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Energy Drink Consumption and Substance Use among Middle and High School Students

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  • Hugues Sampasa-Kanyinga

    (School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1G 5Z3, Canada
    Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada)

  • Lydie Masengo

    (Department of Psychology, Carleton University, Ottawa, ON K1S 5B6, Canada)

  • Hayley A. Hamilton

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada
    Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada)

  • Jean-Philippe Chaput

    (School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1G 5Z3, Canada
    Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada)

Abstract

This study examined the association between energy drink consumption and substance use among adolescents and tested whether sex and/or grade level (i.e., middle vs. high school) moderate the association. Data were derived from the 2017 Ontario Student Drug Use and Health Survey, a representative survey of students in 7th to 12th grade. Analyses included 10,662 students who self-reported information on energy drink consumption and substance use. Poisson regression models were used with adjustments for important covariates. Energy drink consumption was associated with tobacco cigarette smoking (incidence rate ratio (IRR): 3.74; 95% confidence interval (CI): 3.22–4.35), cannabis use (IRR: 2.90; 95% CI: 2.53–3.32), binge drinking (IRR: 2.46; 95% CI: 2.05–2.96), opioid use (IRR: 2.23; 95% CI: 1.85–2.68), and alcohol use (IRR: 1.31; 95% CI: 1.26–1.36). The associations of energy drink consumption with tobacco cigarette smoking, cannabis use, and alcohol consumption were modified by grade level (two-way interaction terms p < 0.05). The association between energy drink consumption and substance use was generally much stronger among middle school students compared with high school students. The findings suggest that middle school students may be more vulnerable to the negative effects of energy drinks in relation with substance use.

Suggested Citation

  • Hugues Sampasa-Kanyinga & Lydie Masengo & Hayley A. Hamilton & Jean-Philippe Chaput, 2020. "Energy Drink Consumption and Substance Use among Middle and High School Students," IJERPH, MDPI, vol. 17(9), pages 1-12, April.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3110-:d:352074
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    References listed on IDEAS

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    1. Peter Cummings, 2009. "Methods for estimating adjusted risk ratios," Stata Journal, StataCorp LP, vol. 9(2), pages 175-196, June.
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    1. Chung-Ying Yang & Fong-Ching Chang & Ru Rutherford & Wen-Yu Chen & Chiung-Hui Chiu & Ping-Hung Chen & Jeng-Tung Chiang & Nae-Fang Miao & Hung-Yi Chuang & Chie-Chien Tseng, 2022. "Excessive Gaming and Online Energy-Drink Marketing Exposure Associated with Energy-Drink Consumption among Adolescents," IJERPH, MDPI, vol. 19(17), pages 1-11, August.
    2. Trésor Carsi Kuhangana & Taty Muta Musambo & Joseph Pyana Kitenge & Tony Kayembe-Kitenge & Arlène Kazadi Ngoy & Paul Musa Obadia & Célestin Banza Lubaba Nkulu & Angélique Kamugisha & Eric Deconinck & , 2021. "Energy Drink Consumption among Adolescents Attending Schools in Lubumbashi, Democratic Republic of Congo," IJERPH, MDPI, vol. 18(14), pages 1-12, July.

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