The association of psychiatric symptomatology with patterns of alcohol, tobacco, and marijuana use among Brazilian high school students

The association of psychiatric symptomatology with patterns of alcohol, tobacco, and marijuana use among Brazilian high school students

Author Fidalgo, Thiago M. Autor UNIFESP Google Scholar
Sanchez, Zila M. Autor UNIFESP Google Scholar
Caetano, Sheila C. Autor UNIFESP Google Scholar
Maia, Lucas O. Autor UNIFESP Google Scholar
Carlini, Elisaldo A. Autor UNIFESP Google Scholar
Martins, Silvia S. Google Scholar
Abstract Background and ObjectivesStudies have highlighted psychosocial factors associated with drug use among adolescents. Association of specific psychiatric comorbidity with substance use has not been properly established in Brazil. This study aimed to investigate alcohol, tobacco, and marijuana use by 15-18-year-old high school Brazilian students and to estimate associations with psychiatric symptoms. MethodsA cross-sectional survey of 4,034 students from 128 public and private schools in SAo Paulo State was carried out using a two-step probability sample. Data were collected through self-report standardized questionnaires including questions on substance use patterns and the Strengths and Difficulties Questionnaire (SDQ). Key outcome variables were past-month use and past-month frequent use of alcohol, tobacco and marijuana. Questionnaires with missing information were excluded, resulting in a final sample of 2,532 adolescents. Weighted data was analyzed through logistic regressions, adjusted by gender and by socio-economic status (SES). ResultsRegarding SDQ total score, 43.6% of students had no psychiatric symptoms, 7.9% had subclinical symptoms and 48.5% presented clinically significant symptoms. Respondents with a clinically significant SDQ score were more likely to be past month alcohol (aOR=1.51

95%CI 1.22-1.88), tobacco (aOR=1.82

95%CI 1.25-2.66), and marijuana (aOR=1.79

95%CI 1.21-2.64) users as compared to those with no symptomatology. Discussion and ConclusionsPsychopathological symptoms were associated with alcohol, tobacco and marijuana use by 15-18-year-old adolescents. These associations should also be considered when planning public policies of mental health promotion. Scientific SignificanceThis study discusses the importance of the association between psychopathological symptoms and substance use in a middle-income country, with high level of social inequalities, in a state representative sample. (Am J Addict 2016;25:416-425)
Keywords psychopathology
adolescents
alcohol
tobacco
marijuana
xmlui.dri2xhtml.METS-1.0.item-coverage Hoboken
Language English
Sponsor State of Sao Paulo Research Foundation, Brazil (FAPESP)
US National Institutes of Health (NIH), National Institute of Drug Abuse
Eunice Kennedy Shriver National Institute of Child and Human Development
Columbia University
Grant number FAPESP: 12/04614-0
US National Institutes of Health (NIH), National Institute of Drug Abuse: NIDA-R01DA037866
US National Institutes of Health (NIH), National Institute of Drug Abuse: R01DA039454
Eunice Kennedy Shriver National Institute of Child and Human Development: NICHD-R01HD060072
Date 2016
Published in American Journal On Addictions. Hoboken, v. 25, n. 5, p. 416-425, 2016.
ISSN 1055-0496 (Sherpa/Romeo, impact factor)
Publisher Wiley
Extent 416-425
Origin http://dx.doi.org/10.1111/ajad.12407
Access rights Closed access
Type Article
Web of Science ID WOS:000380029000009
URI https://repositorio.unifesp.br/handle/11600/57500

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