title: Smoking, alcohol consumption, and drug use among adolescents with psychiatric disorders compared with a population based sample.
abstract: This study investigated frequencies of smoking, alcohol use, and illicit drug use by diagnostic category in 566 adolescent psychiatric patients, comparing this sample with 8173 adolescents from the general population in Norway who completed the Young-HUNT 3 survey. Frequencies of current alcohol use were high in both samples but were lower among psychiatric patients. Compared with adolescents in the general population, adolescents in the clinical sample had a higher prevalence of current smoking and over four times higher odds of having tried illicit drugs. In the clinical sample, those with mood disorders reported the highest frequencies of smoking, alcohol use, and illicit drug use, whereas those with autism spectrum disorders reported the lowest frequencies. Our results show an increased prevalence of risky health behaviors among adolescents with psychiatric disorders compared with the general population. The awareness of disorder-specific patterns of smoking and substance use may guide preventive measures.
authors.affiliation: Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, Norwegian University of Science and Technology, Pb 8905, MTFS, 7491 Trondheim, Norway. Electronic address: wenche.l.mangerud@ntnu.no.
authors.forename: Wenche Langfjord
authors.initials: WL
authors.lastname: Mangerud
authors.affiliation: Faculty of Health Sciences, Nord-Trøndelag University College (HiNT), 7601 Levanger, Norway; Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7489 Trondheim, Norway. Electronic address: ottar.bjerkeset@ntnu.no.
authors.forename: Ottar
authors.initials: O
authors.lastname: Bjerkeset
authors.affiliation: HUNT Research Centre, Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, 7600 Levanger, Norway. Electronic address: turid.lingaas.holmen@ntnu.no.
authors.forename: Turid Lingaas
authors.initials: TL
authors.lastname: Holmen
authors.affiliation: Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, Norwegian University of Science and Technology, Pb 8905, MTFS, 7491 Trondheim, Norway. Electronic address: stian.lydersen@ntnu.no.
authors.forename: Stian
authors.initials: S
authors.lastname: Lydersen
authors.affiliation: Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, Norwegian University of Science and Technology, Pb 8905, MTFS, 7491 Trondheim, Norway; Department of Child and Adolescent Psychiatry, St. Olav's University Hospital, 7433 Trondheim, Norway. Electronic address: marit.s.indredavik@ntnu.no.
authors.forename: Marit Sæbø
authors.initials: MS
authors.lastname: Indredavik
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000453:epidemiology; D009664:Norway / Q000453:epidemiology; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology
keywords: Adolescent; Alcohol; Drug use; Mental disorders; Smoking; Substance use