Family and contextual factors associated with licit drug use in adolescence

Monalisa Cesarino  Gomes; Ana Flávia Granville-Garcia; Erick Tássio Barbosa Neves; Laio da Costa  Dutra; Fernanda Morais Ferreira; Saul Martins Paiva

doi:10.11606/s1518-8787.2021055003531

Autores

Monalisa Cesarino Gomes Universidade Federal de Minas Gerais. Departamento de Odontopediatria e Ortodontia. Belo Horizonte, MG, Brasil https://orcid.org/0000-0001-7679-997X
Ana Flávia Granville-Garcia Universidade Estadual da Paraíba. Departamento de Odontologia. Campina Grande, PB, Brasil https://orcid.org/0000-0002-6054-8372
Erick Tássio Barbosa Neves Universidade Estadual da Paraíba. Departamento de Odontologia. Campina Grande, PB, Brasil https://orcid.org/0000-0002-9300-1007
Laio da Costa Dutra Universidade Estadual da Paraíba. Departamento de Odontologia. Campina Grande, PB, Brasil https://orcid.org/0000-0002-3913-2540
Fernanda Morais Ferreira Universidade Federal de Minas Gerais. Departamento de Odontopediatria e Ortodontia. Belo Horizonte, MG, Brasi https://orcid.org/0000-0001-9400-1167
Saul Martins Paiva Universidade Federal de Minas Gerais. Departamento de Odontopediatria e Ortodontia. Belo Horizonte, MG, Brasi https://orcid.org/0000-0002-3968-1638

DOI:

https://doi.org/10.11606/s1518-8787.2021055003531

Palavras-chave:

Adolescent, Drug Users, Underage Drinking, Tobacco Smoking, Risk Factors, Socioeconomic Factors, Family Relations

Resumo

OBJECTIVE: TO evaluate the family and contextual factors associated with licit drug use among 15 to 19-year-old adolescents in the school context. METHODS: This is a representative, school-based, cross-sectional study conducted with 746 adolescents from 15 to 19 years old enrolled in public and private schools. Parents/guardians reported on the sociodemographic variables, while adolescents answered questionnaires on drug use, family cohesion and adaptability, oral health literacy and visits to the dentist. Information on school context was obtained at the institution and via municipal publications. Associations between variables were analyzed using unadjusted and adjusted multilevel Poisson regression models. RESULTS: Prevalence of licit drug use at least once and a pattern indicative of harmful drug use were 39.8% and 15.1%, respectively. After the adjusted analysis of licit drug use at least once, the variables gender (PR = 1.26; 95% CI: 1.01–1.59), family cohesion (PR = 9.81; 95% CI: 1.23–72.54), and average income of the school district (PR = 0.72; 95% CI: 0.57–0.91) remained in the final model. As for drug abuse, only the detached type (PR = 23.01; 95% CI: 2.46–214.87) and separated type (PR = 13.54; 95% CI: 1.40–130.97) of family cohesion remained in the final model. CONCLUSION: Experience with licit drug use was associated with family and contextual factors among the adolescents, while family cohesion was the main factor related to harmful drug use.

Referências

Viner RM, Ross D, Hardy R, Kuh D, Power C, Johnson A, et al. Life course epidemiology: recognising the importance of adolescence. J Epidemiol Community Health. 2015;69(8):719-20. https://doi.org/10.1136/jech-2014-205300

Malta DC, Moura L, Prado RR, Escalante JC, Schmidt MI, Duncan BB. Mortalidade por doenças crônicas não transmissíveis no Brasil e suas regiões, 2000 a 2011. Epidemiol Serv Saude. 2014;23(4):599-608. https://doi.org/10.5123/S1679-49742014000400002

Pinto-Filho JM, Ribeiro LSF, Sartori L, Santos JN, Ramalho LMP, Cury PR. Association between alcohol dependence and both periodontal disease and tooth loss: a cross-sectional study. Environ Sci Pollut Res Int. 2018;25(29):29089-95. https://doi.org/10.1007/s11356-018-2807-3

Instituto Brasileiro de Geografia e Estatística. PeNSE - Pesquisa Nacional de Saúde do Escolar. Rio de Janeiro: IBGE; 2016.

ESPAD Group. ESPAD Report 2015: results from the European School Survey Project on Alcohol and Other Drugs. Lisbon (PT): The European Monitoring Centre for Drugs and Dug Addiction-EMCDDA: 2016.

Ferreira LL, Brandão GAM, Garcia G, Batista MJ, Costa LST, Ambrosano GM, et al. [Family cohesion associated with oral health, socioeconomic factors and health behavior]. Cienc Saude Coletiva. 2013;18(8):2461-73. Portuguese. https://doi.org/10.1590/s1413-81232013000800031

Caetano R, Vaeth PAC, Canino G. Family cohesion and pride: drinking and alcohol use disorders in Puerto Rico. Am J Drug Alcohol Abuse. 2017;43(1):87-94. https://doi.org/10.1080/00952990.2016.1225073

Laghi F, Bianchi D, Pompili S, Lonigro A, Baiocco, R. Binge eating and binge drinking behaviors: the role of family functioning. Psychol Health Med. 2021;26(4):408-20. https://doi.org/10.1080/13548506.2020.1742926

Cano MA, Sánchez M, Rojas P, Ramírez-Ortiz D, Polo KL, Romano E, et al. Alcohol use severity among adult Hispanic immigrants: examining the roles of family cohesion, social support and gender. Subst Use Misuse. 2018;53(4):668-76. https://doi.org/10.1080/10826084.2017.1356333

Pourramazani N, Sharifi H, Iranpour A. Social capital and its relationship with drug use among Southeast Iranian adolescents. Addict Health. 2019;11(1):58-65. https://doi.org/10.22122/ahj.v11i1.230

Shih RA, Parast L, Pedersen ER, Troxel WM, Tucker JS, Miles JNV, et al. Individual, peer and family factor modification of neighborhood-level effects on adolescent alcohol, cigarette, e-cigarette and marijuana use. Drug Alcohol Depend. 2017;180(1):76-85. https://doi.org/10.1016/j.drugalcdep.2017.07.014

Freitas EAO, Martins MSAS, Espinosa MM. Alcohol and tobacco experimentation among adolescents of the Midwest Region/Brazil. Cienc Saude Coletiva. 2019;24(4):1347-57. https://doi.org/10.1590/1413-81232018244.15582017

Busch V, De Leeuw RJJ, Schrijvers AJP. Results of a multibehavioral health-promoting school pilot intervention in a Dutch secondary school. J Adolesc Health. 2013;52(4):400-6. https://doi.org/10.1016/j.jadohealth.2012.07.008

Andersen CS, Horta RL, Pattussi MP. Access to information in school and the use of psychoactive substances in Brazilian students: a multilevel study. Addict Behav Rep. 2018;8(1):66-70. https://doi.org/10.1016/j.abrep.2018.07.004

Lung Y, Chang SS, Hsu CY, Wu SC, Chen CY, Chen WJ. Residential socioeconomic environments and areca nut use in Taiwan: a comparison with alcohol and tobacco use in multilevel analysis. Subst Use Misuse. 2020;55(12):2025-34. https://doi.org/10.1080/10826084.2020.1788089

Leal-López E, Moreno-Maldonado C, Inchley J, Deforche B, Van Havere T, Van Damme J, et al. Association of alcohol control policies with adolescent alcohol consumption and with social inequality in adolescent alcohol consumption: a multilevel study in 33 countries and regions. Int J Drug Policy. 2020;84:102854. https://doi.org/10.1016/j.drugpo.2020.102854

Paz FM, Teixeira VA, Pinto RO, Andersen CS, Fontoura LP, Castro LC, et al. School health promotion and use of drugs among students in Southern Brazil. Rev Saude Publica. 2018;52:58. https://doi.org/10.11606/s1518-8787.2018052000311

Gaete J, Araya R. Individual and contextual factors associated with tobacco, alcohol and cannabis use among Chilean adolescents: a multilevel study. J Adolesc. 2017;56:166-78. https://doi.org/10.1016/j.adolescence.2017.02.011

Instituto Brasileiro de Geografia e Estatística. Censo 2010: resultados. Rio de Janeiro: IBGE: c2021 [cited 2021 Mar 1]. Available from: https://censo2010.ibge.gov.br/resultados.html

Henrique IFS, Micheli D, Lacerda RB, Lacerda LA, Formigoni MLOS. [Validation of the Brazilian version of Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)]. Rev Assoc Med Bras (1992). 2004;50(2):199-206. Portuguese. https://doi.org/10.1590/s0104-42302004000200039

WHO ASSIST Working Group. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility. Addiction. 2002;97(9):1183-94. https://doi.org/10.1046/j.1360-0443.2002.00185.x

Olson DH, Russel CS, Sprenkle DH, editors. Circumflex model: systemic assessment and treatment of families. New York: The Harworthpress; 1989.

Falceto OG, Busnello ED, Bozzetti MC. [Validation of diagnostic scales of family functioning for use in primary health care services]. Rev Panam Salud Publica. 2000;7(4):255-63. Portuguese. https://doi.org/10.1590/s1020-49892000000400007

Díaz Geada A, Busto Miramontes A, Caamaño Isorna FC. Alcohol, tobacco and cannabis consumption in adolescents from a multicultural population (Burela, Lugo). Adicciones. 2018;30(4):264-70. https://doi.org/10.20882/adicciones.915

Mutumba M, Schulenberg JE. Tobacco and alcohol use among youth in low and middle income countries: a multi-country analysis on the influence of structural and micro-level factors. Subst Use Misuse. 2019;54(3):396-411. https://doi.org/10.1080/10826084.2018.1497063

Hakulinen C, Pulkki-Raback L, Jokela M, Ferri JE, Aalto AM, Virtanen M, et al. Structural and functional aspects of social support as predictors of mental and physical health trajectories: Whitehall II cohort study. J Epidemiol Community Health. 2016;70(7):710-5. https://doi.org/10.1136/jech-2015-206165

Martin BA, McCoy TP, Champion H, Parries MT, DuRant RH, Mitra A, et al. The role of monthly spending money in college student drinking behaviors and their consequences. J Am Coll Health. 2009;57(6):587-96. https://doi.org/10.3200/JACH.57.6.587-596

Karriker-Jaffe KJ. Areas of disadvantage: a systematic review of effects of area-level socioeconomic status on substance use outcomes. Drug Alcohol Rev. 2011;30(1):84-95. https://doi.org/10.1111/j.1465-3362.2010.00191.x

Family and contextual factors associated with licit drug use in adolescence

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