Urban and social determinants of alcohol and tobacco consumption among adolescents in Madrid

Maitane Berasaluce; Irene Martín-Turrero; Roberto Valiente; Lucía Martínez-Manrique; María Sandín-Vázquez; Xisca Sureda

doi:10.1016/j.gaceta.2023.102336

Urban and social determinants of alcohol and tobacco consumption among adolescents in Madrid

Gac Sanit. 2023 Nov 24:37:102336. doi: 10.1016/j.gaceta.2023.102336. eCollection 2023.

Authors

Maitane Berasaluce¹, Irene Martín-Turrero¹, Roberto Valiente², Lucía Martínez-Manrique³, María Sandín-Vázquez⁴, Xisca Sureda⁵

Affiliations

¹ Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain.
² Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Centre for Research on Environment, Society and Health (CRESH), School of GeoSciences, University of Edinburgh, Edinburgh, United Kingdom; SPECTRUM Consortium, United Kingdom.
³ Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Department of Preventive Medicine, Hospital Universitario de Móstoles, Móstoles, Madrid, Spain.
⁴ Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Department of Community Health and Social Sciences, Graduate School of Public Health & Health Policy, City University of New York, New York, United States of America.
⁵ Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, United States of America; Tobacco Control Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain; CIBER de Enfermedades Respiratorias (CIBERES), Spain. Electronic address: francisca.sureda@uah.es.

PMID: 38006663
DOI: 10.1016/j.gaceta.2023.102336

Abstract

Objective: This study aims to describe the accessibility to and promotion of alcohol and tobacco around secondary schools in Madrid and its distribution in relation with area-level socioeconomic deprivation; analyze the relationship between this exposure and individual consumption characteristics of students between 14 and 18 years old; and explore other facilitators of this consumption.

Method: Mixed-methods study conducted in three phases: 1) we collected data on accessibility to and promotion of alcohol and tobacco in the environment using systematic social observation around 55 secondary schools; 2) we administered 2287 questionnaires among the students in these centers to gather information about characteristics and determinants of consumption; and 3) we conducted 20 semi-structured interviews and one discussion group to deepen in the results obtained in surveys and systematic social observation. We will use Geographic Information Systems to integrate and analyze the data from a spatial perspective.

Keywords: Adolescent; Adolescentes; Alcohol drinking; Consumo de alcohol; Consumo de tabaco; Determinantes sociales de la salud; Salud urbana; Social determinants of health; Tobacco use; Urban health.

MeSH terms

Adolescent
Alcohol Drinking* / epidemiology
Humans
Social Determinants of Health*
Students
Tobacco Use / epidemiology