A cross-sectional study on resilience, anxiety, depression, and psychoactive substance use among heterosexual and sexual minority adolescents in Nigeria.
Adolescents
Alcohol
Anxiety
Depression
Multiple substance use
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
09 09 2023
09 09 2023
Historique:
received:
03
04
2023
accepted:
30
08
2023
medline:
11
9
2023
pubmed:
10
9
2023
entrez:
9
9
2023
Statut:
epublish
Résumé
Mental health-related problems predispose alcohol and other psychoactive substances use as coping strategies. We assessed associations between resilience and anxiety symptoms, depressive symptoms, problematic alcohol, and multiple psychoactive substance use among sexual minority and heterosexual adolescents in Nigeria. This was a secondary analysis of a subset of data generated through an online cross-sectional study conducted between 16 Of the 1419 adolescent participants, 593 (42%) were sexual minority individuals, 533 (37.6%) had high depressive symptoms, 381 (26.8%) had high anxiety symptoms, 177 (12.5%) had problematic alcohol use and 389 (27.4%) used multiple psychoactive substances. Resilience was significantly associated with lower odds of anxiety (AOR:0.96, 95% CI: 0.94-0.97, p < 0.001) and depressive (AOR:0.94, 95% CI: 0.92-0.96, p < 0.001) symptoms, problematic alcohol use (AOR:0.97, 95% CI: 0.95-0.99, p = 0.002), and multiple psychoactive substance use (AOR:0.95, 95% CI: 0.93-0.96, p < 0.001). Sexual minority adolescents had significantly higher odds of anxiety (AOR:4.14, 95% CI: 3.16-5.40, p < 0.001) and depressive symptoms (AOR:4.79; 95% CI: 3.73-6.15, p < 0.001), problematic alcohol use (AOR:2.48, 95% CI: 1.76-3.49, p < 0.001), and multiple psychoactive substance use (AOR:5.69, 95% CI: 4.34-7.47, p < 0.001). Sexual minority adolescents and adolescents with low resilience have a higher need for interventions to reduce the risk of anxiety, depression, and the use of alcohol and other psychoactive substances.
Sections du résumé
BACKGROUND
Mental health-related problems predispose alcohol and other psychoactive substances use as coping strategies. We assessed associations between resilience and anxiety symptoms, depressive symptoms, problematic alcohol, and multiple psychoactive substance use among sexual minority and heterosexual adolescents in Nigeria.
METHODS
This was a secondary analysis of a subset of data generated through an online cross-sectional study conducted between 16
RESULTS
Of the 1419 adolescent participants, 593 (42%) were sexual minority individuals, 533 (37.6%) had high depressive symptoms, 381 (26.8%) had high anxiety symptoms, 177 (12.5%) had problematic alcohol use and 389 (27.4%) used multiple psychoactive substances. Resilience was significantly associated with lower odds of anxiety (AOR:0.96, 95% CI: 0.94-0.97, p < 0.001) and depressive (AOR:0.94, 95% CI: 0.92-0.96, p < 0.001) symptoms, problematic alcohol use (AOR:0.97, 95% CI: 0.95-0.99, p = 0.002), and multiple psychoactive substance use (AOR:0.95, 95% CI: 0.93-0.96, p < 0.001). Sexual minority adolescents had significantly higher odds of anxiety (AOR:4.14, 95% CI: 3.16-5.40, p < 0.001) and depressive symptoms (AOR:4.79; 95% CI: 3.73-6.15, p < 0.001), problematic alcohol use (AOR:2.48, 95% CI: 1.76-3.49, p < 0.001), and multiple psychoactive substance use (AOR:5.69, 95% CI: 4.34-7.47, p < 0.001).
CONCLUSION
Sexual minority adolescents and adolescents with low resilience have a higher need for interventions to reduce the risk of anxiety, depression, and the use of alcohol and other psychoactive substances.
Identifiants
pubmed: 37689625
doi: 10.1186/s12889-023-16660-1
pii: 10.1186/s12889-023-16660-1
pmc: PMC10493016
doi:
Substances chimiques
Ethanol
3K9958V90M
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1759Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
J Stud Alcohol. 1991 Nov;52(6):593-6
pubmed: 1758186
Alcohol Res. 2012;34(4):386-90
pubmed: 23584104
J Clin Psychol. 2018 Oct;74(10):1730-1741
pubmed: 29667715
PLoS One. 2015 Mar 04;10(3):e0119293
pubmed: 25738579
Psychoneuroendocrinology. 2002 Jan-Feb;27(1-2):127-38
pubmed: 11750774
Front Psychol. 2020 Jul 30;11:1492
pubmed: 32852482
Dialogues Clin Neurosci. 2006;8(4):367-81
pubmed: 17290796
Addict Behav. 2021 Jun;117:106817
pubmed: 33626483
Arch Sex Behav. 2014 Apr;43(3):607-19
pubmed: 23743831
Physiol Rev. 2007 Jul;87(3):873-904
pubmed: 17615391
J Gerontol A Biol Sci Med Sci. 2019 May 16;74(6):957-963
pubmed: 29939214
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
Am J Public Health. 2010 Oct;100(10):1953-60
pubmed: 20516373
Psychol Bull. 2004 Mar;130(2):304-23
pubmed: 14979774
Ann N Y Acad Sci. 2008 Oct;1141:105-30
pubmed: 18991954
Psychol Bull. 2003 Sep;129(5):674-697
pubmed: 12956539
J Anxiety Disord. 2008 Oct;22(7):1128-36
pubmed: 18182275
JAMA. 1984 Oct 12;252(14):1905-7
pubmed: 6471323
Psychol Med. 2019 Nov;49(15):2524-2532
pubmed: 30468143
J Affect Disord. 2006 Nov;96(1-2):89-93
pubmed: 16857265
J Child Psychol Psychiatry. 2013 Apr;54(4):474-87
pubmed: 23017036
PLoS One. 2019 May 10;14(5):e0216497
pubmed: 31075153
Arch Gen Psychiatry. 2011 Sep;68(9):942-52
pubmed: 21536969
Front Public Health. 2021 Aug 23;9:709410
pubmed: 34497792
BMC Public Health. 2021 Feb 15;21(1):357
pubmed: 33588818
BMC Public Health. 2015 Aug 21;15:812
pubmed: 26293450
Proc Natl Acad Sci U S A. 2021 Jan 5;118(1):
pubmed: 33384325
Pediatr Res. 2016 Jun;79(6):838-45
pubmed: 26882367
BMJ Open. 2018 Jun 14;8(6):e017858
pubmed: 29903782
Clin Invest Med. 2007;30(1):33-41
pubmed: 17716538
J Adolesc Health. 2022 Mar;70(3):470-477
pubmed: 34887197
Front Behav Neurosci. 2013 Feb 15;7:10
pubmed: 23422934
J Biosoc Sci. 2005 Mar;37(2):175-83
pubmed: 15768772
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
J Soc Social Work Res. 2015 Fall;6(3):317-341
pubmed: 28503256
Exp Aging Res. 2015;41(1):1-24
pubmed: 25494668
Transl Psychiatry. 2019 Nov 26;9(1):316
pubmed: 31772187
Bull World Health Organ. 2018 Jan 01;96(1):29-41L
pubmed: 29403098
Annu Rev Physiol. 2005;67:259-84
pubmed: 15709959
Addict Behav. 2015 Mar;42:96-100
pubmed: 25437264
Am J Public Health. 2014 Feb;104(2):304-10
pubmed: 24328653
Am J Public Health. 2010 Oct;100(10):1946-52
pubmed: 20075317
J Clin Med. 2021 Nov 08;10(21):
pubmed: 34768724
J Adolesc. 2017 Feb;55:36-50
pubmed: 28033502
Front Behav Neurosci. 2019 May 24;13:108
pubmed: 31178704
Subst Abuse Treat Prev Policy. 2017 Sep 15;12(1):41
pubmed: 28915841
Lancet Psychiatry. 2020 May;7(5):441-448
pubmed: 31806473
Arch Sex Behav. 2011 Feb;40(1):133-42
pubmed: 19588238
Aust N Z J Psychiatry. 2017 Aug;51(8):774-787
pubmed: 28565925
Arch Gen Psychiatry. 2001 Jan;58(1):85-91
pubmed: 11146762
J Lesbian Stud. 2005;9(3):19-30
pubmed: 17548282
BMJ Glob Health. 2022 Dec;7(12):
pubmed: 36564086
Neurobiol Stress. 2019 Feb 01;10:100148
pubmed: 30937354
Depress Anxiety. 2003;18(2):76-82
pubmed: 12964174
J Am Psychiatr Nurses Assoc. 2016 Jan-Feb;22(1):43-51
pubmed: 26929231
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Stress Health. 2010 Jan 1;26(1):51-60
pubmed: 20526415
Behav Med. 2022 Jul-Sep;48(3):207-215
pubmed: 33052771
Arch Pediatr Adolesc Med. 2006 Jul;160(7):739-46
pubmed: 16818840