Abstract
OBJECTIVES: This study determined the prevalence of and risk factors for substance use among rural Taiwanese. METHODS: We used a survey of a representative sample of 6318 participants aged 13 to 35 years in I-Lan, Taiwan, in 1996 through 1997. RESULTS: Perceived use of illicit drugs by peers, tobacco smoking, betel quid chewing, and male gender were the strongest predictors of illicit drug use. The prevalence of illicit drug use ranged from 0.3% among those who did not use any other substance to 7.1% among those using tobacco, betel quid, and alcohol. CONCLUSIONS: Preventive measures should address substance use in general rather than aiming at single substances.
Full Text
The Full Text of this article is available as a PDF (116.9 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Awang M. N. Betel quid and oral carcinogenesis. Singapore Med J. 1988 Dec;29(6):589–593. [PubMed] [Google Scholar]
- Bachman J. G., O'Malley P. M., Johnston L. D. Drug use among young adults: the impacts of role status and social environment. J Pers Soc Psychol. 1984 Sep;47(3):629–645. doi: 10.1037//0022-3514.47.3.629. [DOI] [PubMed] [Google Scholar]
- Bagnall G. Use of alcohol, tobacco and illicit drugs amongst 13-year-olds in three areas of Britain. Drug Alcohol Depend. 1988 Dec;22(3):241–251. doi: 10.1016/0376-8716(88)90024-5. [DOI] [PubMed] [Google Scholar]
- Bailey S. L. Adolescents' multisubstance use patterns: the role of heavy alcohol and cigarette use. Am J Public Health. 1992 Sep;82(9):1220–1224. doi: 10.2105/ajph.82.9.1220. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chen J. W., Shaw J. H. A study on betel quid chewing behavior among Kaohsiung residents aged 15 years and above. J Oral Pathol Med. 1996 Mar;25(3):140–143. doi: 10.1111/j.1600-0714.1996.tb00209.x. [DOI] [PubMed] [Google Scholar]
- Chen K., Kandel D. B. The natural history of drug use from adolescence to the mid-thirties in a general population sample. Am J Public Health. 1995 Jan;85(1):41–47. doi: 10.2105/ajph.85.1.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cronk C. E., Sarvela P. D. Alcohol, tobacco, and other drug use among rural/small town and urban youth: a secondary analysis of the monitoring the future data set. Am J Public Health. 1997 May;87(5):760–764. doi: 10.2105/ajph.87.5.760. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Frischer M., Goldberg D., Rahman M., Berney L. Mortality and survival among a cohort of drug injectors in Glasgow, 1982-1994. Addiction. 1997 Apr;92(4):419–427. [PubMed] [Google Scholar]
- Kandel D. B., Logan J. A. Patterns of drug use from adolescence to young adulthood: I. Periods of risk for initiation, continued use, and discontinuation. Am J Public Health. 1984 Jul;74(7):660–666. doi: 10.2105/ajph.74.7.660. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ko Y. C., Chiang T. A., Chang S. J., Hsieh S. F. Prevalence of betel quid chewing habit in Taiwan and related sociodemographic factors. J Oral Pathol Med. 1992 Jul;21(6):261–264. doi: 10.1111/j.1600-0714.1992.tb01007.x. [DOI] [PubMed] [Google Scholar]
- Liao Y., McGee D. L., Cao G., Cooper R. S. Alcohol intake and mortality: findings from the National Health Interview Surveys (1988 and 1990). Am J Epidemiol. 2000 Apr 1;151(7):651–659. doi: 10.1093/oxfordjournals.aje.a010259. [DOI] [PubMed] [Google Scholar]
- Nelson B. S., Heischober B. Betel nut: a common drug used by naturalized citizens from India, Far East Asia, and the South Pacific Islands. Ann Emerg Med. 1999 Aug;34(2):238–243. doi: 10.1016/s0196-0644(99)70239-8. [DOI] [PubMed] [Google Scholar]
- O'Malley P. M., Bachman J. G., Johnston L. D. Period, age, and cohort effects on substance use among American youth, 1976-82. Am J Public Health. 1984 Jul;74(7):682–688. doi: 10.2105/ajph.74.7.682. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Poole W. K., Flynn P. M., Rao A. V., Cooley P. C. Estimating the prevalence of drug use from self-reports in a cohort for which biologic data are available for a subsample. Am J Epidemiol. 1996 Aug 15;144(4):413–420. doi: 10.1093/oxfordjournals.aje.a008943. [DOI] [PubMed] [Google Scholar]
- Raveis V. H., Kandel D. B. Changes in drug behavior from the middle to the late twenties: initiation, persistence, and cessation of use. Am J Public Health. 1987 May;77(5):607–611. doi: 10.2105/ajph.77.5.607. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sarvela P. D., Pape D. J., Odulana J., Bajracharya S. M. Drinking, drug use, and driving among rural midwestern youth. J Sch Health. 1990 May;60(5):215–219. doi: 10.1111/j.1746-1561.1990.tb05918.x. [DOI] [PubMed] [Google Scholar]
- Stacy A. W., Widaman K. F., Hays R., DiMatteo M. R. Validity of self-reports of alcohol and other drug use: a multitrait-multimethod assessment. J Pers Soc Psychol. 1985 Jul;49(1):219–232. doi: 10.1037//0022-3514.49.1.219. [DOI] [PubMed] [Google Scholar]
- Sutherland I., Willner P. Patterns of alcohol, cigarette and illicit drug use in English adolescents. Addiction. 1998 Aug;93(8):1199–1208. doi: 10.1046/j.1360-0443.1998.93811998.x. [DOI] [PubMed] [Google Scholar]
- Vega W. A., Zimmerman R. S., Warheit G. J., Apospori E., Gil A. G. Risk factors for early adolescent drug use in four ethnic and racial groups. Am J Public Health. 1993 Feb;83(2):185–189. doi: 10.2105/ajph.83.2.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yang M. S., Su I. H., Wen J. K., Ko Y. C. Prevalence and related risk factors of betel quid chewing by adolescent students in southern Taiwan. J Oral Pathol Med. 1996 Feb;25(2):69–71. doi: 10.1111/j.1600-0714.1996.tb00195.x. [DOI] [PubMed] [Google Scholar]