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Article

Multi-Substance Use Behaviors: Prevalence and Correlates of Alcohol, Tobacco and Other Drug (ATOD) Use among University Students in Finland

by 1,2,3,* and 4
1
Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar
2
College of Medicine, Qatar University, Doha 3050, Qatar
3
School of Health and Education, University of Skovde, 541 28 Skövde, Sweden
4
Department of Epidemiology and Biostatistics, King Fahad Specialist Hospital, Dammam 31444, Saudi Arabia
*
Author to whom correspondence should be addressed.
Academic Editors: Jon Øyvind Odland and Sharon Lawn
Int. J. Environ. Res. Public Health 2021, 18(12), 6426; https://doi.org/10.3390/ijerph18126426
Received: 11 May 2021 / Revised: 6 June 2021 / Accepted: 8 June 2021 / Published: 14 June 2021
Virtually no studies appraised the co-use of alcohol, tobacco, and other drug (ATOD) among Finn undergraduates. We assessed the associations between sociodemographic, health, academic, policy, and lifestyle characteristics (independent variables); and individual, multiple and increasing ATOD use (dependent variables) using regression analyses. Data were collected by online questionnaire at the University of Turku, Finland (1177 students). Roughly 22% of the sample smoked, 21% ever used illicit drug/s, 41% were high frequency drinkers, and 31.4%, 16.3%, and 6.7% reported 1, 2, or 3 ATOD behaviors respectively. Individual ATOD use was significantly positively associated with the use of the other two substances [adjusted odds ratio (Adj OR range 1.893–3.311)]. Multiple ATOD use was negatively associated with being single (p = 0.021) or agreeing with total smoking or alcohol ban policy on campus (p < 0.0001 for each); but positively associated with not living with parents (p = 0.004). Increasing ATOD behaviors were significantly less likely among those agreeing with total smoking or alcohol ban policy on campus (p range 0.024 to <0.0001). Demographics significant to either individual, multiple, or increasing ATOD use included males, being single, not living with their parents during semesters, and to some extent, religiosity. Age, depressive symptoms, perceived stress, self-rated health, health awareness, income sufficiency, and academic variables were not associated with individual, multiple, or increasing ATOD use. Education and prevention efforts need to reinforce abstinence from ATOD, highlight their harmful outcomes, and target risk groups highlighted above. University strategies should be part of the wider country-wide successful ATOD control policies. View Full-Text
Keywords: alcohol; tobacco; illicit/other drug; ban; policy; education; Finland; university students alcohol; tobacco; illicit/other drug; ban; policy; education; Finland; university students
MDPI and ACS Style

El Ansari, W.; Salam, A. Multi-Substance Use Behaviors: Prevalence and Correlates of Alcohol, Tobacco and Other Drug (ATOD) Use among University Students in Finland. Int. J. Environ. Res. Public Health 2021, 18, 6426. https://doi.org/10.3390/ijerph18126426

AMA Style

El Ansari W, Salam A. Multi-Substance Use Behaviors: Prevalence and Correlates of Alcohol, Tobacco and Other Drug (ATOD) Use among University Students in Finland. International Journal of Environmental Research and Public Health. 2021; 18(12):6426. https://doi.org/10.3390/ijerph18126426

Chicago/Turabian Style

El Ansari, Walid, and Abdul Salam. 2021. "Multi-Substance Use Behaviors: Prevalence and Correlates of Alcohol, Tobacco and Other Drug (ATOD) Use among University Students in Finland" International Journal of Environmental Research and Public Health 18, no. 12: 6426. https://doi.org/10.3390/ijerph18126426

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