ArticleAddictive behaviors reports2019
Smoking, alcohol consumption and mental health: Data from the Brazilian study of Cardiovascular Risks in Adolescents (ERICA).
Article in Addictive behaviors reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed, 63 citations in OpenAlex.
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- The Association Between Adolescent Mental Health Symptoms and Characteristics of Cigarette and E-Cigarette Use.Substance use & misuse · 2026Article
- Trends in Mental Health Symptoms, Nicotine Product Use, and Their Association Over Time Among Adolescents in Canada, England, and the US: Findings From the ITC Adolescents Tobacco and Vaping Survey, 2020-2023.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- The prevalence of the co-occurrence of risky behaviors and association with socioeconomic status in Iran: a latent class analysis.BMC public health · 2025Article
- Nutritional status of third-gender population of Dhaka City, Bangladesh.Journal of health, population, and nutrition · 2025Article
- Gender differences in the association between elder abuse and pain with depression among older adults in India: insights from a cross-sectional survey.BMC geriatrics · 2025Article
- The hidden toll of air pollution: mental health effects on middle-aged and older adults.Frontiers in public health · 2025Article
- Mental health status and quality of life among Thai people after the COVID-19 outbreak: a cross-sectional study.Scientific reports · 2024Article
- Article
- Anxiety, depression, working from home and health-related behaviours during COVID-19: Structural equation modelling and serial mediation of associations with angina, heart attacks and stroke.Journal of health psychology · 2024Article
- Rural-urban differences in common mental disorders among Indonesian youth: a cross-sectional national survey.Osong public health and research perspectives · 2024Article
- Is smokeless tobacco a healthier option in patients with AUD? A follow-up study during treatment.Harm reduction journal · 2024Article
- Article
- Association between drinking water quality and mental health and the modifying role of diet: a prospective cohort study.BMC medicine · 2024Article
- The lasting effects of childhood trauma on developing psychiatric symptoms: A population-based, large-scale comparison study.Global mental health (Cambridge, England) · 2024Article
- The associations of parental smoking, quitting and habitus with teenager e-cigarette, smoking, alcohol and other drug use in GUI Cohort '98.Scientific reports · 2023Article
- Tobacco Use among School-Age Adolescents in Indonesia: Findings from the 2015 Indonesia Global School-Based Student Health Survey.Korean journal of family medicine · 2023Article
- Adolescent Perception of Mental Health: It's Not Only about Oneself, It's about Others Too.Children (Basel, Switzerland) · 2023Article
- Prevalence of adolescent risk behaviors at 11 and 15 years of age: data from the 2004 Pelotas birth cohort.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2023Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPrevious researches have indicated a strong association of alcohol and tobacco use with psychiatric disorders, but the relationship with depression and anxiety symptoms is still uncertain. We investigated the association of psychological distress and alcohol consumption, tobacco use and exposure to secondhand smoke (SHS) among adolescents in a developing country.
methodsThe authors evaluated 73,399 individuals (12-17 years) who participated in the Cardiovascular Risks Study in Adolescents (ERICA), a cross-sectional, national and school-based study, carried out in 124 Brazilian municipalities. The variables considered were alcoholic beverages (experimentation, consumption in the previous month and frequency of use) and smoking (experimentation, current smoking habits, frequent smoking and SHS exposure). Psychological distress was defined as a score ≥ 3 points in GHQ-12. Analyses included multiple logistic regression modeling.
resultsThe frequency of individuals with psychological distress was higher in the group who smoked for at least 7 consecutive days (53.3% vs 31.2%; OR: 2.17; 95%CI: 1.65-2.86), were exposed to SHS indoors (37.8% vs 29.8%; OR:1.30; 95%CI: 1.14-1.48), and outdoors (37.7% vs 26.6%; OR: 1.49; 95%CI: 1.28-1.74), and among young people who consumed at least 1 drink of alcohol in the previous 30 days (42.4% vs 28.6%; OR: 1.70; 95%CI: 1.46-1.97), when compared to adolescents not exposed.
conclusionsSmoking (passively and actively) and the consumption of alcoholic beverages are associated to psychological distress in the adolescent population. Avoiding smoking and the use of alcohol may have beneficial effects on the mental health. Our data reinforce the urgent necessity to prevent effectively underage access to legal drugs in Brazil.
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