Citation

Gerra G, Benedetti E, Resce G, Potente R, Cutilli A, Molinaro S. Int. J. Environ. Res. Public Health 2020; 17(4): ePub.

Affiliation

Epidemiology and Health Research Lab, Institute of Clinical Physiology-IFC, National Research Council of Italy-CNR, Via G. Moruzzi, 1, 56124 Pisa, Italy.

Copyright

(Copyright © 2020, MDPI: Multidisciplinary Digital Publishing Institute)

DOI

10.3390/ijerph17041306

PMID

32085546

Abstract

BACKGROUND AND AIMS: Families who live in a disadvantaged socioeconomic situation frequently face substandard housing, unsafe neighborhoods, inadequate schools and more stress in their daily lives than more affluent families, with a host of psychological and developmental consequences that can hinder their children's development in many ways. However, the measurement of socioeconomic status among youth and its link with different forms of illicit substance use is challenging and still unclear. This paper extends existing research on the relationship between socioeconomic status and illicit drug use among adolescents by focusing on three different patterns of use (experimental, episodic and frequent) and making use of two indicators to improve the measurement of individual socioeconomic characteristics in a big sample of European students.

METHODS: Data were drawn from the European school Survey Project on Alcohol and other Drugs (ESPAD), which, since 1995, collects comparable data among 15-to-16-year-old students to monitor trends in drug use and other risk behaviors across Europe. The sample comes from 28 countries that participated in the 2015 data collection. The consumption of cannabis, cocaine and heroin are considered, and the related patterns are identified based on the frequency of use. Family characteristics at student level are defined through two dimensions: parental educational level and perceived socioeconomic status. Multivariate multilevel mixed-effects logistic regression was performed in order to measure the association between individual characteristics and vulnerability for drug use.

RESULTS: Some patterns of use, episodic and frequent in particular, were found strongly associated with a lower socioeconomic status and lower parental education.

CONCLUSIONS: Our results suggest that drug policies should be combined with actions aimed at removing barriers to social inclusion that are attributable to the socioeconomic background of adolescents.

Language: en

Keywords

cannabis; cocaine; drug use; heroine; parental education; socioeconomic inequalities