Paz Fernanda Marques, Teixeira Vanessa Andina, Pinto Raquel Oliveira, Andersen Cristine Scattolin, Fontoura Larissa Prado, Castro Luís César de, Pattussi Marcos Pascoal, Horta Rogério Lessa
Programa de Pós-Graduação em Saúde Coletiva, Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brasil.
Centro Universitário Ritter dos Reis, Porto Alegre, RS, Brasil.
Rev Saude Publica. 2018;52:58. doi: 10.11606/s1518-8787.2018052000311. Epub 2018 May 17.
To analyze the relationship between the health promotion conditions in schools and the consumption of alcohol and other drugs by students.
This is a cross-sectional study with a probabilistic sample of 3,464 students aged 12 to 17 from all schools of the cities of Lajeado and Sapiranga, state of Rio Grande do Sul, Brazil, and 53 managers from the same schools; the data was collected in 2012. Reports of the use of tobacco, alcohol, and illicit drugs in 2012 were used as outcomes, and the health promotion score in the school environment was used as the exposure of interest. We submitted the data to multilevel analysis.
The prevalence of the annual use of tobacco was 9.8% (95%CI 8.8-10.8), alcohol was 46.2% (95%CI 44.5-47.8), and other drugs was 10.9% (95%CI 9.9-12.0). In the crude analysis, only the use of tobacco was associated with less health promoting schools (OR = 1.89, 95%CI 1.16-3.09) when compared to those with better conditions. This association lost statistical significance in the adjusted analysis (OR = 1.27, 95%CI 0.74-2.19).
The effects of the school environment on the use of drugs, especially tobacco and alcohol, are manifested mainly by the individual and family conditions of the adolescents.
分析学校健康促进状况与学生饮酒及使用其他药物之间的关系。
这是一项横断面研究，对来自巴西南里奥格兰德州拉耶阿多和萨皮兰加市所有学校的3464名12至17岁学生以及来自同一学校的53名管理人员进行概率抽样；数据于2012年收集。将2012年烟草、酒精和非法药物使用报告作为结果，将学校环境中的健康促进得分作为感兴趣的暴露因素。我们对数据进行了多水平分析。
烟草年使用率为9.8%（95%可信区间8.8 - 10.8），酒精为46.2%（95%可信区间44.5 - 47.8），其他药物为10.9%（95%可信区间9.9 - 12.0）。在粗分析中，与条件较好的学校相比，只有烟草使用与健康促进较差的学校相关（比值比 = 1.89，95%可信区间1.16 - 3.09）。在调整分析中，这种关联失去了统计学意义（比值比 = 1.27，95%可信区间0.74 - 2.19）。
学校环境对药物使用，尤其是烟草和酒精使用的影响主要由青少年的个人和家庭状况体现。
