title: Brazilian study on substance misuse in adolescents: associated factors and adherence to treatment.
abstract: OBJECTIVE
  To investigate developmental and environmental factors associated to substance misuse in adolescents seen at a university day-hospital in Brazil and to verify the correlations between those factors and adherence to treatment. To compare factors associated to substance misuse in adolescents with the available scientific literature and to suggest specific preventive interventions for a national policy in Brazil.
  
  
  METHODS
  Eighty-six adolescent's guardians were evaluated at admission to the service by using a semistructured interview including sociodemographic data, family relationship, perinatal and pregnancy histories, psychomotor and educational development, social relations, history of previous illnesses and family diseases, including drug abuse.
  
  
  RESULTS
  The sample was predominantly male (90%). Adolescents referred from the criminal justice were older than those originating from other sources (16.4 x 15.4 years old p=.00). Forty-four percent of adolescents reported school failure, a level which is two times higher than Brazilian statistics. Forty percent of the sample had criminal involvement, mainly drug dealing. Cannabis was the most prevalent reported drug. Living with both parents was protective, delaying the age of initiation by one year. Domestic violence was more frequent among parents with illicit drugs abuse (38.1% x 12.5%, p<.05). Alcoholism and drug addiction in parents and relatives were about four times higher than those reported for the Brazilian population. No correlation was found between the investigated factors and adherence to treatment.
  
  
  CONCLUSIONS
  Our results indicate that the programs must include treatment of adults and education of parents and parents to be. Withdrawal of treatment occurs in the first month, and seems to be related to factors extrinsic to the adolescent. Substance misuse. Adolescent. Treatment.
authors.affiliation: Integrated Regional Center for Attention of Adolescents. Fluminense Federal University (CRIAA/UFF). Department of Psychiatry and Mental Health. Niterói, RJ, Brazil. vilma@urbi.com.br
authors.forename: Vilma A
authors.initials: VA
authors.lastname: da Silva
authors.forename: Aline S
authors.initials: AS
authors.lastname: de Aguiar
authors.forename: Felippe
authors.initials: F
authors.lastname: Felix
authors.forename: Gabielle P
authors.initials: GP
authors.lastname: Rebello
authors.forename: Renata C
authors.initials: RC
authors.lastname: Andrade
authors.forename: Helcio F
authors.initials: HF
authors.lastname: Mattos
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001938:Brazil; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000628:therapy*