{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:33:47Z","timestamp":1787776427416,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Parent-child conversations are very important in influencing adolescent\/youth behaviours. Objective of this study was to assess association between parent-child conversations on dangers of drug use and cannabis use among secondary school students in Barbados.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHOD:<\/jats:title>\n                    <jats:p>\n                      Data from the Barbados National School Survey (NSS) 2013 were analysed. Data were collected from a nationally representative sample of high school students drawn from 2\n                      <jats:sup>nd<\/jats:sup>\n                      to 6\n                      <jats:sup>th<\/jats:sup>\n                      forms across public and private secondary schools in Barbados in 2013. Descriptive analysis was done for sociodemographic characteristics and parent-child conversations. Multivariate logistic regression was done to assess the association between parent-child conversations on dangers of drug use and cannabis use among the subjects before and after adjusting for covariates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Parent-child conversations on dangers of drug use were significantly associated with past year cannabis use both before and after adjusting for covariates (crude odds ratio [COR] = 1.20, 95%CI: 1.04-1.38; adjusted odds ratio [AOR] adjusted odds ratio = 1.35, 95%CI: 1.15-1.58) but with students\u2019 past month cannabis use only in the unadjusted logit model. Being 15-16 years, male, enrolled in 4\n                      <jats:sup>th<\/jats:sup>\n                      form, and belonging to widowed family structure was associated with reduced odds of past year and past month cannabis use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Significant positive association between parent-child conversations on the dangers of drug use with cannabis use is counter-intuitive and suggests that it is not just conversations but the type, content, and quality of conversations that matter in reducing students\u2019 inclination to use cannabis.<\/jats:p>\n                  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