Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí. Av. Frei Serafim 2280, Centro (Sul). 64001-450 Teresina PI Brasil.
Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
Cien Saude Colet. 2024 May;29(5):e06882023. doi: 10.1590/1413-81232024295.06882023. Epub 2023 Sep 28.
The aim of this study was to analyze the factors associated with concurrent alcohol, tobacco and illicit drug use among Brazilian schoolchildren aged 13-17. We conducted a cross-sectional study using data from the 2019 National School-Based Health Survey. The outcome was use of the three substances during the last 30 days. Hierarchical multiple logistic regression was carried out with independent variables grouped into four blocks: sociodemographic characteristics; family context; behavioral aspects; and stressors. Variables with p<0.05 were retained in the final model. The prevalence of concurrent substance use was 3.3%. Being male, living in the Midwest, South and Southeast, skipping school without parent permission, parents not knowing what their children do in their free time, having parents who smoke, having experienced physical aggression from parents, feeling that life is not worth living, trying drinking and illicit drugs before the age of 13, and having friends who drink alcohol, smoke and use drugs in their presence remained associated with the outcome in the final model. The findings reveal high prevalence of concurrent alcohol, cigarette and illicit drug use among adolescents and that poly use is associated with sociodemographic, family, and behavioral factors and stressors.
本研究旨在分析与巴西 13-17 岁学龄儿童同时使用酒精、烟草和非法药物相关的因素。我们使用 2019 年全国学校健康调查的数据进行了一项横断面研究。结局是在过去 30 天内使用这三种物质。使用分层多逻辑回归将自变量分为四个模块：社会人口特征；家庭环境；行为方面；和压力源。在最终模型中保留了 p<0.05 的变量。同时使用这些物质的流行率为 3.3%。男性、居住在中西部、南部和东南部、未经父母允许逃学、父母不知道孩子在空闲时间做什么、父母吸烟、经历过来自父母的身体攻击、觉得生活不值得、在 13 岁之前尝试饮酒和使用非法药物以及有在他们面前饮酒、吸烟和使用毒品的朋友，在最终模型中仍与结果相关。研究结果表明，青少年同时使用酒精、香烟和非法药物的流行率很高，而且多药使用与社会人口学、家庭和行为因素以及压力源有关。
