Individual and Family Factors for Alcohol Abuse in Colombian Adolescents Ages 13 to 17
Published
Feb 6, 2017
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Abstract
To determine family and personal
factors associated disorder alcohol abuse in Colombian adolescents 13 to 17 years. Methods:
A cross-sectional association study was performed from the database of the study Status
of adolescent mental health, Colombia 2003,
where a probability sample of 1520 adolescents, using the CIDI instrument for the diagnosis of alcohol abuse disorder. We estimated
the association with family and personal factors
via the chi-square test of independence, analysis of associated factors was performed using
the odds ratio to observe the magnitude and statistical significance. Finally, in order to identify
the variables that best explain the probability
of abusing alcohol, a binary logistic regression
was performed, which also allowed control for
possible confounding variables. Results: Five
hundred teenagers 13 to 17 years met criteria for a diagnosis of alcohol abuse disorder
sometime in their life. Be between 15 and 17
years, smoking, being male and having had a
recent breakup, personal factors were found to
be associated with alcohol abuse in Colombian
adolescents. Discussion: The findings are consistent with other studies in similar populations.
Conclusions: Family factors included in this
study no association was found with either. As
for the family, the larger association were age
and cigarette smoking.
Keywords
adolescents, abuse, alcohol, mental disorder, Colombia, risk factorsadolescente, abuso, alcohol, trastorno mental, Colombia, factores de riesgo.
References
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2. Ministerio de la Protección Social de Colombia. Estudio Nacional de Consumo de Sustancias Psicoactivas en Adolescentes en Conflicto con la Ley en Colombia 2009. Bogotá: Alvi; 2010. p. 90.
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5. Organización Mundial de la Salud. Estrategia mundial para reducir el uso nocivo del alcohol. Roma: L’IV Com Sàrl, Le Mont-sur-Lausanne; 2010.
6. Flensborg-Madsen T, Becker U, Grønbæk M, Knop J, Sher L, Mortensen EL. Alcohol consumption and later risk of hospitalization with psychiatric disorders: prospective cohort study. Psychiatry Res. 2011 May;187(1-2):214-9.
7. Organização Mundial da Saúde. Neuroscience of psychoactive substance use and dependence: summary. Geneva: World Health Organization; 2004.
8. Zaridze D, Maximovitch D, Lazarev A, Igitov V, Boroda A, Boreham J, et al. Alcohol poisoning is a main determinant of recent mortality trends in Russia: evidence from a detailed analysis of mortality statistics and autopsies. Int J Epidemiol. 2009 Feb;38(1):143-53.
9. Monteiro MG, Pan American Health Organization. Alcohol y atención primaria de la salud: informaciones clínicas básicas para la identificación y el manejo de riesgos y problemas. Washington, D.C.: Organización Panamericana de la Salud; 2008.
10. Cook RT. Alcohol abuse, alcoholism, and damage to the immune system--a review. Alcohol Clin Exp Res. 1998 Dec;22(9):1927-42.
11. Les Dees W, Hiney JK, Srivastava V. Alcohol’s effects on female puberty: the role of insulin-like growth factor 1. Alcohol Health Res World. 1998;22(3):165-9.
12. Boschloo L, Vogelzangs N, Licht CMM, Vreeburg SA, Smit JH, van den Brink W, et al. Heavy alcohol use, rather than alcohol dependence, is associated with dysregulation of the hypothalamic-pituitary-adrenal axis and the autonomic nervous system. Drug Alcohol Depend. 2011 Jul 1;116(1-3):170-6.
13. Jacobson JL, Jacobson SW, Sokol RJ, Martier SS, Ager JW, Shankaran S. Effects of alcohol use, smoking, and illicit drug use on fetal growth in black infants. J Pediatr. 1994 May;124(5 Pt 1):757-64.
14. Latino-Martel P, Chan DSM, Druesne-Pecollo N, Barrandon E, Hercberg S, Norat T. Maternal alcohol consumption during pregnancy and risk of childhood leukemia: systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev. 2010 May;19(5):1238-60.
15. Organización Panamericana de la Salud. Alcohol, género, cultura y daños en las Américas: reporte final estudio multicéntrico. Washigton: OPS; 2007.
16. Crabb DW, Matsumoto M, Chang D, You M. Overview of the role of alcohol dehydrogenase and aldehyde dehydrogenase and their variants in the genesis of alcohol-related pathology. Proc Nutr Soc. 2004 Feb;63(1):49-63.
17. Sher L, Zalsman G. Alcohol and adolescent suicide. Int J Adolesc Med Health. 2005 Sep;17(3):197-203.
18. Olfson M, Shaffer D, Marcus SC, Greenberg T. Relationship between antidepressant medication treatment and suicide in adolescents. Arch Gen Psychiatry. 2003 Oct;60(10):978-82.
19. Zapata V. MA, Segura Cardona AM. Consumo de sustancias psicoactivas en jóvenes escolarizados del departamento de Antioquia, investigación comparativa 2003-2007: nuevas tendencias y comportamientos sociales asociados. Medellín: Carisma; 2007.
20. Torres de Galvis Y, Posada J, Mejía R, Sierra G, Montoya L. Primer Estudio Poblacional de Salud Mental de Medellín, 2011-2012. Medellín, Colombia: Editorial CES; 2012. p. 351.
21. Caamaño-Isorna F, Corral M, Parada M, Cadaveira F. Factors associated with risky consumption and heavy episodic drinking among Spanish university students. J Stud Alcohol Drugs. 2008 Mar;69(2):30812.
22. Torres de Galvis Y, Posada J, Yajaira B. Factores asociados al abuso y la dependencia de sustancias en adolescentes colombianos, con base en los resultados del WMH-CIDI. Rev Colomb Psiquiat. 2010;39(Supl.):11232.
23. López Larrosa S, Rodríguez-Arias Palomo
JL. Risk and protective factors in
adolescents’ drug use, and differences
by age and sex. Psicothema. 2010
Nov;22(4):568-73.
24. Torres de Galvis Y, Osorio Gómez JJ,
López Bustamante PL, Mejía R. Salud
mental del adolescente: Medellín-2006
[Internet]. Medellín: Universidad CESAlcaldía
de Medellín; 2007. Disponible
en: https://www.medellin.gov.co/irj/go/km/docs/wpccontent/Sites/Subportal%
20del%20Ciudadano/Salud/Secciones/
Publicaciones/Documentos/2012/
Investigaciones/Libro%20Salud%20
Mental%20del%20Adolescente%20
2006.pdf
25. Torres de Galvis Y, Zapata Vanegas MA,
Montoya Vélez LP, Garro Cossio GI.
Segundo Estudio de Salud Mental del
adolescente: Medellín-2009 [Internet].
Medellín: Universidad CES-Alcaldía de
Medellín; 2010. Disponible en: https://
www.medellin.gov.co/irj/go/km/docs/
wpccontent/Sites/Subportal%20del%20
Ciudadano/Salud/Secciones/Publicaciones/
Documentos/2012/Investigaciones/
Segundo%20Estudio%20de%20Salud%20
Mental%20del%20Adolescente%20
Medell%C3%ADn%20-%202009.pdf
26. Benjet C, Borges G, Méndez E, Casanova
L, Medina-Mora ME. Adolescent
alcohol use and alcohol use disorders
in Mexico City. Drug Alcohol Depend.
2014 Mar 1;136:43-50. doi: 10.1016/j.
drugalcdep.2013.12.006.
27. Campbell F, Conti G, Heckman JJ, Moon
SH, Pinto R, Pungello E, et al. Early
childhood investments substantially
boost adult health. Science. 2014 Mar
28;343(6178):1478-85.
28. Conti G, Heckman JJ. The developmental
approach to child and adult health. Pediatrics.
2013 Apr;131(Suppl 2):S133-41.
29. Kvalsvig A, O’Connor M, Redmond G,
Goldfeld S. The unknown citizen: epidemiological
challenges in child mental
health. J Epidemiol Community Health.
2014 Jul;68(10):1004-8. doi: 10.1136/
jech-2013-203712.
30. Mendoza-Sassi RA, Béria JU. Prevalence
of alcohol use disorders and associated
factors: a population-based study using AUDIT in southern Brazil. Addiction.
2003;98:799–804.
31. Davis D, Shaver PR, Vernon ML. Physical,
emotional, and behavioral reactions
to breaking up: the roles of gender, age,
emotional involvement, and attachment
style. Pers Soc Psychol Bull. 2003
Jul;29(7):871-84.
32. Salvatore JE, Kendler KS, Dick DM.
Romantic relationship status and alcohol
use and problems across the first year
of college. J Stud Alcohol Drugs. 2014
Jul;75(4):580-9.
33. Huurre T, Lintonen T, Kaprio J, Pelkonen
M, Marttunen M, Aro H. Adolescent
risk factors for excessive alcohol use at
age 32 years: A 16-year prospective follow-
up study. Soc Psychiatry Psychiatr
Epidemiol. 2010 Jan;45(1):125-34.
34. Pilling J, Thege BK, Demetrovics Z,
Kopp MS. Alcohol use in the first three
years of bereavement: a national representative
survey. Subst Abuse Treat Prev
Policy. 2012;7:3. doi: 10.1186/1747-
597X-7-3.
35. Gaul M, Matkowski M, Sławińska JB.
Personality characteristics in students at
risk of alcoholism. Psychiatr Pol. 1991
Feb;25(1):29-35.
36. Xu Y, Olfson M, Villegas L, Okuda M,
Wang S, Liu S-M, et al. A characterization
of adult victims of sexual violence:
results from the national epidemiological
survey for alcohol and related conditions.
Psychiatry. 2013;76(3):223-40.
2. Ministerio de la Protección Social de Colombia. Estudio Nacional de Consumo de Sustancias Psicoactivas en Adolescentes en Conflicto con la Ley en Colombia 2009. Bogotá: Alvi; 2010. p. 90.
3. Castro G. Colombia X. Bogotá: Planeta; 1999.
4. Ministerio de la Protección Social de Colombia. Estudio Nacional de Consumo de Sustancias Psicoactivas en Colombia 2008. Bogotá: Guadalupe; 2009.
5. Organización Mundial de la Salud. Estrategia mundial para reducir el uso nocivo del alcohol. Roma: L’IV Com Sàrl, Le Mont-sur-Lausanne; 2010.
6. Flensborg-Madsen T, Becker U, Grønbæk M, Knop J, Sher L, Mortensen EL. Alcohol consumption and later risk of hospitalization with psychiatric disorders: prospective cohort study. Psychiatry Res. 2011 May;187(1-2):214-9.
7. Organização Mundial da Saúde. Neuroscience of psychoactive substance use and dependence: summary. Geneva: World Health Organization; 2004.
8. Zaridze D, Maximovitch D, Lazarev A, Igitov V, Boroda A, Boreham J, et al. Alcohol poisoning is a main determinant of recent mortality trends in Russia: evidence from a detailed analysis of mortality statistics and autopsies. Int J Epidemiol. 2009 Feb;38(1):143-53.
9. Monteiro MG, Pan American Health Organization. Alcohol y atención primaria de la salud: informaciones clínicas básicas para la identificación y el manejo de riesgos y problemas. Washington, D.C.: Organización Panamericana de la Salud; 2008.
10. Cook RT. Alcohol abuse, alcoholism, and damage to the immune system--a review. Alcohol Clin Exp Res. 1998 Dec;22(9):1927-42.
11. Les Dees W, Hiney JK, Srivastava V. Alcohol’s effects on female puberty: the role of insulin-like growth factor 1. Alcohol Health Res World. 1998;22(3):165-9.
12. Boschloo L, Vogelzangs N, Licht CMM, Vreeburg SA, Smit JH, van den Brink W, et al. Heavy alcohol use, rather than alcohol dependence, is associated with dysregulation of the hypothalamic-pituitary-adrenal axis and the autonomic nervous system. Drug Alcohol Depend. 2011 Jul 1;116(1-3):170-6.
13. Jacobson JL, Jacobson SW, Sokol RJ, Martier SS, Ager JW, Shankaran S. Effects of alcohol use, smoking, and illicit drug use on fetal growth in black infants. J Pediatr. 1994 May;124(5 Pt 1):757-64.
14. Latino-Martel P, Chan DSM, Druesne-Pecollo N, Barrandon E, Hercberg S, Norat T. Maternal alcohol consumption during pregnancy and risk of childhood leukemia: systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev. 2010 May;19(5):1238-60.
15. Organización Panamericana de la Salud. Alcohol, género, cultura y daños en las Américas: reporte final estudio multicéntrico. Washigton: OPS; 2007.
16. Crabb DW, Matsumoto M, Chang D, You M. Overview of the role of alcohol dehydrogenase and aldehyde dehydrogenase and their variants in the genesis of alcohol-related pathology. Proc Nutr Soc. 2004 Feb;63(1):49-63.
17. Sher L, Zalsman G. Alcohol and adolescent suicide. Int J Adolesc Med Health. 2005 Sep;17(3):197-203.
18. Olfson M, Shaffer D, Marcus SC, Greenberg T. Relationship between antidepressant medication treatment and suicide in adolescents. Arch Gen Psychiatry. 2003 Oct;60(10):978-82.
19. Zapata V. MA, Segura Cardona AM. Consumo de sustancias psicoactivas en jóvenes escolarizados del departamento de Antioquia, investigación comparativa 2003-2007: nuevas tendencias y comportamientos sociales asociados. Medellín: Carisma; 2007.
20. Torres de Galvis Y, Posada J, Mejía R, Sierra G, Montoya L. Primer Estudio Poblacional de Salud Mental de Medellín, 2011-2012. Medellín, Colombia: Editorial CES; 2012. p. 351.
21. Caamaño-Isorna F, Corral M, Parada M, Cadaveira F. Factors associated with risky consumption and heavy episodic drinking among Spanish university students. J Stud Alcohol Drugs. 2008 Mar;69(2):30812.
22. Torres de Galvis Y, Posada J, Yajaira B. Factores asociados al abuso y la dependencia de sustancias en adolescentes colombianos, con base en los resultados del WMH-CIDI. Rev Colomb Psiquiat. 2010;39(Supl.):11232.
23. López Larrosa S, Rodríguez-Arias Palomo
JL. Risk and protective factors in
adolescents’ drug use, and differences
by age and sex. Psicothema. 2010
Nov;22(4):568-73.
24. Torres de Galvis Y, Osorio Gómez JJ,
López Bustamante PL, Mejía R. Salud
mental del adolescente: Medellín-2006
[Internet]. Medellín: Universidad CESAlcaldía
de Medellín; 2007. Disponible
en: https://www.medellin.gov.co/irj/go/km/docs/wpccontent/Sites/Subportal%
20del%20Ciudadano/Salud/Secciones/
Publicaciones/Documentos/2012/
Investigaciones/Libro%20Salud%20
Mental%20del%20Adolescente%20
2006.pdf
25. Torres de Galvis Y, Zapata Vanegas MA,
Montoya Vélez LP, Garro Cossio GI.
Segundo Estudio de Salud Mental del
adolescente: Medellín-2009 [Internet].
Medellín: Universidad CES-Alcaldía de
Medellín; 2010. Disponible en: https://
www.medellin.gov.co/irj/go/km/docs/
wpccontent/Sites/Subportal%20del%20
Ciudadano/Salud/Secciones/Publicaciones/
Documentos/2012/Investigaciones/
Segundo%20Estudio%20de%20Salud%20
Mental%20del%20Adolescente%20
Medell%C3%ADn%20-%202009.pdf
26. Benjet C, Borges G, Méndez E, Casanova
L, Medina-Mora ME. Adolescent
alcohol use and alcohol use disorders
in Mexico City. Drug Alcohol Depend.
2014 Mar 1;136:43-50. doi: 10.1016/j.
drugalcdep.2013.12.006.
27. Campbell F, Conti G, Heckman JJ, Moon
SH, Pinto R, Pungello E, et al. Early
childhood investments substantially
boost adult health. Science. 2014 Mar
28;343(6178):1478-85.
28. Conti G, Heckman JJ. The developmental
approach to child and adult health. Pediatrics.
2013 Apr;131(Suppl 2):S133-41.
29. Kvalsvig A, O’Connor M, Redmond G,
Goldfeld S. The unknown citizen: epidemiological
challenges in child mental
health. J Epidemiol Community Health.
2014 Jul;68(10):1004-8. doi: 10.1136/
jech-2013-203712.
30. Mendoza-Sassi RA, Béria JU. Prevalence
of alcohol use disorders and associated
factors: a population-based study using AUDIT in southern Brazil. Addiction.
2003;98:799–804.
31. Davis D, Shaver PR, Vernon ML. Physical,
emotional, and behavioral reactions
to breaking up: the roles of gender, age,
emotional involvement, and attachment
style. Pers Soc Psychol Bull. 2003
Jul;29(7):871-84.
32. Salvatore JE, Kendler KS, Dick DM.
Romantic relationship status and alcohol
use and problems across the first year
of college. J Stud Alcohol Drugs. 2014
Jul;75(4):580-9.
33. Huurre T, Lintonen T, Kaprio J, Pelkonen
M, Marttunen M, Aro H. Adolescent
risk factors for excessive alcohol use at
age 32 years: A 16-year prospective follow-
up study. Soc Psychiatry Psychiatr
Epidemiol. 2010 Jan;45(1):125-34.
34. Pilling J, Thege BK, Demetrovics Z,
Kopp MS. Alcohol use in the first three
years of bereavement: a national representative
survey. Subst Abuse Treat Prev
Policy. 2012;7:3. doi: 10.1186/1747-
597X-7-3.
35. Gaul M, Matkowski M, Sławińska JB.
Personality characteristics in students at
risk of alcoholism. Psychiatr Pol. 1991
Feb;25(1):29-35.
36. Xu Y, Olfson M, Villegas L, Okuda M,
Wang S, Liu S-M, et al. A characterization
of adult victims of sexual violence:
results from the national epidemiological
survey for alcohol and related conditions.
Psychiatry. 2013;76(3):223-40.
How to Cite
Quiñonez, J. J., Peña, D. L., Salas, C., & Torres, Y. (2017). Individual and Family Factors for Alcohol Abuse in Colombian Adolescents Ages 13 to 17. Universitas Medica, 57(3), 307–322. https://doi.org/10.11144/Javeriana.umed57-3.fpfa
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