Autor: |
Koumantakis E; Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy.; Post Graduate School of Medical Statistics, University of Torino, 10126 Torino, Italy., Comoretto RI; Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy., Dalmasso P; Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy., Bersia M; Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy.; Post Graduate School of Medical Statistics, University of Torino, 10126 Torino, Italy., Lemma P; Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy., Lazzeri G; Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy., Nardone P; National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità (National Institute of Health), 00161 Rome, Italy., Vieno A; Department of Developmental Psychology and Socialisation, University of Padova, 35131 Padova, Italy., Galeotti T; Department of Developmental Psychology and Socialisation, University of Padova, 35131 Padova, Italy., Berchialla P; Department of Clinical and Biological Sciences, University of Torino, 10043 Orbassano, Italy., Charrier L; Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy. |
Abstrakt: |
Adolescence is a critical period for engaging in health risk behaviors. Migrant adolescents may face unique challenges due to acculturation stress. This study aims to monitor substance use and problem gambling among migrant adolescents living in Italy. Data from the 2017/18 Health Behavior in School-Aged Children survey in Italy were analyzed. The 18,794 participants included 15-year-olds, categorized as native or migrants, with ethnic backgrounds from Western, Eastern European, or non-Western/non-European countries. Girls had higher smoking rates, while boys exhibited higher prevalence of alcohol-related risk behaviors, cannabis use, and gambling. Boys from Eastern European countries displayed a greater risk of drunkenness (OR: 1.58, 95% CI: 1.06-2.37), particularly in the first generation, while those from Western countries showed a higher risk of multiple substance use (OR: 1.44, 95% CI: 1.05-1.96). Girls from Eastern European and non-Western/non-European countries had a lower risk of alcohol consumption (OR: 0.50, 95% CI: 0.29-0.85; OR: 0.55, 95% CI: 0.33-0.91, respectively). Finally, boys, especially those from Eastern European and non-Western/non-European countries, had a significantly higher risk of problem gambling (OR: 1.83, 95% CI: 1.04-3.22; OR: 2.10, 95% CI: 1.29-3.42, respectively). This disparity was more pronounced in the first generation, possibly due to acculturation challenges and socio-economic factors. Risk behaviors in adolescents are influenced by complex interplays of gender, cultural factors, and migration generation. Preventive strategies should consider these factors to effectively address substance use and gambling in this heterogeneous population. |