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

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dc.citation.issue5
dc.citation.volume25
dc.contributor.authorFidalgo, Thiago M. [UNIFESP]
dc.contributor.authorSanchez, Zila M. [UNIFESP]
dc.contributor.authorCaetano, Sheila C. [UNIFESP]
dc.contributor.authorMaia, Lucas O. [UNIFESP]
dc.contributor.authorCarlini, Elisaldo A. [UNIFESP]
dc.contributor.authorMartins, Silvia S.
dc.coverageHoboken
dc.date.accessioned2020-08-14T13:44:04Z
dc.date.available2020-08-14T13:44:04Z
dc.date.issued2016
dc.description.abstractBackground 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=1.51en
dc.description.abstract95%CI 1.22-1.88), tobacco (aOR=1.82en
dc.description.abstract95%CI 1.25-2.66), and marijuana (aOR=1.79en
dc.description.abstract95%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)en
dc.description.affiliationUniv Fed Sao Paulo, Dept Prevent Med, Brazilian Ctr Informat Psychotrop Drugs CEBRID, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Psychiat, Child & Adolescent Psychiat Unit UPIA, Sao Paulo, Brazil
dc.description.affiliationColumbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Prevent Med, Brazilian Ctr Informat Psychotrop Drugs CEBRID, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Psychiat, Child & Adolescent Psychiat Unit UPIA, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipState of Sao Paulo Research Foundation, Brazil (FAPESP)
dc.description.sponsorshipUS National Institutes of Health (NIH), National Institute of Drug Abuse
dc.description.sponsorshipEunice Kennedy Shriver National Institute of Child and Human Development
dc.description.sponsorshipColumbia University
dc.description.sponsorshipIDFAPESP: 12/04614-0
dc.description.sponsorshipIDUS National Institutes of Health (NIH), National Institute of Drug Abuse: NIDA-R01DA037866
dc.description.sponsorshipIDUS National Institutes of Health (NIH), National Institute of Drug Abuse: R01DA039454
dc.description.sponsorshipIDEunice Kennedy Shriver National Institute of Child and Human Development: NICHD-R01HD060072
dc.format.extent416-425
dc.identifierhttp://dx.doi.org/10.1111/ajad.12407
dc.identifier.citationAmerican Journal On Addictions. Hoboken, v. 25, n. 5, p. 416-425, 2016.
dc.identifier.doi10.1111/ajad.12407
dc.identifier.issn1055-0496
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/57500
dc.identifier.wosWOS:000380029000009
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofAmerican Journal On Addictions
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectpsychopathologyen
dc.subjectadolescentsen
dc.subjectalcoholen
dc.subjecttobaccoen
dc.subjectmarijuanaen
dc.titleThe association of psychiatric symptomatology with patterns of alcohol, tobacco, and marijuana use among Brazilian high school studentsen
dc.typeinfo:eu-repo/semantics/article
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