RESEARCH PAPER
The association between alcohol and tobacco use among elementary and high school students in Crete, Greece
 
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1
Department of Thoracic Medicine, School of Medicine, University of Crete, Heraklion, Greece
 
2
Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Greece
 
3
Agia Barbara Health Care Center, Heraklion, Crete, Greece
 
4
3rd Department of Pulmonary Medicine, Chest Diseases Hospital "Sotiria", Athens, Greece.
 
5
Prefecture of Lasithi, Agios Nikolaos, Crete, Greece
 
 
Submission date: 2012-01-24
 
 
Acceptance date: 2012-09-22
 
 
Publication date: 2012-09-25
 
 
Corresponding author
Constantine Ilias Vardavas   

Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Crete P.O 71003, Greece
 
 
Tobacco Induced Diseases 2012;10(September):15
 
KEYWORDS
ABSTRACT
Background:
Tobacco and alcohol use during adolescence have potential long term health consequences and a possibility of future addiction.

Methods:
This cross sectional study took place in 2007 among a convenience sample of 981 adolescents from public elementary and high schools in Eastern Crete, Greece. Following parental consent, an anonymous structured questionnaire including information on personal and family use of alcohol and tobacco was distributed.

Results:
Among the entire study population, cigarette experimentation was found to be associated with current alcohol use, with an Adjusted Odds Ratio (aOR) of 38.8; (95%C.I: 5.33-58.2) and with having a smoker in the immediate family (aOR 10.3; 95%C.I: 3.14-34.0). Among the subset of elementary school children, cigarette smoking was strongly associated with current alcohol use aOR 9.7; (95%C.I: 2.12-44.3), while the association between smoking experimentation and sibling and parental alcohol use was statistically significant within the entire population (however not among elementary students) with an aOR of 2.76 (95%C.I: 1.24-6.15) and aOR 3.66, (95%C.I: 1.97-6.81) respectively. The elementary child’s gender was not found to be associated with cigarette experimentation among this study population.

Conclusions:
Strong associations were found between alcohol use and tobacco experimentation. The potential parental influence on consequent adolescent tobacco and alcohol use was also noted. Potential community based interventions, if launched in Greece, should take the role of the Greek family into account.

 
REFERENCES (25)
1.
Centers for Disease Control and Prevention: Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 2000–2004. Morb Mortal Wkly Rep. 2008, 57 (45): 1226-1228.
 
2.
Chen X, Unger JB, Palmer P, et al: Prior cigarette smoking initiation predicting current alcohol use: evidence for a gateway drug effect among California adolescents from eleven ethnic groups. Addict Behav. 2002, 27 (5): 799-817. 10.1016/S0306-4603(01)00211-8.
 
3.
Lewinsohn PM, Rohde P, Brown RA: Level of current and past adolescent cigarette smoking as predictors of future substance use disorders in young adulthood. Addiction. 1999, 94 (6): 913-921. 10.1046/j.1360-0443.1999.94691313.x.
 
4.
Grant BF, Dawson DA: Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: results from the National Longitudinal Alcohol Epidemiologic Survey. J Subst Abuse. 1997, 9: 103-110. 10.1016/s0899-3289(97)90009-2.
 
5.
Kyrlesi A, Soteriades ES, Warren CW, et al: Tobacco use among students aged 13–15 years in Greece: the GYTS project. BMC Public Health. 2007, 7: 3-10.1186/1471-2458-7-3.
 
6.
Kokkevi A, Terzidou M, Politikou K, Stefanis C: Substance use among high school students in Greece: outburst of illicit drug use in a society under change. Drug Alcohol Depend. 2000, 58 (1–2): 181-188. 10.1016/s0376-8716(99)00100-3.
 
7.
Vardavas CI, Kafatos AG: Smoking policy and prevalence in Greece: an overview. Eur J Public Health. 2007, 17 (2): 211-213. 10.1093/eurpub/ckl094. 10.1093/eurpub/ckl094.
 
8.
Kokkevi AE, Arapaki AA, Richardson C, et al: Further investigation of psychological and environmental correlates of substance use in adolescence in six European countries. Drug Alcohol Depend. 2007, 88 (2–3): 308-312. 10.1016/j.drugalcdep.2006.10.004.
 
9.
Sichletidis LT, Chloros D, Tsiotsios I, et al: High prevalence of smoking in Northern Greece. Prim Care Respir J. 2006, 15: 92-97. 10.1016/j.pcrj.2006.01.004.
 
10.
Arvanitidou M, Tirodimos I, Kyriakidis I, et al: Decreasing prevalence of alcohol consumption among Greek adolescents. Am J Drug Alcohol Abuse. 2007, 33 (3): 411-417. 10.1080/00952990701315384.
 
11.
Tercyak KP, Tyc VL: Opportunities and challenges in the prevention and control of cancer and other chronic diseases: children's diet and nutrition and weight and physical activity. J Pediatr Psychol. 2006, 31 (8): 750-763. 10.1093/jpepsy/jsj126.
 
12.
Li C, Pentz MA, Chou CP: Parental substance use as a modifier of adolescent substance use risk. Addiction. 2002, 97 (12): 1537-1550. 10.1046/j.1360-0443.2002.00238.x.
 
13.
Zhang L, Welte JW, Wieczorek WF: Peer and parental influences on male adolescent drinking. Subst Use Misuse. 1997, 32 (14): 2121-2136. 10.3109/10826089709035624.
 
14.
O'Byrne KK, Haddock CK, Poston WS: Parenting style and adolescent smoking. J Adolesc Health. 2002, 30 (6): 418-425. 10.1016/S1054-139X(02)00370-1.
 
15.
Otten R, Engels RC, van de Ven MO, Bricker JB: Parental smoking and adolescent smoking stages: the role of parents' current and former smoking, and family structure. Behav Med. 2007, 30 (2): 143-154. 10.1007/s10865-006-9090-3.
 
16.
Bricker JB, Peterson AV, Leroux BG, et al: Prospective prediction of children's smoking transitions: role of parents' and older siblings' smoking. Addiction. 2006, 101 (1): 128-136. 10.1111/j.1360-0443.2005.01297.x.
 
17.
Rachiotis G, Muula AS, Rudatsikira E, et al: Factors associated with adolescent cigarette smoking in Greece: results from a cross sectional study (GYTS Study). BMC Public Health. 2008, 8: 313-10.1186/1471-2458-8-313.
 
18.
Damianaki A, Kaklamani S, Tsirakis S, et al: Risk factors for smoking among school adolescents in Greece. Child Care Health Dev. 2008, 34 (3): 310-315. 10.1111/j.1365-2214.2008.00839.x.
 
19.
Simantov E, Schoen C, Klein JD: Health-compromising behaviors: why do adolescents smoke or drink?: identifying underlying risk and protective factors. Arch Pediatr Adolesc Med. 2000, 154: 1025-1033. 10.1001/archpedi.154.10.1025.
 
20.
Hawkins JD, Catalano RF, Miller JY: Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychol Bull. 1992, 112 (1): 64-105. 10.1037/0033-2909.112.1.64
 
21.
Taylor JE, Conard MW, Koetting O, Byrne K, et al: Saturation of tobacco smoking models and risk of alcohol and tobacco use among adolescents. J Adolesc Health. 2004, 35 (3): 190-196. 10.1016/j.jadohealth.2004.01.008.
 
22.
Wetzels JJ, Kremers SP, Vitória PD, de Vries H: The alcohol-tobacco relationship: a prospective study among adolescents in six European countries. Addiction. 2003, 98 (12): 1755-1763. 10.1111/j.1360-0443.2003.00553.x.
 
23.
Chan W, Leatherdale S: Tobacco retailer density surrounding schools and youth smoking behaviour: a multi-level analysis. Tob Induc Dis. 2011, 9: 9-10.1186/1617-9625-9-9.
 
24.
Bandason T, Rusakaniko S: Prevalence and associated factors of smoking among secondary school students in Harare Zimbabwe. Tob Induc Dis. 2010, 8: 12-10.1186/1617-9625-8-12.
 
25.
Vardavas C: Key points in preventing tobacco use among adolescents. Tob Induc Dis. 2010, 8: 1-10.1186/1617-9625-8-1.
 
 
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