Use of psychoactive substances among Brazilian adolescents and associated factors: National School-based Health Survey, 2015. 2018

Deborah Carvalho Malta, and Ísis Eloah Machado, and Mariana Santos Felisbino-Mendes, and Rogério Ruscitto do Prado, and Alessandra Maria Silva Pinto, and Maryane Oliveira-Campos, and Maria de Fátima Marinho de Souza, and Ada Ávila Assunção
Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.

OBJECTIVE To analyze the consumption of tobacco, alcohol and illicit drugs among schoolchildren according to demographic factors, family context and mental health. METHODS We used data from the National School-based Health Survey 2015 and included in the sample 102,301 schoolchildren in the 9th grade. We estimated the prevalence of tobacco and alcohol use in the last 30 days and drug experimentation according to demographic, mental health and family context variables. Then, a bivariate analysis was performed using Pearson's χ2 test and the unadjusted odds ratio (OR) was calculated. Finally, we conducted a multivariate analysis including independent variables with an unadjusted association (p < 0.20), for each outcome, estimating the adjusted OR with a 95% confidence interval. RESULTS The prevalence of tobacco consumption was 5.6%; alcohol consumption, 23.8%; and drug experimentation, 9.0%. Multivariate analysis has indicated that living with parents, having meals with parents or guardian, and family supervision were associated with lower substance consumption; whereas missing classes without parental consent has increased the chances of substance use. Increased chance of substance use was also associated with white skin color, increasing age, to work, feeling lonely and having insomnia. Not having friends was associated with drug and tobacco use, but this was protective for alcohol consumption. CONCLUSIONS Family supervision was protective for psychoactive substance use among Brazilian schoolchildren, whereas work, loneliness and insomnia have increased their chances of use.

UI MeSH Term Description Entries
D008297 Male Males
D008603 Mental Health Emotional, psychological, and social well-being of an individual or group. Mental Hygiene,Health, Mental,Hygiene, Mental
D010287 Parent-Child Relations The interactions between parent and child. Parent-Offspring Interaction,Parent Child Relationship,Parent-Child Relationship,Interaction, Parent-Offspring,Parent Child Relations,Parent Child Relationships,Parent Offspring Interaction,Parent-Child Relation,Parent-Child Relationships,Parent-Offspring Interactions,Relation, Parent-Child,Relationship, Parent Child,Relationship, Parent-Child
D001938 Brazil A country located on the eastern coast of South America, located between Colombia and Peru, that borders the Atlantic Ocean. It is bordered on the north by Venezuela, Guyana, Suriname, and French Guiana, on the south by Uruguay, and on the west by Argentina. The capital is Brasilia.
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D006306 Health Surveys A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area. Abortion Surveys,Abortion Survey,Health Survey,Survey, Abortion,Survey, Health,Surveys, Abortion,Surveys, Health
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000066608 Underage Drinking Consumption of ALCOHOLIC BEVERAGES by persons under the legal drinking age. Adolescent Alcohol Drinking,Adolescent Alcohol Intake,Adolescent Alcohol Consumption,Adolescent Alcohol Use,Adolescent Drinking,Legal Drinking Age,Minimum Drinking Age,Minimum Legal Drinking Age,Teen Drinking,Teenage Drinking,Underage Alcohol Consumption,Underage Alcohol Use,Youth Alcohol Consumption,Youth Drinking,Alcohol Consumption, Adolescent,Alcohol Consumption, Underage,Alcohol Consumption, Youth,Alcohol Drinking, Adolescent,Alcohol Intake, Adolescent,Alcohol Use, Adolescent,Alcohol Use, Underage,Drinking Age, Legal,Drinking Age, Minimum,Drinking Ages, Legal,Drinking Ages, Minimum,Drinking, Adolescent,Drinking, Teen,Drinking, Teenage,Drinking, Underage,Drinking, Youth,Legal Drinking Ages,Minimum Drinking Ages
D000073869 Tobacco Smoking The process of SMOKING specific to TOBACCO. Smoking, Tobacco

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