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Health Education Research Advance Access originally published online on June 28, 2006
Health Education Research 2007 22(1):81-94; doi:10.1093/her/cyl050
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Association of substance-use behaviours and their social-cognitive determinants in secondary school students

An Victoir1,2,*, Audrey Eertmans1, Omer Van den Bergh1 and Stephan Van den Broucke1

1 Research Group for Stress, Health, and Well-being, University of Leuven, Leuven, Belgium
2 Cooperative Liaison University of Leuven—Free Centres for Educational Guidance, Cooperative Liaison, Brussels, Belgium

* Correspondence to: A. Victoir. E-mail: An.Victoir{at}psy.kuleuven.be

In two samples of Flemish secondary school students, co-occurrence of different types of substance use was observed: smoking was associated with marijuana use in Sample 1 (n = 597) and alcohol consumption in Sample 2 (n = 403). It was investigated whether social-cognitive determinants of these behaviours were also associated. Low to medium correlations were observed. Confirmatory factor analyses showed that a model with general social-cognitive factors (across different substances) did not have adequate fit. Substance use was mainly associated with variables referring to the specific substance under consideration, with the exception of self-efficacy in buying and smoking cigarettes; this factor was linked not only to smoking but also to alcohol and marijuana use. Adolescents who regularly used two substances generally held positions on social-cognitive scales that were more unfavourable than those who only used one substance. In order to change determinants of use, substance-specific cognitions and skills may be important targets.


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