Problemas de comportamento internalizantes e externalizantes e uso de substâncias na adolescência

Abstract

This study investigated the relationship between externalizing behavior problems (EBP), internalizing behavior problems (IBP), and combined externalizing/internalizing behavior problems (EIBP) in early adolescence (11 years) and substance use (alcohol, tobacco, and illegal drugs) at 15 years, using data from the 1993 Pelotas (Brazil) birth cohort. Behavior problems were assessed with the Strengths and Difficulties Questionnaire (SDQ), applied to mothers when their children were 15 years old. Substance use was assessed with a self-applied confidential questionnaire for the adolescent. The association between behavior problems and substance use was analyzed with Poisson regression with robust adjustment of variance. After adjusting for confounding, adolescents with EBP showed higher risk of alcohol abuse (RR = 1.74, 95%CI: 1.21; 2.50) and experimentation (RR = 1.78, 95%CI: 1.42; 2,23) and tobacco use in the previous 30 days (RR = 2.38, 95%CI: 1.64; 3.45). Adolescents with IBP showed greater risk of having tried tobacco (RR = 1.54, 95%CI: 1.22; 1.93) and of having used tobacco products in the previous 30 days (RR = 1.92, 95%CI: 1.31; 2.83). Adolescents with EIBP showed greater risk of trying (RR = 2.24, 95%CI: 1.57; 3.21) and consuming tobacco products in the previous days (RR = 3.01, 95%CI: 1.63; 5.56), and lower risk of having tried alcohol at 15 years of age (RR = 0.72, 95%CI: 0.55; 0.94). Public health measures aimed at reducing behavior problems in early adolescence can help reduce tobacco and alcohol consumption at 15 years.

Problemas emocionais e comportamentais em pré-adolescentes classificados como recém-nascidos de risco

“…Enfatiza-se que diferenças entre os sexos já são relatadas na literatura científica, que apontam maior ocorrência de transtornos de humor no sexo feminino, enquanto transtornos comportamentais são mais frequentes no sexo masculino. (17,(21)(22)(23) Tabela 3. Fatores perinatais e condições atuais dos participantes e associação com alterações no total de dificuldades (SDQ)…”

Uso do álcool interferindo na saúde do adolescente: uma revisão integrativa

“…Todos os estudos selecionados sobre o uso de álcool na adolescência demonstraram a importância da prevenção e conscientização [10][11][12][13][14][15][16][17][18][19][20][21][22] , explanando ainda, a necessidade de políticas públicas, controle parental e fiscalização da venda da substância [10][11]15 .…”

“…Esta é uma revisão integrativa compreendida como estudo de natureza complexa, que demanda métodos normatizados e sistemáticos para garantir o necessário rigor requerido na pesquisa científica e a legitimidade das evidências estabelecidas, do qual se embasa nos autores [10][11][12][13][14][15][16][17][18][19][20][21][22] .…”

Use of waterpipes and other substances in adolescents: Prevalence and potential associations with mental and behavioral well-being, a cross-sectional study

“…Regarding risk factors for waterpipe tobacco smoking (WTS), Pratiti and Mukherjee 3 grouped them into three categories: factors related to the substance (agent), environmental factors, and factors related to the individual (host). While factors related to substance and environment are well established, factors related to the individual are still understudied 3 , especially those related to adolescent mental health 15 , 16 and new forms of nicotine intake (waterpipes and e-cigarettes).…”