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Cannabis use and physical activity among 89,777 adolescents aged 12-15 years from 21 low- and middle-income countries

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posted on 2023-08-30, 16:28 authored by Garcia Ashdown-Franks, Catherine Sabiston, Davy Vancampfort, Lee Smith, Joseph Firth, Marco Solmi, Nicola Veronese, Brendon Stubbs, Ai Koyanagi
Background: Cannabis legalization and use are increasing globally, however, little is known about associations between cannabis use and other health behaviors, such as physical activity (PA). Importantly, the extent to which cannabis use is associated with PA in adolescents is yet to be explored in low- and middle-income countries (LMICs), where there may be unique sociodemographic and environmental characteristics compared with high-income countries. Therefore, this study examined the association between PA and cannabis use among adolescents in 21 LMICs using data from the 2010-2016 Global School-based Student Health Survey. Methods: A multivariable logistic regression analysis was performed among a final sample of 89,777 adolescents (49.2% females) aged 12-15 years with a mean (SD) age of 13.7 (0.9) years. Results: The overall prevalence of past (i.e., in lifetime but not in past 30 days) and current (in past 30 days) cannabis use were 1.0% and 2.9% respectively, while the prevalence of adequate PA in the past week (7 days/week of 60 minutes of PA) was 16.6%. The prevalence of adequate levels of PA in past and current cannabis use was 7.3% and 6.9%, respectively. Current and past cannabis use (vs. never) were associated with a significant 0.62 (95% CI=0.41-0.94) and 0.43 (95%CI=0.30-0.63) times lower odds for achieving adequate levels of PA, respectively. Conclusion: The results underscore the high prevalence of low PA among adolescents in LMICs, and emphasize the need to understand behavioral factors that may affect PA levels, such as cannabis use, when designing interventions to improve health.

History

Refereed

  • Yes

Volume

205

Page range

107584

Publication title

Drug and Alcohol Dependence

ISSN

1879-0046

Publisher

Elsevier

File version

  • Accepted version

Language

  • eng

Legacy posted date

2019-08-13

Legacy creation date

2019-08-12

Legacy Faculty/School/Department

Faculty of Science & Engineering

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