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Substance misuse and sexual function in adolescents with chronic diseases
OBJECTIVE: To evaluate alcohol/tobacco and/or illicit drug misuse in Chronic Diseases (CDs). METHODS: A cross-sectional study with 220 CDs adolescents and 110 healthy controls including: demographic/anthropometric data; puberty markers; modified questionnaire evaluating sexual function, alcohol/smok...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade de Pediatria de São Paulo
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178118/ https://www.ncbi.nlm.nih.gov/pubmed/27354415 http://dx.doi.org/10.1016/j.rppede.2015.10.008 |
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author | Araújo, Priscila Carvalho, Márcio Guilherme Nunes van Weelden, Marlon Lourenço, Benito Queiroz, Lígia Bruni Silva, Clovis Artur |
author_facet | Araújo, Priscila Carvalho, Márcio Guilherme Nunes van Weelden, Marlon Lourenço, Benito Queiroz, Lígia Bruni Silva, Clovis Artur |
author_sort | Araújo, Priscila |
collection | PubMed |
description | OBJECTIVE: To evaluate alcohol/tobacco and/or illicit drug misuse in Chronic Diseases (CDs). METHODS: A cross-sectional study with 220 CDs adolescents and 110 healthy controls including: demographic/anthropometric data; puberty markers; modified questionnaire evaluating sexual function, alcohol/smoking/illicit drug misuse and bullying; and the physician-conducted CRAFFT (car/relax/alone/forget/friends/trouble) screen tool for substance abuse/dependence high risk. RESULTS: The frequencies of alcohol/tobacco and/or illicit drug use were similar in both groups (30% vs. 34%, p=0.529), likewise the frequencies of bullying (42% vs. 41%, p=0.905). Further analysis solely in CDs patients that used alcohol/tobacco/illicit drug versus those that did not use showed that the median current age [15 (11–18) vs. 14 (10–18) years, p <0.0001] and education years [9 (5–14) vs. 8 (3–12) years, p <0.0001] were significant higher in substance use group. The frequencies of Tanner 5 (p <0.0001), menarche (p <0.0001) and spermarche (p=0.001) were also significantly higher in patients with CDs that used alcohol/tobacco/illicit, likewise sexual activity (23% vs. 3%, p <0.0001). A trend of a low frequency of drug therapy was observed in patients that used substances (70% vs. 82%, p=0.051). A positive correlation was observed between CRAFFT score and current age in CD patients (p=0.005, r=+0.189) and controls (p=0.018, r=+0.226). CONCLUSIONS: A later age was evidenced in CDs patients that reported licit/ilicit drug misuse. In CDs adolescent, substance use was more likely to have sexual intercourse. Our study reinforces that these patients should be systematically screened by pediatricians for drug related health behavioral patterns. |
format | Online Article Text |
id | pubmed-5178118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Sociedade de Pediatria de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-51781182017-01-04 Substance misuse and sexual function in adolescents with chronic diseases Araújo, Priscila Carvalho, Márcio Guilherme Nunes van Weelden, Marlon Lourenço, Benito Queiroz, Lígia Bruni Silva, Clovis Artur Rev Paul Pediatr Original Articles OBJECTIVE: To evaluate alcohol/tobacco and/or illicit drug misuse in Chronic Diseases (CDs). METHODS: A cross-sectional study with 220 CDs adolescents and 110 healthy controls including: demographic/anthropometric data; puberty markers; modified questionnaire evaluating sexual function, alcohol/smoking/illicit drug misuse and bullying; and the physician-conducted CRAFFT (car/relax/alone/forget/friends/trouble) screen tool for substance abuse/dependence high risk. RESULTS: The frequencies of alcohol/tobacco and/or illicit drug use were similar in both groups (30% vs. 34%, p=0.529), likewise the frequencies of bullying (42% vs. 41%, p=0.905). Further analysis solely in CDs patients that used alcohol/tobacco/illicit drug versus those that did not use showed that the median current age [15 (11–18) vs. 14 (10–18) years, p <0.0001] and education years [9 (5–14) vs. 8 (3–12) years, p <0.0001] were significant higher in substance use group. The frequencies of Tanner 5 (p <0.0001), menarche (p <0.0001) and spermarche (p=0.001) were also significantly higher in patients with CDs that used alcohol/tobacco/illicit, likewise sexual activity (23% vs. 3%, p <0.0001). A trend of a low frequency of drug therapy was observed in patients that used substances (70% vs. 82%, p=0.051). A positive correlation was observed between CRAFFT score and current age in CD patients (p=0.005, r=+0.189) and controls (p=0.018, r=+0.226). CONCLUSIONS: A later age was evidenced in CDs patients that reported licit/ilicit drug misuse. In CDs adolescent, substance use was more likely to have sexual intercourse. Our study reinforces that these patients should be systematically screened by pediatricians for drug related health behavioral patterns. Sociedade de Pediatria de São Paulo 2016 /pmc/articles/PMC5178118/ /pubmed/27354415 http://dx.doi.org/10.1016/j.rppede.2015.10.008 Text en © 2016 Sociedade de Pediatria de São Paulo. Published by Elsevier Editora Ltda http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Araújo, Priscila Carvalho, Márcio Guilherme Nunes van Weelden, Marlon Lourenço, Benito Queiroz, Lígia Bruni Silva, Clovis Artur Substance misuse and sexual function in adolescents with chronic diseases |
title | Substance misuse and sexual function in adolescents with chronic diseases |
title_full | Substance misuse and sexual function in adolescents with chronic diseases |
title_fullStr | Substance misuse and sexual function in adolescents with chronic diseases |
title_full_unstemmed | Substance misuse and sexual function in adolescents with chronic diseases |
title_short | Substance misuse and sexual function in adolescents with chronic diseases |
title_sort | substance misuse and sexual function in adolescents with chronic diseases |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178118/ https://www.ncbi.nlm.nih.gov/pubmed/27354415 http://dx.doi.org/10.1016/j.rppede.2015.10.008 |
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