Abstract

ABSTRACTOBJECTIVE:To analyze the relationship between the health promotion conditions in schools and the consumption of alcohol and other drugs by students.METHODS: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.RESULTS: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).CONCLUSIONS: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.

Highlights

  • Adolescence is a period marked by many transitions, greater autonomy from parents, and new relationships with friends and at school

  • 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

  • Only the use of tobacco was associated with less health promoting schools (OR = 1.89, 95% confidence intervals (95%CI) 1.16–3.09) when compared to those with better conditions

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Summary

Introduction

Adolescence is a period marked by many transitions, greater autonomy from parents, and new relationships with friends and at school. The National Survey of the Health of Students (PeNSE) of 2012 interviewed students in ninth grade from public and private schools and found a prevalence of 7.3% for the use of illicit substances in life, 19.6% for tobacco, and 66.6% for alcohol[12,19]. The main conditions to prevent the use of drugs by students appear in the scope of health promotion actions in a broad sense. Actions to prevent these behaviors stand out among the specific items of health promotion in schools[27]

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