The prevalence of NSSI and HSA behaviors among substance using youth in our sample were 52% and 21% respectively. Cannabis and cocaine use was found to be a significant risk factor for HSA, and polysubstance use was associated with both NSSI and HSA. Parental separation/divorce, parental mental disorders, alcohol and drug use, and crime were the risk factors for HSA. A positive history of physical and sexual abuse increased the risk of HAS, and a history of neglect increased the risk of NSSI. Conclusions/importance: We suggest that results showing relationship between substance use and associated social features with NSSI and HSA may contribute to elaborating effective and targeted preventive and intervention programs for these high-risk youth groups in Turkey.
İstanbul'da 10. sınıf öğrencileri arasında yaşam boyu tütün, alkol ve madde kullanım yaygınlığı Amaç: Bu çalışmanın amacı İstanbul/Türkiye'de 10. sınıf öğrencileri arasında yaşam boyu tütün, alkol ve madde kullanma yaygınlığını belirlemektir. Yöntem: İstanbul'un 15 farklı ilçesinde 45 okulda kesitsel yapılan online kendi-bildirimli anket çalışmasıdır. Soru formu demografik verileri, ailede ya da çevrede madde kullanımı, okul yaşamı, sosyal iletişim ve tütün, nargile, alkol, esrar, uçucular, eroin, kokain, reçete edilmemiş yasal sakinleştiriciler (benzodiazepinler, alprazolam vs.) ve yasal olmayan sakinleştiricileri (flunitrazepam) de içeren madde kullanımı bölümlerini içermekteydi. Analiz 4957 olguyu temel alarak yürütülmüştür. Bulgular: Yaşam boyu en az bir kez deneme oranı en yüksek nargile kullanımındaydı (%45.4). Onu sırasıyla alkol (%34.2), sigara (%24.4), uçucu maddeler (%4.9), benzodiazepin (%3.8), esrar (%2.9), kokain (%0.6) ve eroin (%0.4) takip etmekteydi. Eroin, ecstasy ve esrar kullanım riski erkek öğrencilerde daha yüksekti. Ayrıca verilerimiz tütün kullanımının diğer tüm maddelerin kullanım riskini arttırdığını göstermiştir. Sonuç: Onbeş milyon nüfusu ve heterojen yapısı ile İstanbul'da halihazırdaki madde kullanım verilerini belirlemenin önemli olduğuna inanıyoruz. Bununla birlikte Türkiye'nin farklı coğrafi bölgelerini kapsayan bir çalışmanın gerekliliği de ortadadır.
Findings of the very early onset of substance and polysubstance use indicated easy accessibility of legal and illicit substances by children and youth in Istanbul. These findings on Turkish children and youth who seek substance use treatment can be useful in developing preventive early interventions and treatment facilities.
Background: Adolescent substance abuse is a serious and growing problem worldwide.The aim of this study was to investigate the effects of core stabilization exercises on pulmonary function, respiratory muscle strength, and functional capacity in adolescents with substance use disorder (SUD).Methods: This was a prospective randomized controlled trial. A total of 49 adolescent male patients with SUD were randomly assigned to either the exercise group (n = 25; mean age 16.6 years) or the control group (n = 24; mean age 16.7 years), for 6 weeks. All participants underwent a medical and behavioral therapy program 5 days a week for 6 weeks. The exercise group received five core stabilization exercises combined with deep breathing as a group training for 45 to 60 minutes, twice a week for 6 weeks, and the control group received recreational activities in addition to the usual care for 45 to 60 minutes, twice a week for 6 weeks. Spirometry, maximal inspiratory and expiratory pressures, and the 6-minute walk test were performed and measured at baseline and after training.Results: There were significant improvements in maximal inspiratory pressure (24.16 cm H 2 O; P < 0.0001), maximal expiratory pressure (30.28 cm H 2 O; P < 0.0001), forced vital capacity (5.80% predicted, P < 0.0001), forced expiratory volume in 1 second (7.34% predicted; P = 0.002), peak expiratory flow (13.32% predicted; P = 0.0003), forced expiratory flow 25%-75% (11.84% predicted; P = 0.027), and the 6-minute walking distance (65.84 m; P < 0.0001) in the exercise group compared with the control group.Conclusions: Core stabilization exercise can improve pulmonary function, respiratory muscle strength, and functional capacity in adolescents with SUD.
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