Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2015 | Research article

Prevalence, correlates, and associated psychological problems of substance use in Korean adolescents

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Substance use among Korean adolescents has been increasing, but little is known about the correlates of substance use in this population. Identification of the correlates is required for development of preventive approaches that aim to reduce or eliminate risk. Therefore, we examined the prevalence and correlates of substance use including psychological problems in a nationwide sample of Korean adolescents.

Methods

Data from the 2014 Korean Youth Risk Behavior Web-Based Survey, collected from 72,060 adolescents aged 12–18 years (mean age 14.94 ± 1.75 years), were analyzed. Participants’ lifetime experiences with substances (alcohol, tobacco, and illicit drugs) were assessed. Participants’ perceived stress, depressive mood, and suicidality during the previous 12 months were also investigated.

Results

The lifetime prevalence estimates of alcohol, tobacco, and illicit drug use were 43.0, 19.9, and 0.4 % of the participants, respectively. The most commonly used illicit drugs were inhalants. Older age, male gender, non-residence with family, low parental educational level and socio-economic status, and low academic achievement were positively and significantly associated with substance use. Substance (alcohol, tobacco, and illicit drug) use was positively and significantly associated with severe stress, depressive mood, and suicidality during the previous 12 months, with the highest odds ratios obtained from illicit drug use.

Conclusions

These results indicate that the use of substances (alcohol, tobacco, and illicit drugs) among Korean adolescents is associated with socially disadvantaged families, psychological problems, and risky behavior. Health education including dependency prevention programs is needed for these high-risk groups.
Literature
1.
go back to reference Kaminer Y. Adolescent substance use disorders. Preface: Been there, done that, and now what? Adolescent addictive behaviors from etiology to postvention. Child Adolesc Psychiatr Clin N Am. 2010;19(3):15–6. Kaminer Y. Adolescent substance use disorders. Preface: Been there, done that, and now what? Adolescent addictive behaviors from etiology to postvention. Child Adolesc Psychiatr Clin N Am. 2010;19(3):15–6.
2.
go back to reference Rehm J, Gmel G, Sempos CT, Trevisan M. Alcohol-related morbidity and mortality. Alcohol Res Health. 2003;27(1):39–51.PubMed Rehm J, Gmel G, Sempos CT, Trevisan M. Alcohol-related morbidity and mortality. Alcohol Res Health. 2003;27(1):39–51.PubMed
3.
go back to reference Mathers BM, Degenhardt L, Bucello C, Lemon J, Wiessing L, Hickman M. Mortality among people who inject drugs: a systematic review and meta-analysis. Bull World Health Organ. 2013;91(2):102–23.CrossRefPubMedPubMedCentral Mathers BM, Degenhardt L, Bucello C, Lemon J, Wiessing L, Hickman M. Mortality among people who inject drugs: a systematic review and meta-analysis. Bull World Health Organ. 2013;91(2):102–23.CrossRefPubMedPubMedCentral
4.
go back to reference Haller M, Handley E, Chassin L, Bountress K. Developmental cascades: linking adolescent substance use, affiliation with substance use promoting peers, and academic achievement to adult substance use disorders. Dev Psychopathol. 2010;22(4):899–916.CrossRefPubMedPubMedCentral Haller M, Handley E, Chassin L, Bountress K. Developmental cascades: linking adolescent substance use, affiliation with substance use promoting peers, and academic achievement to adult substance use disorders. Dev Psychopathol. 2010;22(4):899–916.CrossRefPubMedPubMedCentral
5.
go back to reference Riala K, Hakko H, Isohanni M, Järvelin MR, Räsänen P. Teenage smoking and substance use as predictors of severe alcohol problems in late adolescence and in young adulthood. J Adolesc Health. 2004;35(3):245–54.CrossRefPubMed Riala K, Hakko H, Isohanni M, Järvelin MR, Räsänen P. Teenage smoking and substance use as predictors of severe alcohol problems in late adolescence and in young adulthood. J Adolesc Health. 2004;35(3):245–54.CrossRefPubMed
6.
go back to reference Brook JS, Richter L, Rubenstone E. Consequences of adolescent drug use on psychiatric disorders in early adulthood. Ann Med. 2000;32(6):401–7.CrossRefPubMed Brook JS, Richter L, Rubenstone E. Consequences of adolescent drug use on psychiatric disorders in early adulthood. Ann Med. 2000;32(6):401–7.CrossRefPubMed
7.
go back to reference Moon DG, Jackson KM, Hecht ML. Family risk and resiliency factors, substance use, and the drug resistance process in adolescence. J Drug Educ. 2000;30(4):373–98.CrossRefPubMed Moon DG, Jackson KM, Hecht ML. Family risk and resiliency factors, substance use, and the drug resistance process in adolescence. J Drug Educ. 2000;30(4):373–98.CrossRefPubMed
8.
go back to reference Weiland BJ, Nigg JT, Welsh RC, Yau WY, Zubieta JK, Zucker RA, et al. Resiliency in adolescents at high risk for substance abuse: flexible adaptation via subthalamic nucleus and linkage to drinking and drug use in early adulthood. Alcohol Clin Exp Res. 2012;36(8):1355–64.CrossRefPubMedPubMedCentral Weiland BJ, Nigg JT, Welsh RC, Yau WY, Zubieta JK, Zucker RA, et al. Resiliency in adolescents at high risk for substance abuse: flexible adaptation via subthalamic nucleus and linkage to drinking and drug use in early adulthood. Alcohol Clin Exp Res. 2012;36(8):1355–64.CrossRefPubMedPubMedCentral
9.
go back to reference Ford JA, Hill TD. Religiosity and adolescent substance use: evidence from the national survey on drug use and health. Subst Use Misuse. 2012;47(7):787–98.CrossRefPubMed Ford JA, Hill TD. Religiosity and adolescent substance use: evidence from the national survey on drug use and health. Subst Use Misuse. 2012;47(7):787–98.CrossRefPubMed
10.
go back to reference Lucchetti G, Peres MF, Lucchetti AL, Koenig HG. Religiosity and tobacco and alcohol use in a Brazilian shantytown. Subst Use Misuse. 2012;47(7):837–46.CrossRefPubMed Lucchetti G, Peres MF, Lucchetti AL, Koenig HG. Religiosity and tobacco and alcohol use in a Brazilian shantytown. Subst Use Misuse. 2012;47(7):837–46.CrossRefPubMed
11.
go back to reference Lac A, Unger JB, Basanez T, Ritt-Olson A, Soto DW, Baezconde-Garbanati L. Marijuana use among Latino adolescents: gender differences in protective familial factors. Subst Use Misuse. 2011;46(5):644–55.CrossRefPubMed Lac A, Unger JB, Basanez T, Ritt-Olson A, Soto DW, Baezconde-Garbanati L. Marijuana use among Latino adolescents: gender differences in protective familial factors. Subst Use Misuse. 2011;46(5):644–55.CrossRefPubMed
12.
go back to reference Piko BF, Balazs MA. Authoritative parenting style and adolescent smoking and drinking. Addict Behav. 2012;37(3):353–6.CrossRefPubMed Piko BF, Balazs MA. Authoritative parenting style and adolescent smoking and drinking. Addict Behav. 2012;37(3):353–6.CrossRefPubMed
13.
go back to reference Pinchevsky GM, Arria AM, Caldeira KM, Garnier-Dykstra LM, Vincent KB, O’Grady KE. Marijuana exposure opportunity and initiation during college: parent and peer influences. Prev Sci. 2012;13(1):43–54.CrossRefPubMedPubMedCentral Pinchevsky GM, Arria AM, Caldeira KM, Garnier-Dykstra LM, Vincent KB, O’Grady KE. Marijuana exposure opportunity and initiation during college: parent and peer influences. Prev Sci. 2012;13(1):43–54.CrossRefPubMedPubMedCentral
14.
go back to reference Sale E, Sambrano S, Springer JF, Pena C, Pan W, Kasim R. Family protection and prevention of alcohol use among Hispanic youth at high risk. Am J Community Psychol. 2005;36(3–4):195–205.CrossRefPubMed Sale E, Sambrano S, Springer JF, Pena C, Pan W, Kasim R. Family protection and prevention of alcohol use among Hispanic youth at high risk. Am J Community Psychol. 2005;36(3–4):195–205.CrossRefPubMed
15.
go back to reference Gorka SM, Shankman SA, Seeley JR, Lewinsohn PM. The moderating effect of parental illicit substance use disorders on the relation between adolescent depression and subsequent illicit substance use disorders. Drug Alcohol Depend. 2013;128(1–2):1–7.CrossRefPubMed Gorka SM, Shankman SA, Seeley JR, Lewinsohn PM. The moderating effect of parental illicit substance use disorders on the relation between adolescent depression and subsequent illicit substance use disorders. Drug Alcohol Depend. 2013;128(1–2):1–7.CrossRefPubMed
16.
go back to reference Cohen DA, Richardson J, LaBree L. Parenting behaviors and the onset of smoking and alcohol use: a longitudinal study. Pediatrics. 1994;94(3):368–75.PubMed Cohen DA, Richardson J, LaBree L. Parenting behaviors and the onset of smoking and alcohol use: a longitudinal study. Pediatrics. 1994;94(3):368–75.PubMed
17.
go back to reference Tavares BF, Beria JU, Silva de Lima M. [Drug use prevalence and school performance among adolescents]. Rev Saude Publica. 2001;35(2):150–8.CrossRefPubMed Tavares BF, Beria JU, Silva de Lima M. [Drug use prevalence and school performance among adolescents]. Rev Saude Publica. 2001;35(2):150–8.CrossRefPubMed
18.
go back to reference Cox RG, Zhang L, Johnson WD, Bender DR. Academic performance and substance use: findings from a state survey of public high school students. J Sch Health. 2007;77(3):109–15.CrossRefPubMed Cox RG, Zhang L, Johnson WD, Bender DR. Academic performance and substance use: findings from a state survey of public high school students. J Sch Health. 2007;77(3):109–15.CrossRefPubMed
19.
go back to reference Otten R, van Lier PA, Engels RC. Disentangling two underlying processes in the initial phase of substance use: Onset and frequency of use in adolescent smoking. Addict Behav. 2011;36(3):237–40.CrossRefPubMed Otten R, van Lier PA, Engels RC. Disentangling two underlying processes in the initial phase of substance use: Onset and frequency of use in adolescent smoking. Addict Behav. 2011;36(3):237–40.CrossRefPubMed
20.
go back to reference Madruga CS, Laranjeira R, Caetano R, Pinsky I, Zaleski M, Ferri CP. Use of licit and illicit substances among adolescents in Brazil--a national survey. Addict Behav. 2012;37(10):1171–5.CrossRefPubMed Madruga CS, Laranjeira R, Caetano R, Pinsky I, Zaleski M, Ferri CP. Use of licit and illicit substances among adolescents in Brazil--a national survey. Addict Behav. 2012;37(10):1171–5.CrossRefPubMed
21.
go back to reference Silva TF, Cunha PJ, Scivoletto S. High rates of psychiatric disorders in a sample of Brazilian children and adolescents living under social vulnerability--urgent public policies implications. Rev Bras Psiquiatr. 2010;32(2):195–6.CrossRefPubMed Silva TF, Cunha PJ, Scivoletto S. High rates of psychiatric disorders in a sample of Brazilian children and adolescents living under social vulnerability--urgent public policies implications. Rev Bras Psiquiatr. 2010;32(2):195–6.CrossRefPubMed
22.
go back to reference Bojorquez I, Fernandez-Varela H, Gorab A, Solis C. Factors associated with illegal substance use initiation among young students in Mexico City. Drug Alcohol Rev. 2010;29(3):286–92.CrossRefPubMed Bojorquez I, Fernandez-Varela H, Gorab A, Solis C. Factors associated with illegal substance use initiation among young students in Mexico City. Drug Alcohol Rev. 2010;29(3):286–92.CrossRefPubMed
23.
go back to reference Kandel DB, Yamaguchi K, Klein LC. Testing the Gateway Hypothesis. Addiction. 2006;101(4):470–2. discussion 474–476.CrossRefPubMed Kandel DB, Yamaguchi K, Klein LC. Testing the Gateway Hypothesis. Addiction. 2006;101(4):470–2. discussion 474–476.CrossRefPubMed
24.
go back to reference Alwan H, Viswanathan B, Rousson V, Paccaud F, Bovet P. Association between substance use and psychosocial characteristics among adolescents of the Seychelles. BMC Pediatr. 2011;11:85.CrossRefPubMedPubMedCentral Alwan H, Viswanathan B, Rousson V, Paccaud F, Bovet P. Association between substance use and psychosocial characteristics among adolescents of the Seychelles. BMC Pediatr. 2011;11:85.CrossRefPubMedPubMedCentral
25.
go back to reference Foundation MH. Cheers? Understanding the relationship between alcohol and mental health. In. London: Mental Health Foundation; 2006. Foundation MH. Cheers? Understanding the relationship between alcohol and mental health. In. London: Mental Health Foundation; 2006.
26.
go back to reference Kandel DB, Johnson JG, Bird HR, Canino G, Goodman SH, Lahey BB, et al. Psychiatric disorders associated with substance use among children and adolescents: findings from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. J Abnorm Child Psychol. 1997;25(2):121–32.CrossRefPubMed Kandel DB, Johnson JG, Bird HR, Canino G, Goodman SH, Lahey BB, et al. Psychiatric disorders associated with substance use among children and adolescents: findings from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. J Abnorm Child Psychol. 1997;25(2):121–32.CrossRefPubMed
27.
go back to reference Goldstein BI, Bukstein OG. Comorbid substance use disorders among youth with bipolar disorder: opportunities for early identification and prevention. J Clin Psychiatry. 2010;71(3):348–58.CrossRefPubMed Goldstein BI, Bukstein OG. Comorbid substance use disorders among youth with bipolar disorder: opportunities for early identification and prevention. J Clin Psychiatry. 2010;71(3):348–58.CrossRefPubMed
28.
go back to reference Sihvola E, Rose RJ, Dick DM, Pulkkinen L, Marttunen M, Kaprio J. Early-onset depressive disorders predict the use of addictive substances in adolescence: a prospective study of adolescent Finnish twins. Addiction. 2008;103(12):2045–53.CrossRefPubMedPubMedCentral Sihvola E, Rose RJ, Dick DM, Pulkkinen L, Marttunen M, Kaprio J. Early-onset depressive disorders predict the use of addictive substances in adolescence: a prospective study of adolescent Finnish twins. Addiction. 2008;103(12):2045–53.CrossRefPubMedPubMedCentral
29.
go back to reference Salom CL, Betts KS, Williams GM, Najman JM, Alati R. Predictors of comorbid polysubstance use and mental health disorders in young adults-a latent class analysis. Addiction. 2015;111:156–64.CrossRefPubMed Salom CL, Betts KS, Williams GM, Najman JM, Alati R. Predictors of comorbid polysubstance use and mental health disorders in young adults-a latent class analysis. Addiction. 2015;111:156–64.CrossRefPubMed
30.
go back to reference Copeland J, Rooke S, Swift W. Changes in cannabis use among young people: impact on mental health. Curr Opin Psychiatry. 2013;26(4):325–9.CrossRefPubMed Copeland J, Rooke S, Swift W. Changes in cannabis use among young people: impact on mental health. Curr Opin Psychiatry. 2013;26(4):325–9.CrossRefPubMed
31.
32.
go back to reference Cho BI. Drug Control Policy in Korea. Vancouver: International Centre for Criminal Law Reform and Criminal Justice Policy; 2004. Cho BI. Drug Control Policy in Korea. Vancouver: International Centre for Criminal Law Reform and Criminal Justice Policy; 2004.
33.
go back to reference Korea Centers for Disease Control and Prevention. Korea youth risk behavior web-based survey: survey summaries. Cheongwon: Korea Centers for Disease Control and Prevention; 2014. Korea Centers for Disease Control and Prevention. Korea youth risk behavior web-based survey: survey summaries. Cheongwon: Korea Centers for Disease Control and Prevention; 2014.
34.
go back to reference Miguez Varela Mdel C, Becona E. Do cigarette smoking and alcohol consumption associate with cannabis use and problem gambling among Spanish adolescents? Adicciones. 2015;27(1):8–16.CrossRefPubMed Miguez Varela Mdel C, Becona E. Do cigarette smoking and alcohol consumption associate with cannabis use and problem gambling among Spanish adolescents? Adicciones. 2015;27(1):8–16.CrossRefPubMed
35.
go back to reference Pabayo R, Molnar BE, Kawachi I. Witnessing a violent death and smoking, alcohol consumption, and marijuana use among adolescents. J Urban Health. 2014;91(2):335–54.CrossRefPubMed Pabayo R, Molnar BE, Kawachi I. Witnessing a violent death and smoking, alcohol consumption, and marijuana use among adolescents. J Urban Health. 2014;91(2):335–54.CrossRefPubMed
36.
go back to reference Mangerud WL, Bjerkeset O, Holmen TL, Lydersen S, Indredavik MS. Smoking, alcohol consumption, and drug use among adolescents with psychiatric disorders compared with a population based sample. J Adolesc. 2014;37(7):1189–99.CrossRefPubMed Mangerud WL, Bjerkeset O, Holmen TL, Lydersen S, Indredavik MS. Smoking, alcohol consumption, and drug use among adolescents with psychiatric disorders compared with a population based sample. J Adolesc. 2014;37(7):1189–99.CrossRefPubMed
37.
go back to reference Aslund C, Nilsson KW. Social capital in relation to alcohol consumption, smoking, and illicit drug use among adolescents: a cross-sectional study in Sweden. Int J Equity Health. 2013;12:33.CrossRefPubMedPubMedCentral Aslund C, Nilsson KW. Social capital in relation to alcohol consumption, smoking, and illicit drug use among adolescents: a cross-sectional study in Sweden. Int J Equity Health. 2013;12:33.CrossRefPubMedPubMedCentral
38.
go back to reference Kozel N, Sloboda Z, De La Rosa M. Epidemiology of Inhalant Abuse: An International Perspective. Rockville: National Institute on Drug Abuse; 1995. Kozel N, Sloboda Z, De La Rosa M. Epidemiology of Inhalant Abuse: An International Perspective. Rockville: National Institute on Drug Abuse; 1995.
40.
go back to reference Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49(10):980–9.CrossRefPubMedPubMedCentral Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49(10):980–9.CrossRefPubMedPubMedCentral
41.
go back to reference Beman DS. Risk factors leading to adolescent substance abuse. Adolescence. 1995;30(117):201–8.PubMed Beman DS. Risk factors leading to adolescent substance abuse. Adolescence. 1995;30(117):201–8.PubMed
42.
go back to reference Hawkins JD, Weis JG. The social development model: An integrated approach to delinquency prevention. J Prim Prev. 1985;6(2):73–97.CrossRefPubMed Hawkins JD, Weis JG. The social development model: An integrated approach to delinquency prevention. J Prim Prev. 1985;6(2):73–97.CrossRefPubMed
43.
go back to reference Johnson RJ, Kaplan HB. Stability of psychological symptoms: drug use consequences and intervening processes. J Health Soc Behav. 1990;31(3):277–91.CrossRefPubMed Johnson RJ, Kaplan HB. Stability of psychological symptoms: drug use consequences and intervening processes. J Health Soc Behav. 1990;31(3):277–91.CrossRefPubMed
44.
go back to reference DuPont RL, Caldeira KM, DuPont HS, Vincent KB, Shea CL, Arria AM. America’s dropout crisis: The unrecognized connection to adolescent substance use. Rockville: Institute for Behavior and Health, Inc; 2013. DuPont RL, Caldeira KM, DuPont HS, Vincent KB, Shea CL, Arria AM. America’s dropout crisis: The unrecognized connection to adolescent substance use. Rockville: Institute for Behavior and Health, Inc; 2013.
45.
go back to reference Miller P, Plant M, Plant M, Duffy J. Alcohol, tobacco, illicit drugs, and sex: an analysis of risky behaviors among young adults. Int J Addict. 1995;30(3):239–58.CrossRefPubMed Miller P, Plant M, Plant M, Duffy J. Alcohol, tobacco, illicit drugs, and sex: an analysis of risky behaviors among young adults. Int J Addict. 1995;30(3):239–58.CrossRefPubMed
46.
go back to reference Wilcox HC. Epidemiological evidence on the link between drug use and suicidal behaviors among adolescents. Can Child Adolesc Psychiatr Rev. 2004;13(2):27–30.PubMedPubMedCentral Wilcox HC. Epidemiological evidence on the link between drug use and suicidal behaviors among adolescents. Can Child Adolesc Psychiatr Rev. 2004;13(2):27–30.PubMedPubMedCentral
47.
go back to reference Thornberry TP, Moore M, Christenson RL. The effect of dropping out of high school on subsequent criminal behavior. Criminology. 1985;23(1):3–18.CrossRef Thornberry TP, Moore M, Christenson RL. The effect of dropping out of high school on subsequent criminal behavior. Criminology. 1985;23(1):3–18.CrossRef
Metadata
Title
Prevalence, correlates, and associated psychological problems of substance use in Korean adolescents
Publication date
01-12-2015
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-2731-8

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue