ArticleNordisk alkohol- & narkotikatidskrift : NAT2018
Individual and school-class correlates of youth cannabis use in Sweden: A multilevel study.
Article in Nordisk alkohol- & narkotikatidskrift : NAT, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 13 citations in OpenAlex.
- Socioeconomic status and adolescent cannabis use: a Swedish cohort study.Journal of cannabis research · 2025Article
- Academic orientation and cannabis use-findings from a population-based study of Swedish adolescents in upper secondary school.European journal of public health · 2024Article
- Prospective associations between adolescent risky substance use and school dropout and the role of externalising and internalising problems.Nordisk alkohol- & narkotikatidskrift : NAT · 2024Article
- Risk factors for substance use in Swedish adolescents: A study across substances and time points.Nordisk alkohol- & narkotikatidskrift : NAT · 2022Article
- Cannabis use and associated factors among 15-16-year-old adolescents in Estonia 2003-2019: Results from cross-sectional ESPAD surveys.Nordisk alkohol- & narkotikatidskrift : NAT · 2021Article
- Relationships between Problematic Cannabis Use and Risky Behaviors in Spanish Adolescents.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThe school-class context is a crucial social environment for young people but substance use researchers have largely overlooked potential influences operating at this level. This study explores associations between school-class and individual-level factors and cannabis use in Swedish youth. DATA AND
methodsData comprised four waves (2012-2015) of the Swedish Council for Information on Alcohol and Other Drugs' (CAN) nationally representative school surveys among individuals in 9th and 11th grade. For the present analyses, we had data on totally 28,729 individuals from 2377 unique school classes. Multilevel logistic regressions predicted lifetime and 10+ times use of cannabis from both individual-level predictors and school-class-level measures derived from the individual-level variables.
resultsThere were individual-level associations between most predictor variables and cannabis use. An early debut of tobacco use and binge drinking as well as low cannabis related risk perceptions had strong associations with cannabis use. Conversely, several school-class-level variables had aggregate relationships with cannabis use, most notably the overall level of risk perceptions in the school class. Some of the school-class factors predicted cannabis use over and above the individual-level covariates, suggesting the presence of contextual effects. Surprisingly, while female gender was negatively related with cannabis use at the individual level, a higher proportion of females in the classroom increased the odds for lifetime cannabis use even after controlling for individual and other contextual-level covariates.
conclusionsYouth cannabis use is related to various factors at both the individual and school-class level in Sweden. Truancy and perceived risk related to cannabis use had contextual associations with cannabis use. The positive contextual association between a higher proportion of females in the classroom and lifetime use should be explored further.
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Registered trials
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