Illicit drugs and their association with tobacco and alcohol use in adolescents and young schoolchildren
DOI: 10.15343/0104-7809.202044349357
Keywords:
Adolescent behavior; Illicit drugs; Risk behavior; Tobacco; Alcoholic beverages.Abstract
The use of psychoactive drugs is generally preceded by the use of alcohol and tobacco, increasing the potential to cause
damage to the health and quality of life of adolescents and young adult students. The aim of the present study was to
determine the prevalence of illicit drug use and its association with the use of tobacco and alcohol in adolescents and
young schoolchildren in the city of Petrolina, PE. This was an epidemiological, school-based, descriptive, correlational,
and cross-sectional study, carried out in state public schools, with students aged 12 to 24 years old. A socioeconomic
survey and the Youth Risk Behavior Survey (YRBS) were applied to assess risk behaviors. Descriptive analysis, Chi-squared
test and Poisson regression were performed to assess the Prevalence Ratio (PR). In all analyses, a significance level of p
<0.05 was adopted. 1,326 students were evaluated. Of the total eligible students (n=1,275), 12.9% reported having used
an illicit drug during their lifetime. In the regression analysis, the use of illicit drugs was associated with tobacco use (PR
2.95 [1.94-4.50]), binge drinking (PR 2.13 [1.42-3.18]) and higher maternal education (PR 1.69 [1.12-2.55]). The use
of illicit drugs had an important prevalence and was significantly associated with the use of tobacco, episodes of binge
drinking and with the level of maternal education.
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References
Eletrônica Saúde Mental Álcool Drog. 2014;10(2):78-84. doi.org/10.11606/issn.1806-6976.v10i2p78-84
2. Young people's health - a challenge for society. Report of a WHO Study Group on young people and "Health for All by the Year
2000". World Health Organ Tech Rep Ser. 1986;731:1-117.
3. Lima AS, Pitangui ACR, Gomes MRA, Mola R, Araújo RC. Comportamentos sexuais de risco e associação com sobrepeso e obesidade
em adolescentes escolares: um estudo transversal. Einstein. 2019;17(3):eAO4782. doi:10.31744/einstein_journal/2019AO4782
4. Mola R, Araújo RC, Oliveira JVB, C SB, Souza GFF, Ribeiro LP, et al. Association between the number of sexual partners and
alcohol consumption among schoolchildren. J Pediatr. 2017;93(2):192-199. doi:10.1016/j.jped.2016.05.003
5. Chambers RA, Taylor JR, Potenza MN. Developmental neurocircuitry of motivation in adolescence: a critical period of addiction
vulnerability. Am J Psychiatry. 2003;160(6):1041-1052. doi:10.1176/appi.ajp.160.6.1041
6. Vieira DL, Ribeiro M, Romano M, Laranjeira RR. Álcool e adolescentes: estudo para implementar políticas municipais. Rev Saude
Publica. 2007;41(3):396-403.
7. Elicker E, Palazzo LS, Aerts DRGC, Alves GG, Câmara S. Uso de álcool, tabaco e outras drogas por adolescentes escolares de Porto
velho-RO, Brasil. Epidemiol Serv Saúde. 2015;24(3):399-410. doi.org/10.5123/S1679-49742015000300006
8. Andrade SSCA, Yokota RTC, Sá NNB, Silva MMA, Araújo WN, Mascarenhas, MDM, Malta DC. Relação entre violência física,
consumo de álcool e outras drogas e bullying entre adolescentes escolares brasileiros. Cad Saúde Pública. 2012;28(9):1725-36. doi.
org/10.1590/S0102-311X2012000900011
9. Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional de Saúde do Escolar (PeNSE 2015). Rio de Janeiro: IBGE;
2016.
10. Horta RL, Horta BL, da Costa AW, do Prado RR, Oliveira-Campos M, Malta DC Uso na vida de substâncias ilícitas e fatores
associados entre escolares brasileiros, Pesquisa Nacional de Saúde do Escolar (PeNSE 2012). Rev Bras Epidemiol. 2014;17 Suppl
1:31-45. doi:10.1590/1809-4503201400050004
11. Sanchez ZM, Nappo SA, Cruz JI, Carlini EA, Carlini CM, Martins SS. Sexual behavior among high school students in Brazil:
alcohol consumption and legal and illegal drug use associated with unprotected sex. Clinics. 2013;68(4):489-494. doi:10.6061/
clinics/2013(04)09
12. Garbarino J. Why are adolescents violent? Cien Saude Colet. 2009;14(2):533-538. doi:10.1590/s1413-81232009000200021
13. Souza LD, Silva RA, Jansen K, Kuhn RP, Horta BL, Pinheiro RT. Suicidal ideation in adolescents aged 11 to 15 years: prevalence
and associated factors. Braz J Psychiatry. 2010;32(1):37-41. doi:10.1590/s1516-44462009005000011
14. Oliveira- Campos M, Nunes ML, Madeira FC, Santos MG, Bregmann SR, Malta DC, Giatti L, Barreto SM. Comportamento sexual
em adolescentes brasileiros, pesquisa Nacional de Saúde do Escolar (PeNSE 2012). Rev Bras Epidemiol. 2014;17(supl. 1):116-30.doi.org/10.1590/1809-4503201400050010
15. Xavier MKA, Pitangui ACR, Silva GRR, Oliveira VMA, Beltrão NB, De Araújo RC. Prevalência de cefaleia em adolescentes
e associação com uso de computador e jogos eletrônicos. Ciênc saúde coletiva. 2015;20(11):3477-86. doi.org/10.1590/1413-
812320152011.19272014
16. Silva GR, Pitangui AC, Xavier MK, Correia-Júnior MA, De Araújo RC. Prevalence of musculoskeletal pain in adolescents and
association with computer and videogame use. J Pediatr. 2016;92(2):188-196. doi:10.1016/j.jped.2015.06.006
17. Guedes DP, Lopes CC. Validação da versão brasileira do Youth Risk Behaviour Survey 2007. Rev Saúde Publica. 2010;44(5):840-
50. doi.org/10.1590/S0034-89102010000500009
18. Kann L, McManus T, Harris WA, et al. Youth Risk Behavior Surveillance - United States, 2017. MMWR Surveill Summ.
2018;67(8):1-114. doi:10.15585/mmwr.ss6708a1
19. Siegel MB, Naimi TS, Cremeens JL, Nelson DE. Alcoholic beverage preferences and associated drinking patterns and risk behaviors
among high school youth. Am J Prev Med. 2011;40(4):419-426. doi:10.1016/j.amepre.2010.12.011
20. Sirirassamee T, Sirirassamee B. Health risk behavior among Thai youth: national survey 2013. Asia Pac J Public Health.
2015;27(1):76-84. doi:10.1177/1010539514548759
21. Jorge KO, Ferreira RC, Ferreira EFE, Kawachi I, Zarzar PM, Pordeus IA. Influência do grupo de pares e uso de drogas ilícitas entre
adolescentes brasileiros: um estudo transversal. Cad Saude Publica. 2018;34(3):e00144316. doi:10.1590/0102-311X00144316
22. Raposo JCDS, Costa ACQ, Valença PAM, et al. Uso de drogas ilícitas e binge drinking entre estudantes adolescentes. Rev Saude
Publica. 2017;51:83. doi:10.11606/S1518-8787.2017051006863
23. Silva-Oliveira F, Jorge KO, Ferreira e Ferreira E, Vale MP, Kawachi I, Zarzar PM. The prevalence of inhalant use and associated factors
among adolescents in Belo Horizonte, Brazil. Cien Saude Colet. 2014;19(3):881-90. doi:10.1590/1413-81232014193.07542013
24. Raposo JCS, Costa AC, Valença P, Colares V, Franca C. Consumo de álcool em binge e uso de drogas ilícitas entre adolescentes
escolares. Rev Aten Saude. 2016;4:27-31.
25. Nóbrega MPSS, Simich L, Strike C, Brands B, Giesbrecht N, Khenti A. Policonsumo simultâneo de drogas entre estudantes de
graduação da área de ciências da saúde de uma universidade: implicações de gênero, sociais e legais, Santo André – Brasil. Texto
Contexto Enferm. 2012;21:25-33. doi.org/10.1590/S0104-07072012000500003
26. Bonilha AG, Ruffino-Netto A, Sicchieri MP, Achcar JA, Rodrigues-Júnior AL, Baddini-Martinez J. Correlatos de experimentaçãoe consumo atual de cigarros entre adolescentes. J Bras Pneumol. 2014;40(6):634-42. doi: 10.1590/S1806-37132014000600007.
27. Backes DS, Zanatta FB, Costenaro RS, Rangel RF, Vidal J, Kruel CS, Mattos KM. Indicadores de risco associados ao consumo
de drogas ilícitas em escolares de uma comunidade do sul do Brasil. Cien Saude Colet. 2014;19(3):899-906. doi: 10.1590/1413-
81232014193.00522013
28. Iglesias V, Cavada G, Silva C, Cáceres D. Consumo precoz de tabaco y alcohol como factores modificadores del riesgo de uso
de marihuana. Rev Saude Publica. 2007;41(4):517-22. doi.org/10.1590/S0034-89102007000400004.
29. Horta RL, Horta BL, Pinheiro RT, Morales B, Strey MN. Tabaco, álcool e outras drogas entre adolescentes em Pelotas, Rio Grande
do Sul, Brasil: uma perspectiva de gênero. Cad Saude Publica. 2007;23(4):775-83. doi.org/10.1590/S0102-311X2007000400005
30. Farias Júnior JC, Lopes AS, Mota J, Hallal PC. Prática de atividade física e fatores associados em adolescentes no nordeste do
Brasil. Rev Saude Publica. 2012;46(3):505-15. doi: 10.1590/S0034-89102012005000031
31. Humensky JL. Are adolescents with high socioeconomic status more likely to engage in alcohol and illicit drug use in early
adulthood? Subst Abuse Treat Prev Policy. 2010;5:19. doi:10.1186/1747-597X-5-19
32. Brito ALS, Hardman CM, Barros MVG. Prevalência e fatores associados à simultaneidade de comportamentos de risco à saúde
em adolescentes. Rev Paul Pediatr. 2015;33(4):423-30. doi.org/10.1016/j.rpped.2015.02.002