International Journal of Mental Health and Addiction

, Volume 17, Issue 6, pp 1374–1388 | Cite as

The Role of Individual and Social Mediators in the Association Between Drug Consumption and Mental Health Among Adolescents in Barcelona

  • Lluís Mangot-Sala
  • Marina Bosque-Prous
  • Montse Bartroli
  • Ester Teixidó-Compañó
  • Maria Teresa Brugal
  • Albert EspeltEmail author
Original Article


This study aims to analyze whether there is an association between poor mental health and high-risk cannabis and alcohol use in adolescents attending secondary schools in the city of Barcelona, and to analyze which individual and/or contextual variables mediate this association. Prevalence of risk of poor mental health, binge drinking, high-risk cannabis use, and comorbidity were stratified by sex. To analyze the association between poor mental health and high-risk cannabis and alcohol use, multilevel linear regression models were constructed, obtaining regression coefficients and confidence intervals at 95%. Poor mental health among adolescents is associated with high-risk cannabis use, and association remains after adjusting for individual and contextual variables. Binge drinking shows a weak association with poor mental health that is only significant in girls. This study emphasizes the relevance of focusing on the context in which students live, specifically the school environment, in order to prevent high-risk drug use and poor mental health.


Adolescents Strengths and difficulties questionnaire Binge drinking High-risk cannabis use Cannabis abuse screening test 



This research was supported by the Spanish Network on Addictive Disorders (grant numbers RD12/0028/0018 and RD16/0017/0013) and had also the financial support of Plan Nacional de Drogas [Grant number (2016I029)].

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Agència de Salut Pública de BarcelonaBarcelonaSpain
  2. 2.Departament de Ciències Experimentals i de la salut, Facultat de Ciències de la Salut i de la VidaUniversitat Pompeu Fabra (UPF)BarcelonaSpain
  3. 3.CIBER de Epidemiología y Salud Pública (CIBERESP)BarcelonaSpain
  4. 4.Facultat de Ciències de la Salut de ManresaUniversitat de Vic Universitat Central de Catalunya (UVicUCC)ManresaSpain
  5. 5.Departament de Psicobiologia i Metodologia en Ciències de la SalutUniversitat Autònoma de BarcelonaBarcelonaSpain

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