Cannabis use in Tunisian high school adolescents: medspad 2021
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Epidemiology Department, National Institute of Health, Tunisia
SURVEN, Research Laboratory, Nutrition Surveillance and Epidemiology, Tunisia
Medical Faculty of Medicine Tunis El Manar University, Tunisia
Intensive Care Unit department, Center for Urgent Medical Assistance, Tunis, Tunisia
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A1211
Background and objectives:
Cannabis use is wrongly deemed “safe” by teenagers worldwide, despite its increased tetrahydrocannabinoids content and its psychosocial and cognitive harmful effects. We aimed to estimate the prevalence of cannabis use, identify associated factors among Tunisian adolescents and assess the risk of problem cannabis use among users.

The 2021-Mediterranean School Survey Project on Alcohol and Other Drugs (MedSPAD) is a national survey, targeting Tunisian high school adolescents in 1st and 2 nd level of secondary education. Based on a self-administered questionnaire, adolescents were asked about their engagement in several risky behaviours including cannabis use. The 6-item Cannabis Abuse Screening Test (CAST) was intended for users to assess risk of problem cannabis use. Binary logistic regression was performed to identify associated factors to cannabis use and Adjusted Odds Ratios (AORs) were presented with 95% confidence intervals (CI). Cspro and STATA software were used for data entry and analysis respectively.

Among 6.201 participants (girls: 60.4%), weignted lifetime prevalence of cannabis use was 7.9% 95% CI [7.0, 8.9], significantly higher among boys (16.1 % Vs. 2.5 %, p