ArticleSubstance use & misuse2019
Tobacco and Alcohol Use Among Youth in Low and Middle Income Countries: A Multi-Country Analysis on the Influence of Structural and Micro-Level Factors.
Article in Substance use & misuse, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors Influencing the Use of Tobacco Among Youth in Low-Income, Lower-Middle-Income, and Upper-Middle-Income Countries: A Systematic Review.Journal of research in health sciences · 2024Pooled it
- Family-centered interventions for people with substance use disorders in low-and middle-income country settings: a scoping review.The International journal on drug policy · 2026Article
- Religiosity, school connectedness, and tobacco use susceptibility: a longitudinal study of adolescents in Mumbai and Kolkata, India.BMC public health · 2025Article
- Patterns of self-reported alcohol and drug use among children and youth: Mozambique violence against children survey (VACS) 2019.BMC public health · 2025Article
- Alcohol marketing as a commercial determinant of health: daily diary insights from young women in Kampala.Health promotion international · 2025Article
- Prevalence and Predictors of Alcohol Use among School-Going Adolescents in Panama: A Population-Based Cross-Sectional Study.Children (Basel, Switzerland) · 2023Article
- Article
- Family and contextual factors associated with licit drug use in adolescence.Revista de saude publica · 2021Article
- What Regional Living Conditions Affect Individual Smoking of Adults in Russia.International journal of public health · 2021Article
- Space and Place in Alcohol Research.Current epidemiology reports · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundThe transition from adolescence to adulthood is a critical life phase as it is during this period that substance use and disorders typically emerge and escalate. Globally, few studies have examined the prevalence and correlates of alcohol and tobacco use among youth (ages 15-24). This study seeks to bridge this gap by assessing the influence of structural and micro-level factors on tobacco and alcohol use among youth in Low- and Middle-income countries (LMICs).
methodsData are drawn from the Multiple Indicator Cluster Surveys (MICS) conducted in 29 countries or regions in Eastern Europe, Latin America, Asia and Africa between 2010 and 2015. Analyses focus on lifetime prevalence and age of onset for tobacco and alcohol use.
resultsDescriptive analyses highlight regional variations in the prevalence and age of onset of tobacco and alcohol use: tobacco use is more concentrated among youth in Eastern Europe but alcohol use is generalized across the regions. Using multi-level analyses, we find statistically significant main effects for age, gender, educational attainment, rural residence, marital status and exposure to mass media on tobacco and alcohol use outcomes as well as interaction effects for age, gender and education on tobacco and alcohol use outcomes. Conclusions/importance: These findings highlight the need for structural interventions to control tobacco social marketing, and for gender considerations in tobacco and alcohol use prevention programs and policies.
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