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Table 2 Multivariate logistic regression of risk and protective factors for substance use among Woreta general higher education preparatory and secondary school 9th- 12th-grade students (n = 651), Woreta Town, Northwest Ethiopia, May 2012

From: High prevalence of substance use and associated factors among high school adolescents in Woreta Town, Northwest Ethiopia: multi-domain factor analysis

Risk or Protective factors

Substance Use

OR (95%CI)

Yes

No

Crude

Adjusted

n(%)

n (%)

Socio – Demographic characteristics

    

Age (years)

14-16

80(25.6)

112(33)

0.70(0.50-0.98)

0.82(0.52-1.30)

 

17-19

232(74.4)

227(67)

1

1

Sex

Female

106(34)

187(55.2)

1

1

 

Male

206(66)

152(44.8)

2.39(1.74-3.28)

1.52 (1.03-2.25)*

Mother’s Ednl. Level

Illiterate

116(37.2)

125(36.9)

1

1

 

1-6 grade

132(42.3)

102(30.1)

1.40(0.97-2.00)

1.36(0.88-2.12)

 

7-12 grade

41(13.1)

46(13.6)

0.96(0.59-1.57)

0.80(0.44-1.47)

 

Vocl. Certificate

1(0.3)

18(5.3)

0.06(0.01-0.46)

0.51(0.005-0.55)*

 

Diploma

12(3.8)

32(9.4)

0.40(0.20-0.82)

0.43(0.19-0.97)*

 

Degree

10(3.2)

16(4.3)

0.67(0.29-1.54)

1.05(0.38-2.85)

Father’s Ednl. level

Illiterate

87(27.9)

90(26.5)

1

1

 

1-6 grade

113(36.2)

106(31.3)

1.10(0.74-1.63)

0.86(0.50-1.46)

 

7-12 grade

64(20.2)

54(15.9)

1.22(0.77-1.96)

1.21(0.62-2.37)

 

Vocl. Certificate

10(3.2)

13(3.8)

0.80(0.33-1.91)

1.05(0.29-3.81)

 

Diploma

21(6.7)

31(9.1)

0.70(0.37-1.31)

1.30(0.47-3.58)

 

Degree

17(5.4)

45(13.3)

0.39(0.20-0.73)

0.47(0.15-1.55)

Community Domain factors

    

Low neighborhood attachment

Yes

202(64.7)

179(52.8)

1.64(1.20-2.25)

0.94(0.62-1.43)

 

No

110(35.5)

160(47.2)

1

1

Community norms favorable to Substance Use

Yes

133(65.7)

107(39.2)

2.97(2.16-4.09)

1.95(1.31-2.90)**

 

No

107(34.3)

206(60.8)

1

1

Perceived availability of Substances

Yes

166(53.2)

158(46.6)

1.30(0.96-1.77)

1.02(0.68-1.53)

 

No

146(44.6)

181(55.4)

1

1

Community rewards for prosocial involvement

Yes

213(68.3)

285(84.1)

0.41(0.28-0.59)

0.73(0.45 1.19)

 

No

99(31.5)

54(15.9)

1

1

Family domain factors

     

Poor family management

Yes

230(73.7)

207(61.1)

1.79(1.28-2.50)

1.40(0.91-2.12)

 

No

82(26.3)

132(38.9)

1

1

Parental attitude favorable to substance use

Yes

188(60.3)

118(34.8)

2.84(2.07-3.90)

1.40(0.91-2.12)

 

No

124(39.7)

221(65.2)

1

1

Family history of alcohol and substance use

Yes

129(41.3)

44(13.0)

4.73(3.20-6.97)

2.24(1.39-3.59)**

 

No

183(58.7)

295(87)

1

1

Sibling’s use of substances

Yes

179(57.4)

69(20.4)

5.27(3.72-7.45)

2.72(1.79-4.14)***

 

No

133(42.6)

270(79.6)

1

1

Family attachment

Yes

152(48.7)

230(67.8)

0.45(0.33-0.62)

0.94(0.59-1.50)

 

No

160(51.3)

109(32.2)

1

1

Family opportunities for Prosocial involvment.

Yes

155(49.7)

229(67.6)

0.47(0.35-0.65)

0.83(0.54-1.28)

 

No

157(50.3)

110(32.4)

1

1

Family rewards for prosocial involvement

Yes

131(42)

212(62.5)

0.43(0.32-0.59)

1.26(0.82-1.93)

 

No

181(58%)

127(37.5)

1

1

School domain factors

     

Poor academic performance

Yes

220(70.5)

160(47.2)

2.68(1.94-3.70)

1.67(1.12-2.47)*

 

No

92(29.5)

179(52.8)

1

1

Low school commitment

Yes

203(65.1)

174(51.3)

1.77(1.29-2.42)

0.92(0.59-1.42)

 

No

109(34.9)

165(48.7)

1

1

School opportunities for prosocial involvement

Yes

188(60.3)

249(73.5)

055(0.39-0.76)

1.40(0.88-2.20)

 

No

124(39.7)

90(26.5)

1

1

School rewards for prosocial involvement

Yes

170(54.5)

232(68.4)

0.55(0.40-0.76)

0.89(0.56-1.41)

 

No

142(45.5)

107(31.6)

1

1

Peer and individual domain factors

     

Low perceived risk of Substance Use

Yes

230(73.3)

159(46.9)

3.18(2.28-4.42)

1.73(1.15-2.60)*

 

No

82(31.3)

180(68.7)

1

1

Friends use of substances

Yes

182(58.3)

85(25.1)

4.18(2.99-5.84)

2.14(1.44-3.18)***

 

No

130(41.7)

254(74.9)

1

1

Peer rewards for antisocial behaviors

Yes

183(58.7)

131(38.6)

2.25(1.65-3.08)

1.18(0.79-1.76)

 

No

129(41.3)

208(61.4)

1

1

Religiosity

Yes

92(29.5)

199(58.7)

0.29(0.21-0.41)

0.46(0.31-0.68)***

 

No

220(70.5)

140(41.3)

1

1

Social skills

Yes

126(40.4)

231(68.1)

0.32(0.23-0.44)

0.61(0.40-0.91)*

 

No

186(59.6)

108(31.9)

1

1

Belief in the moral order

Yes

212(67.9)

284(88.3)

0.41(0.28-0.60)

0.90(0.54-1.48)

 

No

100(32.1)

55(16.2)

1

1

Interaction with prosocial peers

Yes

137(43.9)

207(61.1)

0.50(0.37-0.68)

0.88(0.59-1.32)

 

No

175(56.1)

132(38.9)

1

1

  1. Abbreviations: OR, Odds Ratio; CI, Confidence Interval.
  2. Vocl. = Vocational.
  3. Ednl. Educational.
  4. NB.*Remained significant at P-Value <0.05.
  5. **Remained significant at P-Value ≤0.001.
  6. ***Remained significant at P-Value <0.0001.