Polysubstance use among adolescents in Malaysia: Findings from the National Health and Morbidity Survey 2017

Rodzlan Hasani, Wan Shakira and Saminathan, Thamil Arasu and Ab Majid, Nur Liana and Miaw Yn, Jane Ling and Mat Rifin, Halizah and Abd Hamid, Hamizatul Akmal and Robert Lourdes, Tania Gayle and Ahmad, Ahzairin and Lsmail, Hasimah and Abd Rashid, Rusdi and Mohd Yusoff, Muhammad Fadhli (2021) Polysubstance use among adolescents in Malaysia: Findings from the National Health and Morbidity Survey 2017. PLoS ONE, 16 (1). ISSN 1932-6203, DOI https://doi.org/10.1371/journal.pone.0245593.

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Abstract

Polysubstance use is defined as the use of more than one non-prescribed licit or illicit substance either concurrently or simultaneously. This study aimed to determine the prevalence of single substance users and polysubstance users and `their associated factors among adolescents in Malaysia. Methods This study was a secondary data analysis from the National Health and Morbidity Survey (NHMS) 2017, a cross-sectional survey conducted among Malaysian school-going adolescents aged 13 to 17. The NHMS utilised a two-stage stratified cluster sampling. Multivariate Multinomial Logistic Regression analysis was applied. Results The overall prevalence of single substance use and polysubstance use among adolescents were 17.2% and 5.1% respectively. The multinomial model showed a higher likelihood of being single or polysubstance user among male (single user OR = 3.0, poly user OR = 4.6), others Bumiputeras vs Malay (single user OR = 1.7, poly user OR = 5.3), those who live with a single parent (single user OR = 1.2, poly user OR = 1.4), involved in truancy (single user OR = 1.7, poly user OR = 3.6) and being bullied (single user OR = 1.3, poly user OR = 3.4), those who had lack of peer support (single user OR = 1.3, poly user OR = 1.4), poor parental bonding (single user OR = 1.4, poly user OR = 1.8), depression (single user OR = 1.4, poly user OR = 3.2) and those who had no close friend (single user OR = 1.3, poly user OR = 2.7). Conclusion Our study highlighted multiple significant associated factors of single and polysubstance use among adolescents in Malaysia. This result can assist in the development of specific intervention and prevention programs targeting high-risk groups.

Item Type: Article
Funders: United States Department of Health & Human Services National Institutes of Health (NIH) - USA
Uncontrolled Keywords: Latent class analysis;Substance use;Tobacco use;Drug-use;Concurrent alcohol;Gender-differences;Patterns;Smoking;Comorbidity;Truancy
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 14 Sep 2022 04:22
Last Modified: 14 Sep 2022 04:22
URI: http://eprints.um.edu.my/id/eprint/34464

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