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Personal and psychossocial determinants of tobacco and alcohol use in adolescence

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Substance use in adolescence continues to be one of major concerns in public health. Its implications in personal and social terms motivate the search for determinants of consumption in order to develop effective preventive responses. Method: this study aims to explore personal determinants of tobacco and alcohol among a sample of 323 adolescents, 199 of them were girls (61.6%), aged between 15 and 19 years (M = 16.79, SD = 1.096) who attended Portuguese public high schools. For data collection, it was used a sociodemographic and consumption questionnaire, the Proactive Attitude Scale, the Proactive Coping Scale, the General Self-Efficacy Scale, the Berlin Social Support Scales and the Scales of Attitudes Toward Tobacco and Alcohol to evaluate psychosocial determinants. Results: The results allow us to verify the determinant role of attitudes on the experience of tobacco use, being higher among those who have tried and with a positive correlation with the intensity of consumption. Nevertheless, the onset age of cigarette smoking correlates only with the perception of emotional support. Also on alcohol consumption, there was a more favorable attitude among those who have tried and a negative correlation with the age of first experience. In addition, differences in attitudes were verified depending on the pattern of consumption, with more favorable attitudes according with binge drinking frequency and drunkenness episodes. Is also noticed a lower perception of demand and need for social support between adolescents that relate more drunkenness episodes. Conclusions: The study suggests the central role of attitudes towards consumption, although depending on the specific substances, findings that should be explored in future studies.These data are discussed according the existing literature and implications to prevention and further studies are presented.

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Determinants Alcohol Tobacco Attitudes

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Asociación Española de Psicología Conductual (AEPC)

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