ArticleBMC public health2024
Does parent-child connectedness influence substance use among Bhutanese adolescents: evidence from a national survey?
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Behavioral and social pathways of adolescent drug use in Indonesia: implications for community-based prevention.BMC public health · 2026Article
- Prescription Pain Medication Misuse with and Without Heroin Use Among Adolescents: relationships with Routine Healthcare, Family Support, Academic Performance, Violence, and Other Risky Behaviors.Substance use & misuse · 2025Article
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4 authors.
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Abstract
backgroundAdolescent substance use is recognized as a global health crisis that threatens adolescents' physical and mental health worldwide. Alcohol is the most available one; WHO findings suggest that more than 155 million adolescents, representing over a quarter of the adolescent population aged between 11 and 15, use alcohol-based drinks worldwide. Since adolescents are the future of the world, protecting them from substance use is of paramount importance.
objectivesThis study aimed to explore the prevalence of adolescent substance use (alcohol, marijuana, and tobacco) among Bhutanese adolescents and examine the association with parent-child connectedness as a protective factor while controlling sociodemographic, socio-emotional distress, and other contextual factors.
methodsA total of 7576 school-going adolescents' data from the 2016 Global School-based Student Health Survey (GSHS) Bhutan dataset were used in this study. To analyze the relationship between predictor and outcome variables, both univariate and multivariate binary logistic regression models were constructed utilizing the "complex samples" tool of SPSS 25. A significance level of p ≤ 0.05 was used for the analyses.
resultsAn estimated 30.7% of the Bhutanese school-going adolescents used tobacco, 25.8% consumed alcohol, and 12.7% used marijuana. Parent-child connectedness: (i) child's homework supervision and (ii) child's free time supervision by parents significantly lower the odds of using tobacco and alcohol consumption, while parents understanding child's problem showed no significant association with substance use among the respondents. However, no significant association was found between parent-child connectedness and marijuana use. Besides parental connectedness, anxiety, bullying, passive smoking, school truancy, being involved in fights, or being attacked were also significantly associated with adolescents' substance use.
conclusionParental connectedness has been found to be an important factor that can lead to a substantive reduction in substance use among the adolescents of Bhutan. However, the lesson is pertinent for any global initiatives aiming to prevent the harmful use of substances among global adolescents.
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