A VIDA VALE A PENA SER VIVIDA? RELAÇÃO COM SEXO, RAÇA, CONSUMO DE ÁLCOOL, USO DE CIGARROS E UTILIZAÇÃO DE DROGAS ILÍCITAS ENTRE ADOLESCENTES BRASILEIROS

Lucas Santos

doi:10.31011/reaid-2026-v.100-n.1-art.2655

Autores

Lucas Santos UFBA

DOI:

https://doi.org/10.31011/reaid-2026-v.100-n.1-art.2655

Palavras-chave:

Saúde mental, Saúde do adolescente, Consumo de Álcool, Drogas Ilícitas, Sexo

Resumo

O objetivo deste estudo foi avaliar se a percepção dos adolescentes sobre a vida valer a pena ser vivida está relacionada com o sexo, variáveis sociodemográficas, consumo de álcool, cigarros e outras drogas. Utilizou-se dados da Pesquisa Nacional de Saúde do Escolar (PeNSE 2019). Método:Foram analisados os dados de 158.261 adolescentes escolares com idade entre 13 e 18 anos. Calculou-se os valores do qui-quadro e odds rations das variáveis com a percepção que a vida não vale a pena ser vivida. Resultados: 19,4% dos adolescentes responderam que a vida não vale a pena ser vivida. Variáveis como não ser branco, ser mulher (OR 2,4; IC95%: 2,33 - 2,46), experimentação de álcool (OR 2,19; IC95%: 2,13 - 2,26), utilização de drogas ilícitas (OR 2,14; IC95%: 2,07 - 2,22) e ter fmado cigarro (OR 2,22; IC95%: 2,15 - 2,28) aumentaram as chances de considerar que a vida não vale a pena ser vivida. Conclusão: Os resultados reforçam a relação entre o uso de álcool, cigarros e outras drogas com pior saúde mental de adolescentes brasileiros.

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Referências

Abi-Jaoude E, Naylor KT, Pignatiello A. Smartphones, social media use and youth mental health. Can Med Assoc J. 2020 Feb 10;192(6):E136–41. DOI: https://doi.org/10.1503/cmaj.190434

Lindow JC, Hughes JL, South C, Minhajuddin A, Gutierrez L, Bannister E, et al. The Youth Aware of Mental Health Intervention: Impact on Help Seeking, Mental Health Knowledge, and Stigma in U.S. Adolescents. J Adolescent Health. 2020 Jul;67(1):101–7. DOI: https://doi.org/10.1016/j.jadohealth.2020.01.006

Thapar A, Eyre O, Patel V, Brent D. Depression in young people. Lancet. 2022 Aug;400(10352):617–31. DOI: https://doi.org/10.1016/S0140-6736(22)01012-1

Smith L, McDermott D, Jacob L, Barnett Y, Butler L, Shin J Il, et al. Violence victimization and suicide attempts among adolescents aged 12–15 years from thirty-eight low- and middle-income countries. Gen Hosp Psychiatry. 2020 Sep 1;66:147–53. DOI: https://doi.org/10.1016/j.genhosppsych.2020.08.005

Antunes JT, Dumont-Pena É, Silva AG, Moutinho CS, Vieira MLFP, Malta DC. A saúde mental dos adolescentes brasileiros. REME-Rev Mineira Enfermagem. 2022 Dec 2;26. DOI: https://doi.org/10.35699/2316-9389.2022.38984

Fernandes FY, Freitas BHBM, Marcon SR, Arruda VL, Lima NVP de, Bortolini J, et al. Tendência de suicídio em adolescentes brasileiros entre 1997 e 2016. Epidemiol Serviços Saúde. 2020;29(4). DOI: https://doi.org/10.1590/s1679-49742020000400025

Mullins JT, White C. Temperature and mental health: Evidence from the spectrum of mental health outcomes. J Health Econ. 2019 Dec;68:102240. DOI: https://doi.org/10.1016/j.jhealeco.2019.102240

Harding S, Morris R, Gunnell D, Ford T, Hollingworth W, Tilling K, et al. Is teachers’ mental health and wellbeing associated with students’ mental health and wellbeing? J Affect Disord. 2019 Jan;242:180–7. DOI: https://doi.org/10.1016/j.jad.2018.08.080

Mersky JP, Topitzes J, Reynolds AJ. Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S. Child Abuse Negl. 2013 Nov;37(11):917–25. DOI: https://doi.org/10.1016/j.chiabu.2013.07.011

Matias TS, Silva KS, Duca GF Del, Bertuol C, Lopes MVV, Nahas MV. Attitudes towards body weight dissatisfaction associated with adolescents’ perceived health and sleep (PeNSE 2015). Cien Saude Colet. 2020 Apr;25(4):1483–90. DOI: https://doi.org/10.1590/1413-81232020254.19222018

Soares Filho LC, Batista RFL, Cardoso VC, Simões VMF, Santos AM, Coelho SJDDAC, et al. Body image dissatisfaction and symptoms of depression disorder in adolescents. Braz J Medical Biol Res 2021;54(1):e10397. DOI: https://doi.org/10.1590/1414-431x202010397

Wroblevski B, Lucas MS, Silva RM da, Cunha MS. Relação entre insatisfação corporal e saúde mental dos adolescentes brasileiros: um estudo com representatividade nacional. Cien Saude Colet. 2022 Aug;27(8):3227–38. DOI: https://doi.org/10.1590/1413-81232022278.16302021

Baier D, Hong JS, Kliem S, Bergmann MC. Consequences of Bullying on Adolescents’ Mental Health in Germany: Comparing Face-to-Face Bullying and Cyberbullying. J Child Fam Stud. 2019 Sep 18;28(9):2347–57. DOI: https://doi.org/10.1007/s10826-018-1181-6

Zhu Y, Li W, O’Brien JE, Liu T. Parent–Child Attachment Moderates the Associations Between Cyberbullying Victimization and Adolescents’ Health/Mental Health Problems: An Exploration of Cyberbullying Victimization Among Chinese Adolescents. J Interpers Violence. 2021 Sep 14;36(17–18):NP9272–98. DOI: https://doi.org/10.1177/0886260519854559

Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I, et al. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. Int J Public Health. 2019 Mar 12;64(2):265–83. DOI: https://doi.org/10.1007/s00038-018-1196-1

Shorey S, Ng ED, Wong CHJ. Global prevalence of depression and elevated depressive symptoms among adolescents: A systematic review and meta‐analysis. Brit J Clin Psychol. 2022 Jun 26;61(2):287–305. DOI: https://doi.org/10.1111/bjc.12333

Gilbert M, Boecker M, Reiss F, Kaman A, Erhart M, Schlack R, et al. Gender and Age Differences in ADHD Symptoms and Co-occurring Depression and Anxiety Symptoms Among Children and Adolescents in the BELLA Study. Child Psychiatry Hum Dev. 2023 Oct 18; DOI: https://doi.org/10.1007/s10578-023-01622-w

Asher M, Asnaani A, Aderka IM. Gender differences in social anxiety disorder: A review. Clin Psychol Rev. 2017 Aug;56:1–12. DOI: https://doi.org/10.1016/j.cpr.2017.05.004

Fox KR, Choukas-Bradley S, Salk RH, Marshal MP, Thoma BC. Mental health among sexual and gender minority adolescents: Examining interactions with race and ethnicity. J Consult Clin Psychol. 2020 May;88(5):402–15. DOI: https://doi.org/10.1037/ccp0000486

Hargrove TW, Halpern CT, Gaydosh L, Hussey JM, Whitsel EA, Dole N, et al. Race/Ethnicity, Gender, and Trajectories of Depressive Symptoms Across Early- and Mid-Life Among the Add Health Cohort. J Racial Ethn Health Disparities. 2020 Aug 29;7(4):619–29. DOI: https://doi.org/10.1007/s40615-019-00692-8

Sæther SMM, Knapstad M, Askeland KG, Skogen JC. Alcohol consumption, life satisfaction and mental health among Norwegian college and university students. Addictive Behaviors Reports. 2019 Dec;10:100216. DOI: https://doi.org/10.1016/j.abrep.2019.100216

Fresán A, Dionisio-García DM, González-Castro TB, Ramos-Méndez MÁ, Castillo-Avila RG, Tovilla-Zárate CA, et al. Cannabis smoking increases the risk of suicide ideation and suicide attempt in young individuals of 11–21 years: A systematic review and meta-analysis. J Psychiatr Res. 2022 Sep;153:90–8. DOI: https://doi.org/10.1016/j.jpsychires.2022.06.053

Denissoff A, Niemelä S, Scott JG, Salom CL, Hielscher E, Miettunen J, et al. Does cannabis use in adolescence predict self‐harm or suicide? Results from a Finnish Birth Cohort Study. Acta Psychiatr Scand. 2022 Mar 22;145(3):234–43. DOI: https://doi.org/10.1111/acps.13384

Szwarcwald CL, Malta DC, Barros MBA, de Souza Júnior PRB, Romero D, de Almeida WS, et al. Associations of Sociodemographic Factors and Health Behaviors with the Emotional Well-Being of Adolescents during the COVID-19 Pandemic in Brazil. Int J Environ Res Public Health. 2021 Jun 7;18(11):6160. DOI: https://doi.org/10.3390/ijerph18116160

Carballo JJ, Llorente C, Kehrmann L, Flamarique I, Zuddas A, Purper-Ouakil D, et al. Psychosocial risk factors for suicidality in children and adolescents. Eur Child Adolesc Psychiatry. 2020 Jun 25;29(6):759–76.

Escobar DFSS, Noll PRS, Jesus TF, Noll M. Assessing the Mental Health of Brazilian Students Involved in Risky Behaviors. Int J Environ Res Public Health. 2020 May 22;17(10):3647. DOI: https://doi.org/10.3390/ijerph17103647

Fuchs R, Glaude M, Hansel T, Osofsky J, Osofsky H. Adolescent Risk Substance use Behavior, Posttraumatic Stress, Depression, and Resilience: Innovative Considerations for Disaster Recovery. Subst Abus. 2021 Jul 1;42(3):358–65. DOI: https://doi.org/10.1080/08897077.2020.1784357

Lew D, Xian H, Qian Z, Vaughn MG. Examining the relationships between life satisfaction and alcohol, tobacco and marijuana use among school-aged children. J Public Health (Bangkok). 2019 Jun 1;41(2):346–53. DOI: https://doi.org/10.1093/pubmed/fdy074

Malta DC, Oliveira-Campos M, Prado RR, Andrade SSC, Mello FCM, Dias AJR, et al. Psychoactive substance use, family context and mental health among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012). Revista Brasileira de Epidemiologia. 2014;17(suppl 1):46–61. DOI: https://doi.org/10.1590/1809-4503201400050005

Santos IS, Santos JM, Karam SA. Lifetime and active use of electronic cigarettes among Brazilian adolescents: The 2019 national school health survey – PeNSE 2019. Public Health. 2025 Jan;238:117–23. DOI: https://doi.org/10.1016/j.puhe.2024.09.025

Escobar DFSS, Jesus TF, Noll PRS, Noll M. Family and School Context: Effects on the Mental Health of Brazilian Students. Int J Environ Res Public Health. 2020 Aug 20;17(17):6042. DOI: https://doi.org/10.3390/ijerph17176042

Antunes JT, Machado ÍE, Malta DC. Loneliness and associated factors among Brazilian adolescents: results of national adolescent school-based health survey 2015. J Pediatr (Rio J). 2022 Jan;98(1):92–8. DOI: https://doi.org/10.1016/j.jped.2021.04.004

Borges JA, Nakamura PM, Andaki ACR. Alta prevalência de ansiedade e sintomatologia depressiva em adolescentes na pandemia da COVID-19. Rev Bras Atividade FísicaSaúde. 2023 Mar 21;27:1–8. DOI: https://doi.org/10.12820/rbafs.27e0287

Brito MFSF, Lima CA, Messias RB, Brito AB, Pinho L, Silveira MF. Prevalência de sintomas depressivos entre adolescentes escolares em município do Norte de Minas Gerais, Brasil. Rev Portuguesa Enfermagem de Saúde Mental. 2020 Dec;(24). DOI: https://doi.org/10.19131/rpesm.0277

Arar F, Chaves T, Turci MA, Moura E. Qualidade de vida e saúde mental de estudantes de Medicina na pandemia da Covid-19. Rev bras educ med. 2023;47(1):e040.

Park H, Lee KS. The association of family structure with health behavior, mental health, and perceived academic achievement among adolescents: a 2018 Korean nationally representative survey. BMC Public Health. 2020 Dec 16;20(1):510. DOI: https://doi.org/10.1186/s12889-020-08655-z

Areba EM, Eisenberg ME, McMorris BJ. Relationships between family structure, adolescent health status and substance use: Does ethnicity matter? J Community Psychol. 2018 Jan;46(1):44–57. DOI: https://doi.org/10.1002/jcop.21915

Herke M, Knöchelmann A, Richter M. Health and Well-Being of Adolescents in Different Family Structures in Germany and the Importance of Family Climate. Int J Environ Res Public Health. 2020 Sep 5;17(18):6470. DOI: https://doi.org/10.3390/ijerph17186470

Cucchiaro G, Dalgalarrondo P. Mental health and quality of life in pre- and early adolescents: a school-based study in two contrasting urban areas. Rev Bras Psiquiatria. 2007 Sep;29(3):213–21. DOI: https://doi.org/10.1590/S1516-44462007000300005

Goodwill JR, Yasui M. Mental Health Service Utilization, School Experiences, and Religious Involvement Among a National Sample of Black Adolescents Who Attempted Suicide: Examining Within and Cross-Race Group Differences. Child and Adolescent Social Work J. 2024 Aug 14;41(4):545–60. DOI: https://doi.org/10.1007/s10560-022-00888-8

Ribeiro IBS, Correa MM, Oliveira G, Cade NV. Common mental disorders and socioeconomic status in adolescents of ERICA. Rev Saude Publica. 2020 Jan 21;54:4. DOI: https://doi.org/10.11606/S1518-8787.2020054001197

Farooqui M, Shoaib S, Afaq H, Quadri S, Zaina F, Baig A, et al. Bidirectionality of smoking and depression in adolescents: a systematic review. Trends Psychiatry Psychother. 2023; DOI: https://doi.org/10.47626/2237-6089-2021-0429

Becker TD, Arnold MK, Ro V, Martin L, Rice TR. Systematic Review of Electronic Cigarette Use (Vaping) and Mental Health Comorbidity Among Adolescents and Young Adults. Nicotine Tobacco Res. 2021 Feb 16;23(3):415–25. DOI: https://doi.org/10.1093/ntr/ntaa171

Sjödin L, Larm P, Karlsson P, Livingston M, Raninen J. Drinking motives and their associations with alcohol use among adolescents in Sweden. Nordic Studies on Alcohol and Drugs. 2021 Jun 4;38(3):256–69. DOI: https://doi.org/10.1177/1455072520985974

Asante KO, Quarshie ENB. The Epidemiology of Alcohol Use Among a Nationally Representative Sample of School-Going Adolescents in Namibia. Trends in Psychology. 2022 Oct 14;32(1):122–37. DOI: https://doi.org/10.1007/s43076-022-00236-w

Freichel R, Pfirrmann J, Cousijn J, Jong P, Franken I, Banaschewski T, et al. Drinking motives, personality traits and life stressors—identifying pathways to harmful alcohol use in adolescence using a panel network approach. Addiction. 2023 Oct 25;118(10):1908–19. DOI: https://doi.org/10.1111/add.16231

Bragazzi NL, Beamish D, Kong JD, Wu J. Illicit Drug Use in Canada and Implications for Suicidal Behaviors, and Household Food Insecurity: Findings from a Large, Nationally Representative Survey. Int J Environ Res Public Health. 2021 Jun 14;18(12):6425. DOI: https://doi.org/10.3390/ijerph18126425

Mustonen A, Hielscher E, Miettunen J, Denissoff A, Alakokkare AE, Scott JG, et al. Adolescent cannabis use, depression and anxiety disorders in the Northern Finland Birth Cohort 1986. BJPsych Open. 2021 Jul 22;7(4):e137. DOI: https://doi.org/10.1192/bjo.2021.967

Csabonyi M, Phillips LJ. Meaning in Life and Substance Use. J Humanist Psychol. 2020 Jan 23;60(1):3–19. DOI: https://doi.org/10.1177/0022167816687674