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dc.contributor.authorPérez Romero, César 
dc.contributor.authorBarrio, Gregorio 
dc.contributor.authorHoyos, Juan
dc.contributor.authorBelza Egozcue, Maria Jose 
dc.contributor.authorRegidor, Enrique
dc.contributor.authorDonat Lopez, Marta 
dc.contributor.authorPoliti, Julieta 
dc.contributor.authorGuerras Moreira, Juan Miguel 
dc.contributor.authorPulido, José
dc.date.accessioned2023-09-26T09:43:58Z
dc.date.available2023-09-26T09:43:58Z
dc.date.issued2023-04
dc.identifier.citationFront Public Health. 2023 Apr 14;11:971239.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/16502
dc.description.abstractBackground: Question-order changes in repeated surveys can distort comparisons. We want to describe the evolution of drug risk perceptions among Spanish adolescents and assessing whether the 2006 peaks in perceived risk of occasional drug use can be explained by question-order changes. Methods: The subjects were secondary students from a biennial national survey during 2000-2012. A one-off intervention was applied in 2006, replacing the two-adjacent items on perceived risk of occasional and regular use of each drug by non-adjacent items. Annual prevalence of high-risk perception were obtained for occasional and regular use of cannabis, heroin, cocaine and ecstasy. Subsequently, the 2006 percent level change (PC) in such were estimated prevalence using segmented Poisson regression, adjusting for various student and parent covariates. Results: The 2006 PC in prevalence of high-risk perception of occasional drug use ranged from +63% (heroin) to +83% (ecstasy). These PCs were very high in all considered subgroups. However, the 2006 PC in prevalence of high-risk perception of regular drug use ranged from 1% (heroin) to 12% (cannabis). The evolution of preventive interventions does not suggest alternative causal hypotheses for 2006 peaks other than question-order changes. Conclusion: Within the cognitive heuristics framework, the 2006 spikes in perceived risk of occasional drug use were most likely due to a release of the anchor exerted by perceived risk of regular drug use over that of occasional use triggered by 2006 question-order changes. In repeated surveys it is inexcusable to pre-test the effect of any change in questionnaire format.es_ES
dc.description.sponsorshipThis research was carried out in the framework of a project funded by the Government Delegation for the National Drugs Plan (DGPNSD) (Grant 2019I017).es_ES
dc.language.isoenges_ES
dc.publisherFrontiers Media es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectQuestion-orderes_ES
dc.subjectDrug usees_ES
dc.subjectRisk perceptiones_ES
dc.subjectNatural experimentes_ES
dc.subjectCognitive heuristicses_ES
dc.subjectAnchoringes_ES
dc.subject.meshCannabis es_ES
dc.subject.meshN-Methyl-3,4-methylenedioxyamphetaminees_ES
dc.subject.meshCocaine es_ES
dc.subject.meshSubstance-Related Disorders es_ES
dc.subject.meshAdolescent es_ES
dc.subject.meshHumans es_ES
dc.subject.meshHeroin es_ES
dc.subject.meshAffect es_ES
dc.titleAbrupt peaks in perceived risk of occasional drug use after changing the question order in a repeated self-administered surveyes_ES
dc.typeresearch articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID37124773es_ES
dc.format.volume11es_ES
dc.format.page971239es_ES
dc.identifier.doi10.3389/fpubh.2023.971239es_ES
dc.contributor.funderPlan Nacional de Drogas (España) es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn2296-2565es_ES
dc.relation.publisherversionhttps://doi.org/10.3389/fpubh.2023.971239es_ES
dc.identifier.journalFrontiers in public healthes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES
dc.relation.projectFECYTinfo:eu-repo/grantAgreement/ES/2019I017es_ES


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