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Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the journal. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of research and critical reading. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. There are very few studies on the consumption of psychoactive substances PAS among young people from indigenous territories and evening or blended learning students. Descriptive statistics and multiple correspondence analyses were used.. The consumption situation was confirmed, so participatory actions are proposed.. In , it had 20, inhabitants, Its high levels of unemployment and unmet basic needs 3 force heads of households to dedicate most of their time to informal and low-paying jobs away from home, or to be out of town for long periods to work in the gold mines, mainly those of Yacapana in Venezuela, leaving their children in the care of third parties or without adult accompaniment. In , healthcare personnel identified a previously unreported problem of use of psychoactive substances PASs in young people. An increase in PAS dealers was also detected, in addition to the absence of strong public policies aimed at controlling micro-trafficking. Around the municipality's schools, PASs are offered at minimal prices 0. Alcohol, tobacco and PAS consumption patterns are multidimensional in nature, and the difficult conditions faced by the world's indigenous adolescents, such as poverty, marginalisation and low presence of the State, make them a vulnerable group for the development of problematic use. Descriptive, cross-sectional, self-administered, anonymous, survey-based study. In the case of tobacco, only cigarette consumption was investigated. The adjusted survey was conducted without the presence of teachers and confidentiality was ensured. Blended and evening courses were chosen because the municipal government planned to survey daytime schools. Exclusion criteria: people who did not want to participate in the study and people who were not in a mental or physical condition to self-administer the survey. Consumption was understood as the use of licit and illicit substances, one or more times, in a specific period. Consumption in the last month or current consumption: use of a certain substance one or more times in the last 30 days. Consumption in the last year or recent consumption: one or more times in the last 12 months. Consumption at some point in life: one or more times in any period of one's life. Quantitative variables were summarised using measures of central tendency and dispersion, and qualitative variables were summarised using absolute and relative frequencies. A multiple correspondence analysis was performed to characterise consumption. The study was approved by the departmental Education Secretariat, the administration of the educational institution, the parents' association, and an Ethics Committee which deemed it of minimal risk. The average age was Most were in the tenth grade Table 1. Sociodemographic characteristics of the students. The average age of first use was 14 years. Among those who currently smoke cigarettes, certain characteristics were found, such as having a smoker in the home, not having talked with parents about the danger of using drugs, having participated in consumption prevention activities but not finding them to their liking, having a normal or fair financial situation and having parents who do not smoke Fig. Factorial plane of characterisation of cigarette consumption. Current consumption of alcohol was more common in women than in men, the parents never or almost never know where they are, they have not spoken with their parents about the danger of using drugs, some of the parents also consume alcoholic beverages, they live with only one of their parents, they have a family member who uses some type of substance, almost all or at least half of their friends consume alcohol on weekends, they perceive their economic situation as good, they have received neither workshops to prevent consumption nor treatment, and they considered their own admission to university unlikely Fig. Factorial plane of characterisation of alcohol consumption. Among those who report current marijuana use, certain characteristics were found, such as: the majority are male; the parents never or almost never know where they are; they do not talk to their parents about the danger of using substances; someone in the family uses substances; the parents work all day; they consider their economic situation to be bad; most say they have received neither workshops, manuals, or materials for preventing consumption nor treatment; and they use marijuana joints each time they go out with friends Fig. Factorial plane of characterisation of marijuana consumption. Almost all cigarette users use at least one other substance. Although some substances are hard to come by, all are being offered to students. The results obtained correspond to blended and evening students, so they cannot be fully extrapolated to the daytime population or to the municipal, departmental or national population. However, the results are useful for local authorities as they confirm that PAS consumption exists and requires intervention. For both licit and illicit substances, the current, annual and 'at some point in life' consumption rates in this study are higher than those in the national study, both in general and in the OA, 8 as described below Fig. The highest recorded consumption is that of alcohol, according to both national and OA data, followed by cigarette consumption, which in this study is more than double that in the OA despite multiple national efforts to control tobacco, with public policies aimed at reducing its consumption, such as the increase in the tobacco tax, massive advertising campaigns, smoke-free closed environments and restrictions on advertising. However, it is not far from that seen in other daytime school contexts in which the consumption of this substance is predominant. It is striking that it is above the national figures, but the factors that may affect the dissemination thereof require further investigation. Rates of consumption of basuco at some point in life, consumption in the last 12 months and current consumption are more than double the national and OA figures. It is important to start a discussion about this substance coca paste , regardless of the values obtained, as it is linked to greater cognitive and social deterioration and as it carries a greater stigma. The use of inhalants at some point in life and in the last 12 months was lower than that of the national study, and current consumption was similar. The rate of consumption of ecstasy at some point in life was higher than the national rate, while rates of consumption in the last 12 months and current consumption were similar to national and OA values. In both studies, consumption of ecstasy was higher among males than females. With regard to cocaine consumption, the same values were found as in the OA, while rates of consumption at some point in life, consumption in the last 12 months and current consumption were lower compared to the national values, with higher consumption in men than in women, in both cases. Most of the students, both this study and in the national study, are aware of the presence and sale of PASs in and around the school, as well as consumption by students. In both studies, the easiest substance to obtain is marijuana, followed by basuco; the most difficult to access is ecstasy. Regarding other illegal substances, the diversity of substances found is striking. Dialogues on this subject must be initiated between community actors and state institutions in order to specifically investigate inhalants such as glue, poppers, dicks isopropyl nitrite , ladies methylene chloride and many others that are increasing in the country. The same could be said about the possible use of other synthetic drugs, in addition to ecstasy; notably, the use of ecstasy, a drug traditionally recognised as urban or metropolitan, has been found among these adolescents. This situation is also a call for future studies to take into account the disadvantages of lumping together different types of consumption when creating specific and effective intervention strategies. Other studies in Latin America have characterised the consumption of alcohol and psychoactive substances in indigenous and non-indigenous adolescents, such as a study on patterns of PAS consumption in the indigenous population residing in and originally from Mexico City, 17 wherein the highest alcohol rates of consumption corresponded to alcohol There was evidence of higher rates of use of inhalants: Another study conducted in indigenous and mestizo high school students from the Saraguro canton in Loja, Ecuador, 18 also found that the most commonly consumed substances, both by indigenous and mestizo students, were alcohol This contribution would be incomplete if Guainian society were not offered at least an outline of possible interventions based on the current evidence; the remainder of this section offers such an outline. In the case of interventions in PAS consumption with minors, methodologies must be designed in which the contextual aspects of consumption are the centre of attention, rather than the substances themselves. It is even proposed that mentions of PASs be minimal or almost null, without ignoring their existence in certain cases or obscuring reality in a way that may be unfavourable for intervention. The starting point should be with a conception of substance use that steps away from notions of social dysfunction the user as a deviant from social norms and physical disease substance use as a merely toxicological matter linked to addiction. Large parts of the literature and existing policies have revolved around these notions. Extensive reassessment of these approaches in various interdisciplinary scientific studies has found that not only are they ineffective, they do more harm than good. This calls for a complex reading in which simplistic ideas about right and wrong are avoided and polarising attitudes that fail to appreciate the shades of grey that account for the appearance and course of the phenomenon are abandoned. The premises of community participation and social construction must also be taken into account. These are understood as the involvement of the different social factors that are key in the design, implementation and evaluation of a comprehensive strategy for preventing and addressing consumption in the development of key consensuses so that this strategy works in a comprehensive, cross-cutting fashion. For this reason, indigenous and community leaders, various state entities education, health, recreation, culture, police and other sectors , and the general population must be included. In the case of the school community, there must be highly active participation by students, teachers and parents. The starting point for strategies for teachers and parents, unlike those for students, should be information about PASs, their consumption and the implications thereof, with a view to broadening knowledge and eliminating misconceptions that may be harmful or lead to poor practices in addressing and approaching these matters with counterproductive effects on students. Thus, adhering to the characteristics of internationally recognised interventions for the development of good practices and according to the indications of national studies, the strategy or set of strategies pursued should, in short, be centred on these particular characteristics 26 : 1 They should be based in secondary school. They should not exclude capacity-building activities for boys and girls in primary school or early childhood. They should be targeted with an emphasis on the population of the grades in which PAS consumption begins. They should include activities with parents or responsible adults at home. They should use a broad framework for strengthening life skills, rather than a restrictive framework focused solely on the issue of drugs. They should be pursued with a dynamic and participatory schedule of activities. They should involve activities among peers. They should consider the community environment. They should involve teachers, taking into account the differential considerations mentioned above. They should include the use of communication technologies if the material conditions of the context and the community allow it. They should have a defined evaluation process. It is also necessary to map out the municipality's different existing prevention strategies and to evaluate, in light of these criteria, whether they meet expectations. Likewise, the community in general must evaluate the effectiveness and relevance of these strategies. Activities that help to build up individuals with skills for managing success, and, at the same time, resilience for coping with life's inevitable difficulties, having their own resources so that they are not subjected to certain situations. This also includes strengthening of critical thinking and knowledge of citizens' rights and duties, among many other similar activities. Sociocultural and recreational alternatives. These include all kinds of activities that strengthen students' creative and expressive capacities, taking into account their diversity of intelligences and interests. Students learn to suitably manage their free time and are able to take advantage of stimulating cultural, recreational and sports activities for personal development. Mobilisation of social networks. These seek to stimulate sociability and strengthen students' social ties in family, community and peer settings, promoting communication and empathy as guidelines. Community work. Activities that strengthen the notion of community and the rebuilding of social fabric, enabling students to understand the importance of community work and individual participation and capacity in various situations. Promotion of individuality and the pursuit of success based on goals rather than processes as is the case with grading in schools have been found to be factors that generate stress and anguish, which may then serve as motivators for PAS consumption. Availability of comprehensive and differential care. Apart from the availability of services and strategies to address the above-mentioned matters, spaces should be created that promote the reporting of potentially problematic situations that may or may not motivate PAS consumption. It is proposed that experiences around listening centres or areas, psychological support processes and the like be reviewed. In addition, for students who engage in problematic substance use and voluntarily request support in quitting or intervention in a specific aspect of their life that motivates such use, there should be comprehensive treatment services and a review of those students' particular life context, to ensure the effectiveness of the treatment and avoid relapses in problematic use. In the surveyed population, the rate of current consumption of the substances studied is higher than the national rate, except for cocaine, which is lower, and inhalants, which is similar. Similar studies must be conducted in daytime students, but this study corroborates the existence of a situation of use that warrants action. To the extent possible, this action should be participatory, cross-cutting and aligned with the local culture. Rev Colomb Psiquiat. ISSN: Previous article Next article. Issue 4. Pages October - December More article options. Original article. DOI: Consumption of alcohol, tobacco and psychoactive substances in adolescents from an indigenous territory in the Colombian Amazon. Download PDF. Corresponding author. This item has received. Article information. Show more Show less. Table 1. Sociodemographic characteristics of the students.. Introduction There are very few studies on the consumption of psychoactive substances PAS among young people from indigenous territories and evening or blended learning students. Descriptive statistics and multiple correspondence analyses were used. The consumption situation was confirmed, so participatory actions are proposed. Palabras clave:. Full Text. Methods Descriptive, cross-sectional, self-administered, anonymous, survey-based study. Lopera, S. Medicina UPB, 31 , pp. Hidalgo, A. Redondo, G. Datos de la Encuesta Nacional de Salud Mental Rev Colomb Psiquiatr. Protocolo de la encuesta sobre drogas en hogares. Colombia, ,. Informe final. Herrera, M. Rev Chil Enf Resp. Molina, L. Silva, J. Adicciones, 12 , pp. Berbesi, A. Segura, L. Montoya, M. Consumo de basuco en usuarios de drogas inyectables en Colombia. Slapak, M. Informe Final. Vega, J. Villatoro, A. Gomez-Restrepo, C. Rincon, Z. Salud mental, sufrimiento emocional, problemas y trastornos mentales de indigenas colombianos. Rev Colomb Psiquiatr, 45 , pp. Modelos interpretativos en el consumo de drogas. Polis, 4 , pp. Universidad Nacional de Colombia, , pp. Bard, B. Antunes, C. Roos, A. Olschowsky, L. El estigma y el prejuicio: la experiencia de los consumidores de crack. Rev Latino-Am Enfermagem, 24 , pp. Salud y Bienestar de los adolescentes, Una mirada integral. Argentina, ,. Subscribe to our newsletter. Instructions for authors Submit an article Ethics in publishing Language Editing services. Recommended articles. Haematological adverse effects associated with olanzapine Relationship between psychoactive substance, alcohol and High risk for psychiatric disorders in bipolar offspring. Article options. Haematological adverse effects associated with olanzapine in adolescents with anorexia nervosa: Three case reports. No data. Mother and father. Only with the mother. With neither of the two. Mother and partner. Only with the father. Father and partner.

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