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. 2023 Mar 13;58(10):1457–1467. doi: 10.1007/s00127-023-02444-w

Table 1.

Past 3-month substance use profile of 1107 young people presenting for mental health care by age group and sex

Characteristic Overall (N = 1107) Age Sex at birth LGBTIQA+ status
12–17 (n = 500) 18–25 (n = 607) p value Female (n = 717) Male (n = 389) p value No (n = 738) Yes (n = 301) p value
Tobacco use 351 (33%) 100 (21%) 251 (43%) < 0.001 218 (32%) 133 (36%) 0.221 232 (32%) 109 (37%) 0.174
Alcohol use 665 (63%) 184 (39%) 481 (82%) < 0.001 452 (66%) 212 (57%) 0.004 444 (62%) 206 (69%) 0.029
Illicit substance usea 324 (31%) 90 (19%) 234 (40%) < 0.001 203 (30%) 120 (32%) 0.406 207 (29%) 108 (36%) 0.020
Other substance useb 140 (13%) 40 (8.5%) 100 (17%) < 0.001 93 (14%) 46 (12%) 0.638 89 (12%) 49 (17%) 0.095
Polysubstance usec < 0.001 0.015 0.053
 No drug use 320 (30%) 252 (53%) 68 (11%) 191 (28%) 129 (34%) 227 (31%) 73 (24%)
 Using one drug only 298 (28%) 98 (21%) 200 (34%) 211 (31%) 87 (23%) 204 (28%) 83 (28%)
 Polydrug use 449 (42%) 125 (26%) 324 (55%) 288 (42%) 160 (43%) 296 (41%) 143 (48%)
Polysubstance use (excluding tobacco and alcohol)d < 0.001 0.420 0.043
 No drug use 676 (64%) 360 (76%) 316 (54%) 443 (64%) 233 (62%) 475 (66%) 171 (57%)
 Using one drug only 240 (23%) 81 (17%) 159 (27%) 158 (23%) 82 (22%) 152 (21%) 79 (27%)
 Polydrug use 146 (14%) 32 (6.8%) 114 (19%) 87 (13%) 58 (16%) 96 (13%) 48 (16%)
Harms associated with any drug use
 Urge to use 559 (52%) 149 (31%) 410 (69%)  < 0.001 374 (54%) 185 (49%) 0.134 369 (51%) 174 (58%) 0.036
 Led to problemse 242 (23%) 52 (11%) 190 (32%)  < 0.001 141 (20%) 101 (27%) 0.021 166 (23%) 74 (25%) 0.564
 Failed normal expectations 205 (19%) 54 (11%) 151 (26%)  < 0.001 130 (19%) 75 (20%) 0.721 133 (18%) 68 (23%) 0.122
 Caused concerns 240 (22%) 67 (14%) 173 (29%)  < 0.001 139 (20%) 101 (27%) 0.015 162 (22%) 75 (25%) 0.376

Statistics presented are n (%) with p value estimated from Chi-squared test. Missing data include 1 for sex at birth, 68 for LGBTIQA+ , 52 for tobacco use, 48 for alcohol use, 45 for illicit drugs use, 50 for other drug use (sedatives, Inhalants or other), 40 for polysubstance use (including tobacco and alcohol), 45 for polysubstance use (excluding tobacco and alcohol), 40 for urge to use, 40 for led to problems, 40 for failed normal expectation and 40 for caused concerns

aIllicit substance includes ATS, cannabis, cocaine, hallucinogens and opioids

bOther substances include sedatives, inhalants or other substance which is not captured by the main WHO-ASSIST substance groups but was reported as a free text field

cUse of more than one substance in the past 3 months including tobacco and alcohol

dUse of more than one substance in the past 3 months excluding tobacco and alcohol

eLed to health, social, legal or financial problems