ArticleInternational journal of environmental research and public health2021
"Tell Me How Much Your Friends Consume"-Personal, Behavioral, Social, and Attitudinal Factors Associated with Alcohol and Cannabis Use among European School Students.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Cannabis use among Arab students: a systematic review.Frontiers in psychiatry · 2025Pooled it
- Digital Intervention Components for Preventing and Reducing Substance Use in Adolescents and Emerging Adults: A Comprehensive Scoping Review.Journal of prevention (2022) · 2026Article
- Gambling rarely stands alone: clustered addictive behaviours and socioeconomic vulnerability in adolescents.Frontiers in psychiatry · 2026Article
- Health behaviors in school-aged children: global trends in education, socioeconomic status, and adolescent health.Frontiers in public health · 2025Review
- Risk and Protective Factors for Gambling Among Youth by origin: Findings from the three waves of cross-sectional Finnish School Health Promotion Study among 238,939 Students.Journal of gambling studies · 2024Article
- Multilevel associations of peer cognitive factors and adolescent cannabis use in a legal recreational cannabis region.Frontiers in psychiatry · 2024Article
- Framing substance use as "recreational" is neither accurate nor helpful for prevention purposes.Journal of prevention (2022) · 2023Article
- Abrupt peaks in perceived risk of occasional drug use after changing the question order in a repeated self-administered survey.Frontiers in public health · 2023Article
- Normative Misperceptions About Cannabis Use in a Sample of Risky Cannabis Users.Substance abuse : research and treatment · 2023Article
- [School-based alcohol prevention with virtual reality].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Review
- Tell me who your friends are?! The mediating role of friends' use in cannabis abuse.Trends in psychiatry and psychotherapy · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSubstance use in European adolescents remains a serious health concern. Assessing what affects adolescents' substance use is crucial for implementing effective prevention. This study aims to examine alcohol and cannabis use-related behavioral, social, and attitudinal variables that might directly be considered to guide prevention responses for adolescents.
methodsCross-sectional data of 78,554 15-16-year-old school students from the 2011 European School Survey Project on Alcohol and Other Drugs (ESPAD) from 26 European countries were analyzed. Self-reported drunkenness in the last 30 days and cannabis use in the last 12 months served as dependent variables. To investigate which factors are associated with risky substance use, multivariable logistic regressions were used.
results17.7% of respondents reported drunkenness in the last 30 days, and 14.9% used cannabis in the last 12 months. The most important predictor for risky substance use was the perception that most/all of their friends engaged in substance use behavior, followed by lack of parental support, low personal adherence to rules, and low school performance.
conclusionInterventions addressing the perceived descriptive norms either directly or by changing environmental cues, opportunities, and regulations, as well as effective parenting and academic support may prevent and reduce risky substance use behavior among adolescents.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.