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Brazilian study on substance misuse in adolescents: associated factors and adherence to treatment
Silva, Vilma A. da; Aguiar, Aline S. de; Felix, Felippe; Rebello, Gabrielle P; Andrade, Renata C; Mattos, Helcio F.
  • Silva, Vilma A. da; Fluminense Federal University. Integrated Regional Center for Attention of Adolescents. Department of Psychiatry and Mental Health. Niterói. BR
  • Aguiar, Aline S. de; Fluminense Federal University. Integrated Regional Center for Attention of Adolescents. Department of Psychiatry and Mental Health. Niterói. BR
  • Felix, Felippe; Fluminense Federal University. Integrated Regional Center for Attention of Adolescents. Department of Psychiatry and Mental Health. Niterói. BR
  • Rebello, Gabrielle P; Fluminense Federal University. Integrated Regional Center for Attention of Adolescents. Department of Psychiatry and Mental Health. Niterói. BR
  • Andrade, Renata C; Fluminense Federal University. Integrated Regional Center for Attention of Adolescents. Department of Psychiatry and Mental Health. Niterói. BR
  • Mattos, Helcio F; Fluminense Federal University. Integrated Regional Center for Attention of Adolescents. Department of Psychiatry and Mental Health. Niterói. BR
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 25(3): 133-138, set. 2003. tab, graf
Artículo en Inglés | LILACS | ID: lil-346997
ABSTRACT

OBJECTIVES:

To investigate developmental and environmental factors associated to substance misuse in adolescents seen at a university day-hospital in Brazil and to verify the correlations between those factors and adherence to treatment. To compare factors associated to substance misuse in adolescents with the available scientific literature and to suggest specific preventive interventions for a national policy in Brazil.

METHODS:

Eighty-six adolescent's guardians were evaluated at admission to the service by using a semistructured interview including sociodemographic data, family relationship, perinatal and pregnancy histories, psychomotor and educational development, social relations, history of previous illnesses and family diseases, including drug abuse.

RESULTS:

The sample was predominantly male (90 percent). Adolescents referred from the criminal justice were older than those originating from other sources (16.4 x 15.4 years old p=.00). Forty-four percent of adolescents reported school failure, a level which is two times higher than Brazilian statistics. Forty percent of the sample had criminal involvement, mainly drug dealing. Cannabis was the most prevalent reported drug. Living with both parents was protective, delaying the age of initiation by one year. Domestic violence was more frequent among parents with illicit drugs abuse (38.1 percent x 12.5 percent, p<.05). Alcoholism and drug addiction in parents and relatives were about four times higher than those reported for the Brazilian population. No correlation was found between the investigated factors and adherence to treatment.

CONCLUSION:

Our results indicate that the programs must include treatment of adults and education of parents and parents to be. Withdrawal of treatment occurs in the first month, and seems to be related to factors extrinsic to the adolescent
Asunto(s)
Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Cooperación del Paciente / Trastornos Relacionados con Sustancias Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio pronóstico / Investigación cualitativa / Factores de riesgo Límite: Adolescente / Niño / Femenino / Humanos / Masculino País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Asunto de la revista: Psiquiatria Año: 2003 Tipo del documento: Artículo / Documento de proyecto País de afiliación: Brasil Institución/País de afiliación: Fluminense Federal University/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Cooperación del Paciente / Trastornos Relacionados con Sustancias Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio pronóstico / Investigación cualitativa / Factores de riesgo Límite: Adolescente / Niño / Femenino / Humanos / Masculino País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Asunto de la revista: Psiquiatria Año: 2003 Tipo del documento: Artículo / Documento de proyecto País de afiliación: Brasil Institución/País de afiliación: Fluminense Federal University/BR