Psychoactive substance use, family context and mental health among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012)
Psychoactive substance use, family context and mental health among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012)
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DOI：
10.1590/1809-4503201400050005
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发表时间：
2014-01-01
影响因子：
--
通讯作者：
Bomtempo, Denise Birche
中科院分区：
文献类型：
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作者：
Malta, Deborah Carvalho;Oliveira-Campos, Maryane;Bomtempo, Denise Birche
目的：探讨学龄儿童精神活性物质(烟、酒、毒品)的消费与人口学变量、心理健康和家庭环境的关系。方法：对全国109,104名学生进行全国青少年校本健康调查。收集了有关人口统计变量、家庭背景和心理健康的数据。结果：多因素分析显示，女生饮酒率较高，男生吸毒率较高，吸烟无性别差异。年轻和混血儿与使用烟草、酒精和非法药物呈负相关。与这种危险行为负相关的还有家庭环境的特征，如：与父母同住、一起吃饭和父母监督(当父母知道孩子在空闲时间做什么的时候)。此外，孤独和失眠等心理健康特征与烟酒和非法药物的使用呈正相关。没有朋友与吸烟、吸毒呈正相关，与饮酒呈负相关。结论：本研究显示家庭监督对吸烟、酗酒和吸毒的保护作用，相反，根据孤独、失眠和没有朋友等心理健康方面的因素，增加药物的使用。这项研究的发现可能会支持卫生和教育专业人员以及政府和家庭采取行动，以防止青少年使用这些物质。
OBJECTIVE: To evaluate the association between the consumption of psychoactive substances (tobacco, alcohol and illicit drugs) and demographic variables, mental health and family context among school-aged children.METHODS: The National Adolescent School-based Health Survey was held with a national sample of 109,104 students. Data regarding demographic variables, family background and mental health were collected. Logistic regression was used to evaluate the associations of interest.RESULTS: Multivariate analyses showed that alcohol consumption was higher among girls, drug experimentation was more frequent among boys and that there was no difference between sexes for smoking. Being younger and mulatto were negatively associated with the use of tobacco, alcohol and illicit drugs. Also negatively associated with such risk behaviors were characteristics of the family context represented by: living with parents, having meals together and parental supervision (when parents know what the child does in their free time). Moreover, characteristics of mental health such as loneliness and insomnia were positively associated with use of tobacco, alcohol and illicit drugs. Not having friends was positively associated with use of tobacco and illicit drugs and negatively associated with alcohol use.CONCLUSIONS: The study shows the protective effect of family supervision in the use of tobacco, alcohol and drugs and, on the contrary, the increasing use of substances according to aspects of mental health, such as loneliness, insomnia and the fact of not having friends. The study's findings may support actions from health and education professionals, as well as from the government and families in order to prevent the use of these substances by adolescents.