Factors associated with alcohol and substance use in adolescents aged 12–15: A rapid review

Adolescents can often adopt behaviors that put them at risk and compromise their health. Among these behaviors, the most prominent is the use of psychoactive/addictive substances (alcohol, tobacco, and other illicit drugs). In recent years, there has been an increasing utilization trend of these substances in adolescents and within the peer group. The objective of this paper is to identify the factors associated with alcohol and substance consumption in adolescents aged 12–15. We followed the Cochrane recommendations for this rapid review. We used the CINAHL database through EBSCO to search for articles. Covidence software was used to screen the title and abstract, as well as the full text. Data extraction was carried out according to a table created by two reviewers. Quality and risk of bias were assessed using the Joanna Briggs Institute tool. Ten articles published between 2020 and 2024 and originating in the United States and Canada were included in the study. The studies included adolescents aged 11–19, encompassing the 12–15 age group targeted in our study, and examined substances such as alcohol, tobacco, cannabis, cocaine, prescription drugs, and over-the-counter drugs. There are several contextual, relational, and personal factors that are positively and negatively associated with substance use in adolescents, and these are considered risk factors and protective factors, respectively. The findings of this rapid literature review contribute to the formulation of health policies and substance use prevention programs at global, European, national, and community levels.
- World Health Organization. Global Status Report on Alcohol and Health and Treatment of Substance Use Disorders. Switzerland: World Health Organization; 2024.
- SAMHSA. 2023 NSDUH Detailed Tables-CBHSQ Data; 2024. Available from: https://www.samhsa.gov/data/ report/2023-nsduh-detailed-tables
- Fernandes I, Andrade LM, Martins MM, Martins T, Rolim KM, Guerra-Martín MD. Consumption of addictive substances, tobacco, alcohol and marijuana by students of North Portugal. Enferm Glob. 2019;18(2):180-209. doi: 10.6018/eglobal.18.2.307801
- Chaves LC, Frazão IS, Oliveira LM, Abrantes GG, Dalcin CB, Vasconcelos SC. Teenagers’ knowledge about alcohol and other drugs and their opinion about educational technologies. Rev Enferm UFSM. 2022;12:e9. doi: 10.5902/2179769266828
- Lopez-Mayan C, Nicodemo C. “If my buddies use drugs, will I?” Peer effects on substance consumption among teenagers. Econ Hum Biol. 2023;50:101246. doi: 10.1016/j.ehb.2023.101246
- Garritty C, Gartlehner G, Nussbaumer-Streit B, et al. Cochrane Rapid reviews methods group offers evidence-informed guidance to conduct rapid reviews. J Clin Epidemiol. 2021;130(130):13-22. doi: 10.1016/j.jclinepi.2020.10.007
- Apóstolo J. Evidence Synthesis in the Context of Science Translation. Coimbra: Escola Superior de Enfermagem de Coimbra; 2017.
- Aromataris E, Munn Z. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Pembroke: JBI; 2020. doi: 10.46658/jbimes-20-01
- Camp S, Legge T. Simulation as a tool for clinical remediation: An integrative review. Clin Simul Nurs. 2018;16:48-61. doi: 10.1016/j.ecns.2017.11.003
- Lee J, Choi MJ, Thornberg R, Hong JS. Exploring sex differences in the association between bullying involvement and alcohol and marijuana use among U.S. Adolescents in 6th to 10th Grade. Subst Use Misuse. 2020;55(8):1203-1213. doi: 10.1080/10826084.2020.1725054
- Rinehart SJ, Espelage DL, Bub KL. Longitudinal effects of gendered harassment perpetration and victimization on mental health outcomes in adolescence. J Interpers Violence. 2017;35:5997-6016. doi: 10.1177/0886260517723746
- Gentzke AS, Wang TW, Cornelius M, et al. Tobacco product use and associated factors among middle and high school students - National youth tobacco Survey, United States, 2021. MMWR Surveil Summ. 2022;71(5):1-29. doi: 10.15585/mmwr.ss7105a1
- Hatala A, McGavock J, Michaelson V, Pickett W. Low risks for spiritual highs: Risk-taking behaviours and the protective benefits of spiritual health among Saskatchewan adolescents. Paediatr Child Health. 2020;26(2):e121-e128. doi: 10.1093/pch/pxaa007
- Yang Y, Liller KD, Coulter M, Salinas-Miranda A, Tyson DM, Chen H. How community and individual risk factors mutually impact youth’s perceived safety: A syndemic analysis using structural equation modeling. J Interpers Violence. 2021;37:NP17738-NP17757. doi: 10.1177/08862605211028326
- Temple JR, Baumler E, Wood L, Guillot-Wright S, Torres E, Thiel M. The impact of the COVID-19 pandemic on adolescent mental health and substance use. J Adolesc Health. 2022;71(3):277-284. doi: 10.1016/j.jadohealth.2022.05.025
- Pederson CA, Khazvand S, Clifton RL, et al. The relationship between neighborhood safety and adolescent substance use: The role of self-esteem and social support. J Child Fam Stud. 2022;31(11):3234-3246. doi: 10.1007/s10826-022-02452-5
- Khan S, Griffin KW, Botvin GJ. Onset of the non-medical use of prescription and over-the-counter medications during early adolescence: Comparison with alcohol, tobacco, and marijuana. Children. 2023;10(8):1298. doi: 10.3390/children10081298
- Schick MR, Egan A, Nalven T, Spillane NS. Primary socialization theory and American Indian adolescents’ intentions to use substances. Subst Use Misuse. 2023;58(12):1598-1605. doi: 10.1080/10826084.2023.2236210
- Henry KL, Stanley LR, Swaim RC. Can high and consistent school‐related protective factors prevent cannabis use among American Indian middle school students? J Sch Health. 2023;94:138-147. doi: 10.1111/josh.13380
- Joanna Briggs Institute. JBI Levels of Evidence; 2014. Available from: https://jbi.global/sites/default/files/2019-05/jbi-levels-of-evidence_2014_0.pdf [Last accessed on 2024 Nov 10].
- Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Br Med J. 2021;372(71):372. doi: 10.1136/bmj.n71
- World Health Organization. Global Alcohol Action Plan 2022-2030; 2022. Available from: https://cdn.who.int/ media/docs/default-source/alcohol/final-text-of-aap-for-layout-anddesign-april-2023.pdf?sfvrsn=6c5adb25_2 [Last accessed on 2024 Nov 18].
- United Nations. Guide about Sustainable Development Goals: 17 Objectives for Changing the World; 2018. Available from: https://unric.org/pt/wpcontent/uploads/sites/9/2019/01/ sdg_brochure_pt-web.pdf [Last accessed on 2024 Nov 15].
- European Monitoring Centre for Drugs and Drug Addiction. European Drug Report 2023: Trends and Developments; 2023. Available from: https://www.emcdda.europa.eu/publications/european-drug-report/2023_en [Last accessed on 2024 Nov 20].
- RNAO. Engaging Clients Who Use Substances; 2015. Available from: https://rnao.ca/bpg/guidelines/engaging-clients-who-use-substances [Last accessed on 2024 Nov 15].
- Direção-Geral de Saúde. National Health Plan 2030; 2024. Available from: https://pns.dgs.pt/files/2023/09/pns2030- versao-resumo-set-2023.pdf [Last accessed on 2024 Nov 19].
- Ferreira S, Moutinho L, Teixeira J. Alcohol consumption in young people: The importance of prevention programs in delaying experimentation. Rev Psicol Criança Adolescente. 2019;10(2):219-232. doi: 10.34628/qsjw-qd86
- André C, Cândido A, Carreira T, Santiago MC, Cruz O, Amendoeira J. School-based intervention: Preventing alcohol consumption among youth. Rev UI IPSantarém. 2020;8(1):87-95. doi: 10.25746/ruiips.v8.i1.19881
- Domingos C, Barbosa C, Fortunato K, Ferrito C. Interventions used to prevent alcohol use among adolescents. Cadernos Saúde. 2020;12:120-121. doi: 10.34632/cadernosdesaude.2020.10294
- Isabel M. Prevention of Tobacco use Among School-Aged Adolescents Taking into Account Gender Differences. Evaluation of the Impact of the SmokeOut-I and SmokeOut-II Program in the Prevention of Tobacco Consumption, in the Medium and Long Term. Handlenet; 2020. Available from: https://hdl.handle.net/1822/76358 [Last accessed on 2024 Nov 20].
- Direção Geral da Saúde. Portugal’s 2020 National Tobacco Control and Prevention Program; 2021. Available from: https://www.dgs.pt/portal-da-estatistica-da-saude/ diretorio-deinformacao/diretorio-de-informacao/por-serie-1219790 [Last accessed on 2024 Nov 20].
- Instituto Português do Desporto e Juventude. Portugal’s National Youth Plan; 2022. Available from: https://ipdj.gov. pt/plano-nacional-para-a-juventude [Last accessed on 2024 Nov 19].
- Direção Geral da Saúde. Portugal’s National Plan for the Reduction of Addictive Behaviors and Dependencies (2021- 2030); 2021. Available from: https://www.file:///c:/users/ lucyp/downloads/pnrcad_2021-2030%20(1).pdf [Last accessed on 2024 Nov 21].
- Maria F. The “Me and others” Prevention Program: Impact Evaluation and Predictors for Safer Future Behaviors. Handlenet; 2023. Available from: https://hdl.handle. net/10071/29846 [Last accessed on 2024 Nov 21].