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How can I buy cocaine online in Medina

Clara Fleiz Bautista 1. Nancy G. Amador Buenabad 1. Marijuana use among the student population has increased in Mexico and Latin America. There are social, interpersonal and individual factors associated with the onset and continuation of marijuana use. These include the availability of drugs in the community, opportunity for use, low perceived risk of harm from marijuana use and social tolerance by family and close friends. Moreover, these factors increase the probability of experimenting with other drugs, polysubstance use and dependence. To identify the relationship between the level of urbanization, drug availability, exposure to opportunity for use, risk perception and social tolerance of the level of marijuana use among Mexican middle and high school students. A total of middle and high school students participated Of the respondent The variables that predicted higher marijuana use were drug use approval by family and best friend,, the level of urbanization and low risk perception. Action must be taken on the factors mentioned to decrease the availability and use of drugs in the environment, and raise awareness of their consequences. These elements must be introduced systematically and creatively into preventive programs in this area. Keywords: Risk factors; drug availability; exposure to opportunity of use; social tolerance; marijuana use; adolescence. Participaron alumnos de secundaria y bachillerato El Palabras clave: Factores de riesgo; disponibilidad de drogas; oportunidad de consumo; tolerancia social; consumo de mariguana; adolescencia. The marijuana use theme has attracted increasing interest worldwide in recent years, particularly the approaches by various countries to legalize it and the range of possibilities this implies. In Mexico, a law legalizing the medicinal use of cannabis was passed by both chambers Senate of the Republic, Marijuana use has risen in Mexico and various countries. Regular surveys among the school population in Mexico City from 7 th to 12 th grade indicate that it is the main illegal drug used. Between and , marijuana use increased from This was observed among the school population in the state of Jalisco, where use rose from 6. As regards the National Survey on Addictions Villatoro et al. This is lower than the rates in Chile A constant feature in the countries mentioned is the upward trend in cannabis use. Scientific literature has indicated a variety of social, interpersonal and individual factors associated with drug use in general and with marijuana in particular. Some have a greater effect on the decision to begin and continue use, such as availability in the environment, exposure to the opportunity of drug use, risk perception by adolescents and social tolerance of marijuana use. Tarter et al. Furthermore, it has been pointed out that adolescents in higher grades have a perception of greater marijuana use among their friends and consider that marijuana to be more widely and easily available Pedersen et al. These factors marijuana use by peers, being offered marijuana and actual use contribute to an increase in the perceived norms. Sierra et al. Since it is a plant, young people usually do not associate health risks with its use, and instead highlight the medicinal properties attributed to the substance as confirmation of its benefits. Accordingly, when there are favorable attitudes both within the community and among family members, there is a greater tendency to use marijuana and other drugs Ellickson et al. Currently, the studies mentioned do not indicate the joint link between the factors reviewed and drug consumption, or the way the perception of risk of marijuana use has evolved, nor its relationship in probabilistic and representative samples. This study is therefore designed to expand knowledge of marijuana use and its link with various contextual factors urbanization, availability of the substance, exposure to opportunity for use, risk perception and social tolerance. In order to analyze these elements, we present the results of the Surveys on the School Population of Mexico City in order to illustrate trends in marijuana use, risk perception and social approval in relation to drug use. Data were also drawn from surveys conducted in Mexico City with a similar, comparable methodology Villatoro et al. In the interests of brevity, we refer the reader to the following sources for more specific information on the methods and results of these surveys. The sample design was stratified and by clusters, considering educational level though the survey was also applied to elementary school students, this study only considered middle and high school students and the state. The selection unit was the school group within schools. The survey aimed to have a sample of 1 students at each educational level 5th and 6th grades of elementary school, 7th to 9th grades of middle school and 10th to 12th grades of high school , giving an estimated total of 4 applications per state. Schools were selected randomly and independently in each state-stratus, through systematic sampling. This produced an estimate for middle and high school students of respondents. Figure 1 shows a diagram of the study with the sample size calculated as a total for each educational level Figure 1. Figure 1. Diagram of study. The final sample obtained consisted of pupils This study used the questions on the number of times the respondents had used marijuana, level of urbanization, exposure to opportunity, availability of drugs in the environment, perceived risk of harm from marijuana use and social tolerance of drug use. The midpoint of each range was used for purposes of analysis. The study was conducted at rural schools fewer than 2 inhabitants and urban schools 2 or more inhabitants. The variable indicates the type of zone in which the school is located. With the following response options: Has anyone ever offered you either bought or given away drugs like marijuana, cocaine, ecstacy? The variable was constructed using the items. For the variable constructed, a point was given per item if the last two options were chosen; therefore, the variable had final values of 0 to 4. The last option was used to indicate that it is very dangerous to use marijuana. The social tolerance variable analyzed acceptance of drug use by the family father and mother and best friend. Two variables were obtained: tolerance of drug use by best friend and the family; the latter combined the answers to the questions on the mother and father. If the respondent indicated one of the first two options, this was considered to be tolerance to drug use. Supervisors and interviewers were trained for 32 hours, mainly on aspects related to the application of the questionnaires in classrooms. The questionnaires were applied in the field for two days and on the following day. Re-training took place to answer the questions that arose among the interviewers during the two days of field work, and thus improve subsequent applications. The questionnaire was applied between August and December Subsequently, the field work took place in the selected groups. The application was carried out collectively to each school group, and lasted approximately 70 minutes. As the interviewers received the completed questionnaires, they checked to see these were fully completed and gave the respondents an information booklet on where to go if they had drug problems. There was full supervision of all the groups studied, by contacting the schools by telephone or in person and ensuring that the questionnaires had been given to the right group. In the cases where the questionnaire was mistakenly applied to groups that had not been selected, these questionnaires were not considered, and the interviewers returned to apply them to the group that had been selected. This procedure was repeated in the surveys in Mexico City. One relevant aspect is that the initial instructions in the questionnaire clearly stated that respondents could agree or refuse to answer the questionnaire, or could stop answering whenever they wished. This initially includes how use evolved in Mexico between and Later, the results of student surveys conducted in Mexico City between and were discussed descriptively the latter using the ENCODE measurement to analyze how the prevalence of use varied together with the perceived risk of harm from marijuana and alcohol use. For example, the level of urbanization was calculated as a proportion of urban schools located in each observation. Twenty-three years after the last national survey was conducted, in , the lifetime prevalence of marijuana use have risen 1. Among boys, it rose from 2. This same pattern emerged when we analyzed the increase by gender and educational level, and is higher among girls than boys Figure 2. Medina-Mora and colleagues, ; Villatoro and colleagues, Figure 2. Trends in marijuana use among students. States with a higher than the national lifetime prevalence of marijuana use are Mexico City By gender, the same states report higher use among both boys and girls: Mexico City On the basis of an analysis of the data obtained specifically from ENCODE, Table 1 presents the descriptive results of the variables analyzed. This shows that on average, students who use marijuana have done so approximately 11 times, and that the average is greater among high school students. By gender, boys report that they have used marijuana more often than girls Table 1. Marijuana use, social approval, risk perception and availability of drugs, by gender and educational level. A total of In terms of the perceived risk of harm from marijuana use, three out of four students consider that it is a dangerous substance. By gender, boys As for the perception of the availability of drugs, analyzed by gender, the averages are similar for boys and girls, although high school students perceive the drug to be twice as available as do middle school students. Figure 3 displays the average state data for marijuana use correlated with perceived risk of harm and social tolerance. Figure 3. Relationship between marijuana use, social tolerance and risk perception. Figure 4 describes the evolution of the perception of risk of harm from marijuana use in relation to drug use, using data from periodic studies in Mexico City among middle and high school students. They show that between and , as risk perception dropped from Villatoro and colleagues, , , and , , Figure 4. Trends in risk perception and marijuana use. In order to determine which contextual factors are related to marijuana use, given the fact that they are closely linked, a matrix of intercorrelation was obtained Table 2. It shows mainly that frequency of use is related to drug availability, exposure to opportunity, social tolerance by the best friend and risk perception. Table 2. Relationship between marijuana use and environmental, social and individual variables. Before proceeding with the data regression analysis, the co-linearity between the predictors was verified, using the variance inflation factor, showing that risk perception, availability and opportunity for use presented co-linearity. When analyzing the variables, the decision was taken to only maintain the risk perception variable, since it is a factor that is included as part of several preventive programs and is easier to modify than drug availability and being offered drugs. The multiple linear regression analysis Table 3 indicates that the predictors of greater marijuana use are low risk perception in the community, greater tolerance by the group of friends or parents and a higher level of urbanization. Table 3. Multiple Linear Regression of marijuana use with environmental, social and individual variables. The data obtained in this study shows that the prevalence of marijuana use has increased among students, and proportionately more among girls, particularly in high school. However, use among boys is higher, who also report a lower risk perception of marijuana use. This is consistent with the literature, which indicates that cannabis use has increased in Mexico and other countries Villatoro et al. In particular, the reports by CIJ show greater use of marijuana, both as used drug and as impact drug on patients that they first received. Moreover, the results of this study reflect the importance of the availability of drugs in urban areas, the tolerance of drugs by friends and parents and risk perception, as variables affecting the decision to use marijuana. States with the most urban zones, with greater tolerance and less risk perception have the highest marijuana use. This tallies with the findings of various authors that drugs are more available in urban zones, which encourages greater drug use. In some cases, this early onset increases the likelihood of using other substances with a greater addictive potential Ellickson et al. Likewise, the conditions of violence and crime in streets and schools elements that are more common in urban zones increase the availability of these substances Mcllwaine et al. Thus violence and crime not only influence people but also all community spaces, by reducing safe leisure and sociocultural areas that could serve as protective factors for youths and their families. Moreover, interacting with peer users can make it easier for drug use to appear normal, and the risk perception of substance use decreases, as noted by other authors Neighbors et al. This is particularly important among older students, since they are generally more exposed to use and its associated risks Morales et al. In short, this study shows that there are modifiable factors relating to marijuana use among Mexican adolescents drug availability, social tolerance and risk perception , which can play an important role in prevention programs and specific actions in public and crime policies. In this context, where part of the international debate on the use of medicinal marijuana in various countries has not clearly defined its medicinal benefits or indicated that smoking it can harm the health of users and third parties Sierra et al. Work must be done to strengthen the educational, social, government and public security institutions to support prevention schemes, improve citizen surveillance and recover community spaces that provide safe recreation areas for families Neumark et al. Public policies must also be strengthened to provide options for development and employment, with benefits for new generations, in order to reinforce prevention targeting children and their caregivers and teachers, to enable individuals to develop with greater opportunities and provide drug users with options for integral treatment. Broad efforts should also be made to decriminalize drug use. Finally, since this is a transversal study, the relationships indicated are correlational rather than causal. It studies the school population, meaning that specific studies must be conducted with youths not attending school in order to learn about how these relationships take place in the latter group. Lastly, regular nationwide studies must be carried out to evaluate the evolution of the phenomenon more precisely. Many persons participated in these studies, including students, interviewers and the groups that provided the databases for analyzing the information and the reports on the studies. We would like to thank these persons the most. Burdzovic-Andreas, J. Drug and Alcohol Dependence, , Primer semestre de — Primer semestre de Encuesta escolar sobre adicciones en el Estado de Jalisco Chomynova, P. Perceived risks of alcohol and illicit drugs: relation to prevalence of use on individual and country level. Journal of Substance Use, 14 , Duarte, C. Motivaciones y recursos para el consumo de sustancias psicoactivas en universitarios. Ellickson, P. Antecedents and outcomes of marijuana use initiation during adolescence. Preventive Medicine, 39 5 , Consumo de drogas en estudiantes universitarios de primer curso. Adicciones, 21 1 , Kilmer, J. Marijuana use, risk perception, and consequences: Is perceived risk congruent with reality? Addictive Behaviors, 32 12 , Psicothema, 22 4 , Mcllwaine, C. Drugs, alcohol and community tolerance: an urban ethnography from Colombia and Guatemala. Morales, B. Revista Latino-Americana de Enfermagem, 19 spe , Neighbors, C. Psychology of Addictive Behaviors, 22 3 , Neumark, Y. Salud Mental, 27 4 , Pedersen, E. A longitudinal examination of alcohol, marijuana, and cigarette perceived norms among middle school adolescents. Drug and Alcohol Dependence, 2 , Roditis, M. Perceptions of social norms and exposure to pro-marijuana messages are associated with adolescent marijuana use. Preventive Medicine, 93 , Salud Mental, 30 1 , Sierra, D. Adicciones, 17 4 , Tarter, R. Predictors of Marijuana use in adolescents before and after licit drug use: examination of the gateway hypothesis. American Journal of Psychiatry, 12 , Trujillo, H. Universitas Psychologica, 12 3 , Villatoro, J. Salud Mental, 35 6 , Salud Mental, 39 4 , Salud Mental, 37 5 , Walker, D. Psychology of Addictive Behaviors, 25 4 , San Lorenzo Huipulco, Del. Tlalpan, C. Email: ameth imp. This is an open-access article distributed under the terms of the Creative Commons Attribution License. Servicios Personalizados Revista. Similares en SciELO. Original article Contextual factors associated with marijuana use in school population. Abstract Introduction Marijuana use among the student population has increased in Mexico and Latin America. Objective To identify the relationship between the level of urbanization, drug availability, exposure to opportunity for use, risk perception and social tolerance of the level of marijuana use among Mexican middle and high school students. Results Of the respondent Discussion and conclusion Action must be taken on the factors mentioned to decrease the availability and use of drugs in the environment, and raise awareness of their consequences. Resultados El Introduction The marijuana use theme has attracted increasing interest worldwide in recent years, particularly the approaches by various countries to legalize it and the range of possibilities this implies. Evolution of marijuana use in Mexico Marijuana use has risen in Mexico and various countries. Factors related to marijuana use Scientific literature has indicated a variety of social, interpersonal and individual factors associated with drug use in general and with marijuana in particular. Design and participants The sample design was stratified and by clusters, considering educational level though the survey was also applied to elementary school students, this study only considered middle and high school students and the state. Definition of variables This study used the questions on the number of times the respondents had used marijuana, level of urbanization, exposure to opportunity, availability of drugs in the environment, perceived risk of harm from marijuana use and social tolerance of drug use. Level of urbanization The study was conducted at rural schools fewer than 2 inhabitants and urban schools 2 or more inhabitants. Opportunity for use With the following response options: Has anyone ever offered you either bought or given away drugs like marijuana, cocaine, ecstacy? Drug availability The variable was constructed using the items. Social tolerance of drug use The social tolerance variable analyzed acceptance of drug use by the family father and mother and best friend. Procedure Supervisors and interviewers were trained for 32 hours, mainly on aspects related to the application of the questionnaires in classrooms. Data analysis This initially includes how use evolved in Mexico between and Results Marijuana use trends Twenty-three years after the last national survey was conducted, in , the lifetime prevalence of marijuana use have risen 1. Medina-Mora and colleagues, ; Villatoro and colleagues, Figure 2. Analysis of factors associated with marijuana use On the basis of an analysis of the data obtained specifically from ENCODE, Table 1 presents the descriptive results of the variables analyzed. Discussion and conclusion The data obtained in this study shows that the prevalence of marijuana use has increased among students, and proportionately more among girls, particularly in high school. Acknowledgements Many persons participated in these studies, including students, interviewers and the groups that provided the databases for analyzing the information and the reports on the studies.

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