{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:13:00Z","timestamp":1788912780873,"version":"build-2803163510"},"reference-count":72,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T00:00:00Z","timestamp":1606176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Background<\/jats:title><jats:p>Tobacco, alcohol, and marijuana are the top three substances used by adolescents. The adverse health effects of these three substances are well documented in epidemiological literature, yet little is known about the substance use and associated factors among adolescents in Bangladesh. This study examines the risk factors for tobacco and other substances use among school-going adolescents in Bangladesh.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>We analyzed data from the 2014 Bangladesh Global School-based Student Health Survey (GSHS) of adolescents aged 13\u201317 years. We used two outcome measures: tobacco use (TU) and other substance use (SU; alcohol and\/or marijuana). We examined a set of reported psychosocial and socio-environmental adverse events as risk factors. Logistic regression analyses were used to identify associations.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>The prevalence of TU and other SU among school-going adolescents was 9.6% and 2.3%, respectively. The likelihood of TU and other SU was higher among adolescents who reported being bullied (TU: adjusted odd ratio [AOR]: 1.93; 95% confidence interval [CI]: 1.24\u20133.00; and other SU: AOR: 3.43; 95% CI: 1.46\u20137.99) and having sexual history (TU: AOR: 19.38; 95% CI: 12.43\u201330.21; and other SU: AOR: 5.34; 95% CI: 2.17\u201313.29). Moreover, anxiety-related sleep loss was associated with adolescents\u2019 TU (AOR: 2.41; 95% CI: 1.02\u20135.82) whereas the likelihood of other SU (AOR: 3.27; 95% CI: 1.14\u20139.44) was higher among lonely adolescents. Experience of adverse socio-environmental factors, such as parental substance use (TU: AOR: 7.81; 95% CI: 5.08\u201312.01), poor monitoring (TU: AOR: 1.96; 95% CI: 1.16\u20133.31) and poor understanding (TU: AOR: 2.22; 95% CI: 1.36\u20133.65), and lack of peer support (TU: AOR: 3.13; 95% CI: 1.84\u20135.31; and other SU: AOR: 2.45; 95% CI: 1.02\u20135.91), and truancy (other SU: AOR: 4.29; 95% CI: 1.81\u201310.12) were also positively associated with TU and\/or other SU. Additionally, higher odds of tobacco use were observed among adolescents who reported 1 (AOR: 4.36 times; 95% CI: 1.34\u201314.24), 2 (AOR: 8.69 95% CI: 1.67\u201328.23), and \u22653 (AOR: 17.46; 95% CI: 6.20\u201349.23) adverse psychosocial experiences than who did not report any psychosocial events.<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusions<\/jats:title><jats:p>Tobacco and other substance use among school-going adolescents are prevalent in Bangladesh. Several psychosocial and socio-environmental events are associated with TU and other SU, which should be incorporated into adolescent substance use and health promotion programs.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0242872","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T21:51:50Z","timestamp":1606254710000},"page":"e0242872","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":15,"title":["Psychosocial and socio-environmental factors associated with adolescents\u2019 tobacco and other substance use in Bangladesh"],"prefix":"10.1371","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7837-3251","authenticated-orcid":true,"given":"Md. Mostaured Ali","family":"Khan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2402-5814","authenticated-orcid":true,"given":"Md. 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