ArticleInternational journal of school health2026
The Prevalence of Alcohol and Tobacco Use Among Adolescents and Young Adults in Bengaluru, India.
Article in International journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Substance use can affect scholastic performance. The present study aimed to estimate the prevalence of alcohol and tobacco use and associated outcomes of their use among adolescents and young adults. Methods: We carried out a cross-sectional study in Bengaluru, India, over the period of September 2017 to September 2021. The study participants included students enrolled in pre-university courses, undergraduate colleges, and higher secondary classes (11th and 12th grades). Upon obtaining consent/assent, the study participants completed a pre-tested semi-structured questionnaire covering basic demographics and history of alcohol and tobacco use and their associated characteristics. Data were summarized using frequencies, medians (IQR), and proportions with 95% CI; sex-wise differences were assessed using Chi-square test and odds ratios, with a significance level set at P<0.05. Results: Competitive anxiety was positively and significantly associated with athlete burnout (β=0.447, t=6.225, P<0.001). Mental toughness significantly moderated this correlation, attenuating the positive link between competitive anxiety and burnout in athletes with higher mental toughness levels (interaction term: β=-0.213, t=3.993, P<0.001). This indicates a buffering (protective) effect of mental toughness. Conclusions: Alcohol and tobacco use appeared more common in Indian adolescents in our study compared with previously reported rates in the country's general population. Therefore, appropriate interventions should be planned in early school/college days by the concerned authorities.
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