Evidence map›Paper›PMID 42225563›Full record

SynthesisAddiction (Abingdon, England)2026

Tobacco and cannabis use in the young 'Not in Employment, Education or Training' population: A systematic review and meta-analysis.

Clara Eyraud, Claire Collin, Philippe Martin, Corinne Alberti, Laëtitia Minary, Agnès Dumas, Enora Le Roux

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Addiction (Abingdon, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Clara EyraudUniversité Paris Cité, INSERM, ECEVE, Paris, France.ORCID https://orcid.org/0000-0001-9914-6488
Claire CollinUniversité Paris Cité, INSERM, ECEVE, Paris, France.
Philippe MartinUniversité Paris Cité, INSERM, ECEVE, Paris, France.
Corinne AlbertiUniversité Paris Cité, INSERM, ECEVE, Paris, France.
Laëtitia MinaryUniversité de Lorraine, INSPIIRE, Nancy, France.
Agnès DumasInserm, Aix Marseille Université, Institut de Recherche pour le Développement (IRD), Institut des sciences de la santé publique (ISSPAM), Sciences Economiques et Sociales de la Santé et Traitement de l'information Médicale (SESSTIM), CALIPSO Team, Marseille, France.
Enora Le RouxUniversité Paris Cité, INSERM, ECEVE, Paris, France.

Funding

Institut National Du Cancer and IRESP INCa-IRESP_16810
6 · The paper itself

Abstract

BACKGROUND AND

aimsNEET (Not in Employment, Education or Training) youth represent a vulnerable population from a public health perspective, facing multiple health challenges, including elevated substance use. Tobacco and cannabis are the most commonly used psychoactive substances among young people, with early initiation associated with long-term health and social consequences. While evidence suggests associations between NEET status and substance use, data remain limited regarding patterns of use and potential variations across different NEET profiles. This study aimed to characterise tobacco and cannabis use within the NEET population, taking into account the diversity of profiles, and to compare it with that of the general population, including employed youth and students, in order to inform targeted prevention strategies.

methodsA systematic review and meta-analysis included observational studies examining tobacco and cannabis use among NEET youth aged 15-29 years. A search was conducted for observational studies available on PubMed, PsycINFO, Cairn and Web of Science databases and published between 1999 and 2025. Analyses studied the variations in use among NEET profiles and compared NEET against employed youth, student and general population controls. Random-effects models generated pooled crude odds ratios. Sensitivity and subgroup analyses were conducted based on study quality, gender and type of comparison population.

resultsTwenty-five studies were included and analysed, including a total of 91 085 individuals. A statistically significant association between NEET status and both tobacco use [odds ratio (OR) = 1.92, 95% confidence interval (CI) = 1.46-2.53] and current cannabis use (OR = 2.14, 95% CI = 1.68-2.71) was found. Current smoking was statistically significantly more prevalent among NEET than among students (OR = 3.05, 95% CI = 2.31-4.03), but not statistically significantly different compared with young workers (OR = 1.10, 95% CI = 0.91-1.34). NEET demonstrated statistically significantly higher cannabis use compared with both students (OR = 1.81, 95% CI = 1.34-2.44) and workers (OR = 1.67, 95% CI = 1.21-2.31). A higher prevalence of cannabis use disorder among young people with NEET status (31.93%) was observed compared with their non-NEET peers (12.12%), but no statistically significant association was found.

conclusionsYouth Not in Employment, Education or Training (NEET) appear to show higher tobacco and cannabis use compared with their peers. Given these findings, targeted prevention strategies addressing substance use in NEET populations are essential to reduce social health inequities.

Indexed as

Marijuana UseTobacco UseAdolescentAdultEmploymentHumansYoung Adultcannabis usemeta‐analysisNEETsystematic reviewtobacco useyouth

Identifiers

PMID42225563
PMCPMC13578992

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.