0%) | |
Other ‡ | 4 (1%) | 4 (4%) | 0 (0%) |
Total (N = 113) | Girls (N = 56) | Boys (N = 57) | p Value | |
---|---|---|---|---|
Age of first use of any PAS (years) | 13.7 ± 1.8 | 13.8 ± 1.9 | 13.6 ± 1.8 | 0.44 |
Age of regular use of any PAS (years) (n = 35) | 14.1 ± 2.0 | 13.4 ± 2.5 | 14.6 ± 1.4 | 0.20 |
PAS use in the last 30 days | 49 (43%) | 22 (39%) | 27 (47%) | 0.39 |
Number of alcohol use of ≥5 drinks on the same occasion during the last 12 months | 0 [0; 3] | 0 [0; 1] | 1 [0; 6] | 0.02 |
DEP-ADO score | 0.21 | |||
≤13 | 95/112 (85%) | 49 (87%) | 46/56 (82%) | |
14–19 | 9/112 (8%) | 2 (4%) | 7/56 (13%) | |
≥20 | 8/112 (7%) | 5 (9%) | 3/56 (5%) |
1 PAS * (N = 68) | 2 PAS * (N = 20) | 3 PAS * (N = 25) | p Value | |
---|---|---|---|---|
Female gender | 38 (56%) | 8 (40%) | 10 (40%) | 0.26 |
Age of first use of any PAS (years) | 14.0 ± 1.8 | 13.7 ± 1.6 | 12.9 ± 1.9 | 0.03 |
Age of regular use of any PAS (years) (n = 35) | 15.5 ± 0.7 | 14.3 ± 2.6 | 13.8 ± 1.6 | 0.16 |
Use of another PAS † | 0 (0%) | 0 (0%) | 7 (28%) | <0.001 |
PAS use in the last 30 days | 19 (28%) | 9 (45%) | 21 (84%) | <0.001 |
Number of binge drinking ‡ during the last 12 months | 0 [0; 1] | 1 [0; 1] | 6 [3; 18] | <0.001 |
DEP-ADO score | <0.001 | |||
≤13 | 66/67 (99%) | 20 (100%) | 9 (36%) | |
14–19 | 1/67 (1%) | 0 (0%) | 8 (32%) | |
≥20 | 0/67 (0%) | 0 (0%) | 8 (32%) |
Group 1 | Group 2 | Group 3 | p Value | |
---|---|---|---|---|
(n = 134) | (n = 71) | (n = 38) | ||
Female gender | 77 (57%) | 46 (65%) | 13 (34%) | 0.008 |
Age (years) | <0.001 | |||
12 | 33 (25%) | 0 (0%) | 0 (0%) | |
13 | 45 (34%) | 1 (1%) | 1 (3%) | |
14 | 37 (28%) | 1 (1%) | 8 (21%) | |
15 | 18 (13%) | 19 (27%) | 5 (13%) | |
16 | 0 (0%) | 31 (44%) | 2 (5%) | |
17 | 1 (1%) | 19 (27%) | 22 (58%) | |
Level of education | <0.001 | |||
Middle school | 126 (94%) | 6 (8%) | 10 (26%) | |
General high school | 3 (2%) | 38 (54%) | 8 (21%) | |
Other * | 5 (4%) | 27 (38%) | 20 (53%) | |
Alcohol use in the last 12 months | 9 (7%) | 51 (72%) | 37 (97%) | <0.001 |
Tobacco use in the last 12 months | 3 (2%) | 4 (6%) | 35 (92%) | <0.001 |
Cannabis use in the last 12 months | 0 (0%) | 1 (1%) | 26 (68%) | <0.001 |
Other PAS use † in the last 12 months | 0 (0%) | 0 (0%) | 6 (16%) | <0.001 |
Polydrug use of PAS in the last 12 months | 0 (0%) | 3 (4%) | 38 (100%) | <0.001 |
Age of first use of any PAS (years) | <0.001 | |||
≤14 | 12 (9%) | 18 (25%) | 30 (79%) | |
≥15 | 0 (0%) | 35 (49%) | 8 (21%) | |
Not concerned | 122 (91%) | 18 (25%) | 0 (0%) | |
Binge drinking ‡ | 0 (0%) | 17 (24%) | 26 (68%) | <0.001 |
DEP-ADO score ≥ 14 | 0 (0%) | 1 (1%) | 15 (39%) | <0.001 |
Talk to their parents about their PAS use | 79 (59%) | 46 (65%) | 14 (37%) | 0.02 |
Talk to another family member about their PAS use | 45 (34%) | 35 (49%) | 8 (21%) | 0.009 |
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Fortin, F.; Roche, S.; Dupouy, J.; Bernard, P.; Lachal, J.; Lambert, C.; Laporte, C. Barriers and Expectations of Adolescents Regarding the Identification and Management of Their Psychoactive Substance Use by Their General Practitioner. Int. J. Environ. Res. Public Health 2022, 19, 13231. https://doi.org/10.3390/ijerph192013231
Fortin F, Roche S, Dupouy J, Bernard P, Lachal J, Lambert C, Laporte C. Barriers and Expectations of Adolescents Regarding the Identification and Management of Their Psychoactive Substance Use by Their General Practitioner. International Journal of Environmental Research and Public Health. 2022; 19(20):13231. https://doi.org/10.3390/ijerph192013231
Chicago/Turabian StyleFortin, Frédéric, Stéphanie Roche, Julie Dupouy, Pierre Bernard, Jonathan Lachal, Céline Lambert, and Catherine Laporte. 2022. "Barriers and Expectations of Adolescents Regarding the Identification and Management of Their Psychoactive Substance Use by Their General Practitioner" International Journal of Environmental Research and Public Health 19, no. 20: 13231. https://doi.org/10.3390/ijerph192013231