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• W2900690679 abstract "Alcohol and drug use and other health-risk behaviors tend to cluster together among adolescents and contribute a large amount of harm to both themselves and to others. This paper aims to characterize secondary school students based on their clusters of health-risk behaviors and identify factors determining class membership to these behavior-clusters. Data from a national school survey was used to identify clusters of alcohol and drug use and other health-risk behaviors among secondary school students aged 12–15 years using a latent class regression model. A multinomial logistic regression model was used to identify predictors of the cluster membership. A total of 25,566 students were included in the analysis, of which 88% were classified as having low-risk behaviors reporting only moderate alcohol use; 11% as having moderate-risk behaviors, such as driving under the influence of alcohol, fighting, carrying a weapon, and alcohol and tobacco use; and 0.6% as having high-risk behaviors, such as use of illicit drugs, particularly kratom and cannabis. Males, older students, those with a poor school performance, not living with parents, drug use by family members and peers, and having a low level of perceived disdain from their friends if they used drugs were significant risk factors for being in the moderate- and high-risk behavior classes. Alcohol, tobacco and drug use, as well as other health-risk behaviors such as fighting, are clustered in Thai secondary school students. This result highlights the importance of comprehensive prevention and education strategies, particularly for moderate to high-risk groups." @default.
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• W2900690679 date "2018-11-20" @default.
• W2900690679 modified "2023-10-14" @default.
• W2900690679 title "Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis" @default.
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• W2900690679 doi "https://doi.org/10.1186/s12889-018-6205-z" @default.
• W2900690679 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6245619" @default.
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• W2900690679 hasPublicationYear "2018" @default.
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