Adolescent substance use and its association with risk and protective factors. An exploratory analysis of the large-scale school survey of Comunidades Que se Cuidan, Colombia/Uso de sustancias en adolescentes y su asociacion con factores de riesgo y proteccion. Un analisis exploratorio de la encuesta escolar a gran escala de Comunidades Que se Cuidan, Colombia.(original texto en ingles)

• Published in: Adicciones (Palma de Mallorca) 2020-06, Vol.32 (2), p.105
• Main Authors: Gómez, Augusto Pérez, Brown, Eric C, Zamora, Pablo Montero, Toro, Jennifer, Aguilar, Mayra Paredes, Rodríguez, María Fernanda Reyes, Trujillo, Juliana Mejía, Macías, Francisco Cardozo
• Format: Article
• Language: English
• ISSN: 0214-4840

Communities That Care (CTC) is a prevention system aimed at reducing antisocial behaviors in adolescents. In Colombia, this system has been developed and adapted under the name of Comunidades Que se Cuidan (CQC). Successful implementation of CQC depends on valid associations between measured risk and protective factors (RPFs) for substance use and substance use outcomes. This study assessed these associations using large-scale, school-based surveys of Colombian youth. A cross-sectional analysis was performed. Data from 23 communities in Colombia were collected between 2012 and 2016 from young people (N= 50,946) aged 10 to 19 years. Dichotomous alcohol, cigarette, cannabis, and other illegal drug use outcomes were assessed for past 30-day past-year, and lifetime use. Logistic regression analyses, adjusting for age, gender, and age by RPF, and gender by RPF interactions, were performed for each RPF. All the associations of the 14 RPF evaluated were statistically significant (p < .001). Regarding observed effect sizes, 3.0% were considered very small (0.70 [greater than or equal to] OR [less than or equal to] 1.43), 51.7% small (0.70 [greater than or equal to] OR [greater than or equal to] 1.43), 42.6% medium (0.40 [greater than or equal to] OR [greater than or equal to] 2.48) and 7.1% large (0.23 [greater than or equal to] OR [greater than or equal to] 4.27). Significant main effects for age and gender, and their interactions with RPFs were found for most RPFs. Findings from this study demonstrate the viability of RPFs for adolescent substance use as focal points for intervention planning, development, and evaluation of community-based prevention systems like CQC that rely on epidemiologic data for local decision making. Keywords: Risk factors; Ssubstance use; Adolescents; Prevention. Communities That Care (CTC) es un sistema preventivo que busca disminuir comportamientos problemáticos en adolescentes. En Colombia, este sistema ha sido adaptado bajo el nombre de Comunidades Que se Cuidan (CQC). Este estudio validó las asociaciones entre los factores de riesgo y protección (FRP) para el uso de sustancias psicoactivas (SPA) medidos por CQC y las prevalencias de consumo de estas en adolescentes colombianos. Entre 2012 y 2016, se aplicó una encuesta a gran escala en jóvenes de 10 a 19 años (N = 50,946) pertenecientes a 23 comunidades de Colombia. Se analizó de forma transversal la asociación entre los FRP con el consumo de alcohol, cigarrillo, marihuana y otras