title: Alcohol and drug use prevalence and factors associated with the experience of alcohol use in Iranian adolescents.
abstract: BACKGROUND
  Alcohol and other drugs use is a problem among adolescents leading to numerous physical, social, and educational damages.
  
  
  OBJECTIVE
  For determining the prevalence of alcohol and other substance use as well as the factors associated with the experience of alcohol use in adolescents.
  
  
  METHODS
  This is a population-based and cross-sectional study, which was conducted in August 2010 on adolescents aged 15-18 years in Tehran. Data were collected by a Youth Risk Behavior Surveillance System (YRBSS) in 1,201 adolescents. The multistage cluster sampling method was used. Questions belonging to the domain of alcohol and other substance use were analyzed.
  
  
  RESULTS
  In general, 15.1% of adolescents had experienced alcohol, which is significantly higher in boys (21.9%) compared to girls (8.4%) (P = 0.000). 3.1% of adolescents had experience using opium and marijuana. 5.6% had used ecstasy. The results of multivariate logistic regression indicated that low parental control rather than medium control [AOR: 0.09], lifetime cigarette use [AOR: 10.41], having a tobacco user friend [AOR: 4.36], and having an alcohol user friend [AOR: 5.84] are factors that are significantly related to the experience of alcohol use in female adolescents. In addition, studying in private schools rather than public schools [AOR: 3.46], lifetime cigarette use [AOR: 3.41], lifetime water pipe use [AOR: 4.43], experience of sexual activity [AOR: 8.52], having an alcohol user friend [AOR: 12.60], and having a water pipe user in family [AOR: 2.98] are factors that are significantly related to the experience of alcohol use in male adolescents.
  
  
  CONCLUSIONS
  We recommend interventional plans based gender aimed at improving adolescent health with regard substance abuse.
authors: Department of Reproductive Health, Tehran University of Medical Sciences, Tehran, IR Iran ; Center for Community-Based Participatory Research, Tehran University of Medical Sciences, Tehran, IR Iran.
authors: Azam
authors: A
authors: Baheiraei
authors: Zeinab
authors: Z
authors: Hamzehgardeshi
authors: Mohammad Reza
authors: MR
authors: Mohammadi
authors: Saharnaz
authors: S
authors: Nedjat
authors: Eesa
authors: E
authors: Mohammadi
keywords: Adolescent; Alcohol Drinking; Iran; Prevalence
references: Arch Pediatr Adolesc Med. 2002 Nov;156(11):1101-7
references: 12413337
references: Am J Public Health. 1993 Jun;83(6):851-5
references: 8498623
references: Health Educ Res. 2005 Feb;20(1):71-80
references: 15198997
references: J Adolesc Health. 1999 Nov;25(5):328-35
references: 10551663
references: Public Health. 2010 Feb;124(2):65-70
references: 20060987
references: Drug Alcohol Depend. 1998 Jan 1;49(2):105-14
references: 9543647
references: Nicotine Tob Res. 2005 Dec;7(6):845-51
references: 16298719
references: Addict Behav. 2006 Jan;31(1):149-54
references: 15905040
references: Addict Behav. 2004 Feb;29(2):413-23
references: 14732431
references: Adolescence. 2004 Fall;39(155):519-30
references: 15673227
references: J Adolesc Health. 2002 Nov;31(5):394-400
references: 12401425
references: J Stud Alcohol. 1998 Sep;59(5):485-94
references: 9718100
references: Br J Pharmacol. 2000 May;130(1):167-73
references: 10781013
references: Drug Alcohol Depend. 2002 Jun 1;67(1):27-39
references: 12062777
references: Drug Alcohol Depend. 1999 Jul 1;55(3):209-24
references: 10428362
references: J Sch Health. 1993 Sep;63(7):302-6
references: 8246462
references: Iran Red Crescent Med J. 2012 Jun;14(6):363-70
references: 22924115
references: J Adolesc Health. 2004 Dec;35(6):529.e7-18
references: 15581536
references: Drug Alcohol Depend. 2000 Nov 1;60(3):319-21
references: 11053768
references: J Adolesc Health. 2003 Aug;33(2):119-29
references: 12890603
references: Addiction. 2002 Dec;97 Suppl 1:84-97
references: 12460131