Comportamentos de risco associados à gravidez na adolescência: desafios contemporâneos relacionados ao uso de substâncias
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2021.173941Palavras-chave:
Uso de substâncias, Ocorrência, Risco químico para a saúde, PrevençãoResumo
A gravidez na adolescência é um problema de saúde pública mundial. O número desse fenômeno está aumentando a cada ano. Uma das razões para esse agravamento é o uso de substâncias. Esta pesquisa teve como objetivo discutir a gravidez na adolescência e o risco químico à saúde de comportamentos inadequados. O método aplicado consistiu em um estudo transversal de desenho observacional associado ao levantamento de conhecimentos, atitudes e práticas realizado em 42 adolescentes grávidas de 12 a 18 anos em uma maternidade pública de grande porte no Rio de Janeiro. Foi aplicado questionário estruturado na consulta pré-natal de novembro de 2017 a outubro de 2018. Foram elaboradas tabelas descritivas com frequências em números absolutos e percentuais. 11 adolescentes (26,19%) relataram ter fumado 7 cigarros por dia (DP = 4,51), com variação de 5 a 45 cigarros / dia. Em relação ao consumo de álcool, 16 (38,09%) admitiram ter bebido pelo menos uma vez durante a gravidez e 8 (19,05%) de forma abusiva. Em relação aos outros tipos de drogas, 12 (28,57%) admitiram ter consumido durante a gravidez e 3 (7,14%) delas relataram uso de drogas intravenosas. 7 (16,66%) relacionavam-se com outro usuário de drogas injetáveis. Os resultados da pesquisa mostram que o uso de drogas ilícitas pelas adolescentes grávidas entrevistadas foi 4 vezes maior do que a prevalência registrada na literatura para pessoas de 12 a 17 anos. No caso do uso de cigarro, essa diferença também foi observada, chegando a 20 pontos percentuais.
Downloads
Referências
Oliveira-Campos M., Nunes M.L., Madeira F.C., Santos M.G., Bregmann S.R., Malta D.C., Giatti L., Barreto S.M., 2014. Sexual behavior among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012). Revista Brasileira de Epidemiologia. 17(Suppl. 1), 116-130.
Kanwetuu V.P., Mokulogo R.K., Azumah F.D., 2018. Understanding adolescents’ sexual behavior in Ghana: Information sources and their effects. Journal of Sexuality and Culture. 22(3), 942–961.
Osaki H., Mshana G., Mbata D., Kapiga S., Changalucha J., 2018. Social space and alcohol use initiation among youth in northern Tanzania. PLoS One. 13(9),1-14.
Santos M.A., &Pratta E.M.M., 2012. Adolescência e uso de drogas à luz da psicanálise: sofrimento e êxtase na passagem. Tempo psicanalítico. 44(1), 167-182.
Santos A.R., Perrelli J.G.A., Silva T.T.M., Lopes M.V.O., Frazão I.S., 2018. Instrumentos relacionados ao consumo de drogas em adolescentes: revisão integrativa. Texto & Contexto – Enfermagem. 27(3), e0370017.
Salvador J., Ryan J.S.B., Alvarez M.O., Rosario A., 2016. The phenomenon of teenage pregnancy in the Philippines. European Scientific Journal. 12, 173-192.
Hoffmann J.P., 2017. Family structure and adolescent substance use: an international perspective. Substance Use & Misuse. 52(13), 1667-1684.
Silverman J.G., Raj A., Mucci L.A., Hathaway J.E., 2001. Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA. 286(5), 572-579.
Chapman S.L.C., Wu L.T., 2013. Substance use among adolescent mothers: A review. Children and Youth Services Review. 35(5), 806–815.
Ferreira A.P., 2019.Estimaciones del consumo de drogas ilícitas derivadas del análisis de aguas residuales: Una revisión crítica. RevUnivInd Santander Salud. 51(1), 69-80.
Leve L., Chamberlain P., Kim H., 2015. Risks, outcomes, and evidence-based interventions for girls in the US juvenile justice system. Clinical Child & Family Psychology Review. 18(3), 252-280.
Respress B.N., Amutah-Onukagha N.N., Opara I., 2018. The effects of school-based discrimination on adolescents of color sexual health outcomes: a social determinants approach. Social Work in Public Health. 33(1), 1-17.
Aparicio E.M., Phillips D.R., Okimoto T., Cabral M.K., Houser C., Anderson K., 2018. Youth and provider perspectives of Wahine Talk: A holistic sexual health and pregnancy prevention program developed with and for homeless youth. Children and Youth Services Review. 93, 467-473.
Tuitt N., Asdigian N., Kaufman C., 2019. Frequent residential mobility among American Indians and early indications of sexual risk among young adolescents. PLoS One. 14(6), p.e0218445.
Watkins-Kagebein J., Barnett T., Collier-Tenison S., Blakey J., 2019. They don’t listen: A qualitative interpretive meta-synthesis of children’s sexual abuse. Child & Adolescent Social Work Journal. 36(4), 337-349.
Salas-Wright C.P., Vaughn M.G., Ugalde J., Todic J., 2015. Substance use and teen pregnancy in the United States: Evidence from the NSDUH 2002–2012. Addictive Behaviors. 45, 218-225.
Sentino P., Thompson P.L., Nugent W.R., Freeman D., 2018. Adolescent daughters’ perceptions of their fathers’ levels of communication and care: How these variables influence female adolescent sexual behaviors. Journal of Human Behavior in the Social Environment. 28(5), p.632-646.
Okumu M., Ombayo B., Small E., Ansong D., 2019. Psychosocial syndemics and sexual risk practices among U.S. adolescents: findings from the 2017 U.S. youth behavioral survey. International Journal of Behavioral Medicine. 26(3), 297-305.
Richard J., Potenza M., Ivoska W., Derevensky J., 2019. The stimulating nature of gambling behaviors: relationships between stimulant use and gambling among Adolescents. J Gambl Stud. 35(1), 47-62.
Whitton S.W., Dyar C., Newcomb M.E., Mustanski B., 2018. Effects of romantic involvement on substance use among young sexual and gender minorities. Drug and Alcohol Dependence. 191, 215-222.
Saldanha K., Madangopal D., 2019. The social dimensions of gambling among street youth in Mumbai: Is it really an addiction? Qualitative Social Work. 18(2), 265-285.
De Genna N.M., Cornelius M.D., Donovan J.E., 2009. Risk factors for young adult substance use among women who were teenage mothers. Addictive Behaviors. 34(5), 463-470.
Azomahou T., Diagne A., Pape Y., Kaba I., 2019. Public finances and tobacco taxation with product variety: Theory and application to Senegal and Nigeria. PLoS One. 14(2), p.e0212015.
Coleman-Cowger V.H., Schauer G.L., Peters E.N., 2017. Corrigendum to "Marijuana and tobacco co-use among a nationally representative sample of US pregnant and non-pregnant women: 2005-2014 National survey on drug use and health findings". Drug Alcohol Depend. 177, 130-135.
Copeland R.J., 2017. Experiences of adolescent mothers in Costa Rica and the role of parental support. Journal of Family Social Work. 20(5), 416-433.
Hagstrom P., Wu S., 2016. Are pregnant women happier? Racial and ethnic differences in the relationship between pregnancy and life satisfaction in the United States. Review of Economics of the Household. 14(3), 507-527.
Anderson S.A., Sabatelli R.M., Trachtenberg J., 2007. Community police and youth programs as a context for positive youth development. Police Quarterly. 10(23), 23–40.
Jimmyns C., Meyer-Weitz A., 2019. The Influence of School Contextual Factors on Educators’ Efforts in Teaching Sexuality Education in Secondary Schools in Durban, South Africa. Sexuality & Culture. 23, 1110–1130.
Pinheiro S.N., Laprega M.R., Furtado E.F., 2005. Morbidade psiquiátrica e uso de álcool em gestantes usuárias do Sistema Único de Saúde. Revista de Saúde Pública. 39(4), 593-598.
Koletic G., Kohut T., Stulhofer A., 2019. Associations between adolescents' use of sexually explicit material and risky sexual behavior: A longitudinal assessment. PLoS One. 14(6), p.e0218962.
Associação Nacional de Empresas de Pesquisa. Critério de classificação econômica Brasil. http://www.abep.org/criterio-brasil Accessed July 5, 2019). (Accessed July 5, 2019).
Vanderbilt-Adriance E., Shaw D.S., 2008. Protective factors and the development of resilience in the context of neighborhood disadvantage. Journal of Abnormal Child Psychology. 36(6), 887–901.
Arabin B., Baschatt A.A., 2017. Pregnancy: An underutilized window of opportunity to improve long-term maternal and infant health - An appeal for continuous family care and interdisciplinary communication. Frontiers in Pediatrics. 5. 69. 10.3389/fped.2017.00069.
Eizirik M., Bergmann D.S., 2004. Father absence and its influence on child and adolescent development: a case report. Revista de Psiquiatria do Rio Grande do Sul. 26(3), 330-336.
Sedgh G., Finer L.B., Bankole A., Eilers M.A., Singh S., 2015. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. Journal of Adolescent Health. 56(2), 223-230.
Romero L., Pazol K., Warner L., Cox S., Kroelinger C., Besera G., Brittain A., Fuller T.R., Koumans E., Barfield W., 2016. Reduced disparities in birth rates among teens aged 15-19 years - United States, 2006-2007 and 2013-2014. Morbidity and Mortality Weekly Report. 65(16), 409-414.
Buendgens B.B., Zampieri M.F.M., 2012. The pregnancy in adolescence on the perception of doctors and nurses from a primary care. Escola Anna Nery Revista de Enfermagem. 16(1), 64-72.
Ferrari W., Peres S., Nascimento M., 2018. Experiment and learning in the affective and sexual life of young women from a favela in Rio de Janeiro, Brazil, with experience of clandestine abortion. Ciência&SaúdeColetiva. 23(9), 2937-2950.
Pereira M.O., Sá M.C., Miranda L., 2017. A wave that comes rushing in and dunks you: representations and destinies of the crisis in adolescent users of a CAPSi. Ciência&SaúdeColetiva. 22(11), 3733-3742.
Degenhardt L., Whiteford H., Hall W., Vos T., 2009. Estimating the burden of disease attributable to illicit drug use and mental disorders: what is ‘Global Burden of Disease 2005’ and why does it matter? Addiction. 104(9), 1466‑1471.
Bastos FIPM et al. (Org.). III Levantamento Nacional sobre o uso de drogas pela população brasileira. Rio de Janeiro: FIOCRUZ/ICICT, 2017.
Green K.M., Doherty E.E., Stuart E.A., Ensminger M.E., 2010. Does heavy adolescent marijuana use lead to criminal involvement in adulthood? Evidence from a multiwave longitudinal study of urban African Americans. Drug and Alcohol Dependence. 112, 117–125.
Gindri Resta D., Santos Colomé I.C., Bernadete Trovó de Marqui A., ZielkeHesler L., Eisen C., 2014. Adolescents: for what reasons do they get pregnant? Revista de Enfermagem UFPE. 8(5), 1229–1236.
Chalmers J., Lancaster K., Hughes C., 2014. The stigmatization of ‘ice’ and under-reporting of meth/amphetamine use in general population surveys: a case study from Australia. International Journal of Drug Policy. 36, 15–24.
Rocha Aguiar F.A., Lira Dourado J.V., Alexandre de Paula P.H., Souto Pinto Menezes R., Camelo Lima T., 2018.Experience of pregnancy among pregnant teenagers. Revista de Enfermagem UFPE. 12(7), 1986–1996.
Villarán Landolt V., Traverso Koroleff P., Huasasquiche Vinces M.L., 2017. Narrativas sobre el embarazo y la maternidad en mujeres adolescentes de sectores urbano marginales de Lima que acaban de dar a luz. Psicología. 35(2), 485-508.
Brito M.B., Alves F.S.S., Souza M.Q., Requião S.R., 2018. Low level of knowledge of contraceptive methods among pregnant teens in Brazil. Journal of Pediatric and Adolescent Gynecology. 31(3), 281-284.
Katz J., Gravelin C., O’Brien C., 2018. Neoliberal beliefs and perceptions of unintended adolescent pregnancy after consensual or forced sex. Sex Roles. 78(11), 810-821.
Mahajan H., Sharma B., 2014. Utilization of maternal and child health care services by primigravida females in urban and rural areas of India. ISRN Preventive Medicine. 123918.
Mansur A.M., Rezaul K.M., Mahmudul H.M., 2014. Quality of antenatal care in primary health care centers of Bangladesh. Journal of Family and Reproductive Health. 8(4), 175-181.
Roberts S., Pies C., 2011. Complex calculations: how drug use during pregnancy becomes a barrier to prenatal care. Maternal and Child Health Journal. 15:333.
World Health Organization. Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy. Geneva: World Health Organization; 2014. Recommendations. https://www.ncbi.nlm.nih.gov/books/NBK200683/. Accessed: July 5, 2019.
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2021 Cíntia da Silva Telles Nichele, Aldo Pacheco Ferreira
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
