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Consommation de drogues, santé et demande d’aide parmi les adolescents : approche longitudinale

Published online by Cambridge University Press:  28 April 2020

M. Choquet ,
S. Ledoux  and
H. Menke
M. Choquet
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité 169, 12, avenue Paul-Vaillant-Couturier, 94807Villejuif, France
S. Ledoux
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité 169, 12, avenue Paul-Vaillant-Couturier, 94807Villejuif, France
H. Menke
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité 169, 12, avenue Paul-Vaillant-Couturier, 94807Villejuif, France
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Résumé

Une étude longitudinale auprès de 327 adolescents scolarisés suivis de 16 à 18 ans a permis de mettre en évidence l’évolution de la consommation de drogue illicite et les facteurs liés à cet usage. Au total, à 18 ans, 26% des garçons et 16% des filles ont essayé la drogue au moins une fois dans leur vie, et respectivement 10 et 8% en ont pris urant plusieurs périodes de l’enquête. L’expérimentation d’une drogue illicite est peu corrélée aux variables socioemographiques de la famille, ce que traduit l’homogénéisation de la population qui en fait l’essai. En revanche, les jeunes consommateurs se caractérisent par un mode de vie centré sur les relations avec les pairs, mettant l’accent sur la sphère relationnelle au détriment des relations familiales et de l’intérêt pour leur scolarité. L’alcoolisation et le tabagisme précoce sont des facteurs prédictifs de l’usage (unique mais surtout répété) d’une drogue illicite. De même que le cumul des problèmes de santé (dépressivité, troubles du sommeil, troubles somatiques). Toutefois, pour l’ensemble e ces variables corrélées à l’essai d’une drogue illicite, une prédictivité différentielle selon le sexe est observée. La consultation médicale augmente après l’usage répété de drogue. Les jeunes expérimentateurs conservent un contact Privilégié avec leurs parents et avec les jeunes en cas de problèmes (scolaire, santé, sentimentaux, graves). Il est discuté a Place des parents, des adultes responsables (médecins, professionnels de la santé, enseignants) et des pairs dans une Prévention précoce des difficultés de l’adolescent.

Summary

Summary

A cohort study on a sample of 327 high school students was carried out between 1983 and 1985. Health and behaviour problems were investigated by a self reported questionnaire including 150 response choice items. The topics investigated were: socio-demographic situation of the student and his/her family; self perception of personality; family relationship; social use of licit (alcohol, tobacco, psychotropic medecines) and illicit drugs; health problems; psychosomatic symptom's and depressive moods; demand for medical or non medical help.

At age 18, 26% of the boys and 16% of the girls had already experienced illicit drugs, especially haschisch or marijuana. 16% of the boys and 8% of the girls used drugs at one period during the study (experimental use); 10% and 8% used drugs at different periods during the survey (non experimental use). These data seem close to those observed in other european countries (Germany, Belgium, Luxembourg), but the results are far below those observed in the US.

Illicit drug consumption increases between age 16 and 18, especially in young males, but there is no correlation between drug use and other socio-demographic characteristics such as marital status of the parents, or their professional situation. Way of life (social activities, degree of peer activity, sexual intercourse, school involvement) seems to be related to illicit drug use. So an early high degree of social involvement (frequent incidence of: meeting friends at home or outside, visits to the movies, listening to music, sexual intercourse) is a good predictor of subsequent illicit drug use.

Early (before age 16) high tobacco and alcohol consumption are also good predictive variables for experimental and non experimental use between age 16 and 18.

Health problems are good predictors of non experimental use. So young people with depressive moods (frequent feelings of nervousness or depression, suicidal ideas), sleep disorders (frequent nightmares and bad sleep) or somatic symptoms (headaches, nausea, asthma, respiratory problems, problems of vision, dental problems) at age 16 are more often non experimental users than those without these symptoms. But all these variables do not have the same predictive value according to sex. Consumption variables have a more predictive value in young females; health variables are more predictive in young males.

Visits to a general practitioner or paramedical consultant (dentist, physiotherapist) increase after repeated drug experience. This moment may be favourable for medical and non medical professionals to intervene and aid in preventing drug involvement and drug dependence.

Young drug users (as compared to non users) confide more in friends than in parents. But the parents' role is important for all young people, including those who have used drugs. Practical implications of this data are discussed.

Keywords

épidémiologieétude longitudinaleadolescentsconsommation de droguesfacteurs de risqueepidemiologycohort studyadolescentsillicit drug usepredictive factors
Type
Article original
Information
Psychiatry and Psychobiology , Volume 3 , Issue 4 , 1988 , pp. 227 - 244
Copyright
Copyright © European Psychiatric Association 1988

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References

Références

Albiser, S.d’Houtaud, A.Kierzek, B. & Redon, M. (1986) Les lycéens de Meurthe-et-Moselle parlent de leur vie, leur environnement, l’alcool, le tabac, la drogue, les médicaments. Rapport d’enquête réalisée en 1984 auprès de 1 500 lycéens des établissements scolaires publicsGoogle Scholar
Bachman, J.G.Johnston, L.D. & O’Malley, P.M. (1981) Smoking, drinking and drug use among American high school students: correlates and trends, 1975-1979. Am. J. public Health 71, 59–69CrossRefGoogle Scholar
Blum, R. (1987) The self-perceived competences and needs ol primary care physicians to deal with adolescent nealth problems. J. Adolesc. Health Care 8, 314 (abst.)CrossRefGoogle Scholar
Born, M. & Shaber, G. (1987) Risque de consommation de drogue et perception des risques à l’adolescence. Nouv. Sci. Technol. 5, 45–48Google Scholar
Boyle, M.H. & Offord, D.R. (1986) Smoking, drinking and use of illicit drugs among adolescents in Ontario : Prevalence, patterns of use and sociodemographic correlates. Can. Med. Assoc. J. 135, 1113–1121Google ScholarPubMed
Brook, D.W. & Brook, J.S. (1985) Adolescent alcohol use. Alcohol Alcohol. 20, 259–262Google ScholarPubMed
Brook, J.S.Whiteman, M.Gordon, A.S. & Cohen, P. (1986) Dynamics of childhood and adolescent personality traits and adolescent drug use. Dev. Psychol. 22, 403–414CrossRefGoogle Scholar
Choquet, M.Menke, H. & Ledoux, S. (1988) Self-reported alcohol consumption among adolescents and the signification of early onset. A longitudinal approach. Soc. Psychiatry (sous presse)CrossRefGoogle Scholar
Choquet, M.Ledoux, S. & Menke, H. (1988) La Santé des Adolescents.Editions INSERM, La Documentation Française, ParisGoogle Scholar
Choquet, M. & Menke, H. (1987) Development of self-Perceived risk behaviour and psychosontatic symptoms in adolescents: a longitudinal approach. J. Adolesc. 10, 291–308CrossRefGoogle ScholarPubMed
Choquet, M. & Freard, F. (1986) Attitudes et comportements des jeunes en stage d’insertion devant l’alcool et d’autres drogues. Bull. HCEIA 4, 465–482Google Scholar
Choquet, M.Davidson, F. & Facy, F. (1985) Rapport entre consommation de «drogues» et santé des adolescents. In: Epidémiologie et Médecine Communautaire. INSERM, Colloque, Villejuif, décembre 1983, pp. 117–194Google Scholar
Choquet, M. & Ledoux, S. (1985) Self-reported alcohol consumption among liigh school students in France. Epidemiological approach of the alcoholisation proccss and its evolution. Drug Alcohol Depend. 16, 133–143CrossRefGoogle Scholar
Cloninger, R.Sigvardson, S.von Knorring, A. & Bohnian, M. (1984) An adoption study of somatoform disorders. II. Identification of two discrete soinatoform disorders. Arch. Genet. Psychiatr. 41, 863–871CrossRefGoogle ScholarPubMed
Courtecuisse, V. (1986) La médecine des adolescents en pratique hospitalière. Med. Hyg. 1662, 1841–1987Google Scholar
Davidson, F. & Choquet, M. (1980) Les Lycéens et les Drogues Licites et Illicites. INSERM, ParisGoogle Scholar
Davidson, F.Defrance, J. & Facy, F. (1982) Recherche d’une typologie de jeunes toxicomanes. Psychiatr. Enfant 25, 295–318Google Scholar
Donovan, J.E. & Jessor, R. (1983) Problem drinking and the dimension of involvement with drugs : a Guttman scalogram analysis of adolescent drug use. Am. J. Public Health 73, 543–552CrossRefGoogle ScholarPubMed
Driessen, F.M. & Van, Dam G. (1987) Results of a drug use survey among students of sccondary education in Amsterdam. Department of Social Medecine, Free University, AmsterdamGoogle Scholar
Facy, F.Choquet, M. & Ralambondrainy, H. (1986) Quel regard les jeunes usagers de produits psychotropes portent-ils sur eux-mêmes et leur environnement? Psychiatr. Enfant 24, 533–557Google Scholar
Facy, F. & Philippe, A. (1985) Alcool et tentative de suicide chez les jeunes. Psychol. Med. 17, 1871–1874Google Scholar
Holmberg, M.B. (1985) Longitudinal studies of drug abuse in a fifteen-year-old population. I. Drug career. Acta Psychiatr. Scand. 71, 67–79CrossRefGoogle Scholar
Holmberg, M.B. (1985) Longitudinal studies of drug abuse in a fifteen-year-old population. II Antecedents and consequences. Acta Psychiatr. Scand. 71, 80–91CrossRefGoogle Scholar
Hundleby, J.D.Carpenter, R.A.Ross, R.A.J. & Mercer, G.W. (1982) Adolescent drug use and other behaviours. J. Child Psychol. Psychiatr. 23, 61–68CrossRefGoogle Scholar
Ibsen, K.K. & Juel, K. (1985) Adolescent drinking in Denmark.International Symposium on the Extent and Nature of Adolescent Alcohol Use, Washington DC, July 28-August 2Google Scholar
Jessor, R. (1987) Problem behavior theory, psychosocial development and adolescent problem drinking. Br. J. Addict. 82, 331–341CrossRefGoogle ScholarPubMed
Johnston, L.D.O’Malley, P.M. & Baehman, J.G. (1987) Psychotherapeutic, licit and illicit use of drugs among adolescents, J. Adolesc. Health Care 8, 36–51CrossRefGoogle ScholarPubMed
Jugend, fragt Jugend (1986) Alkohol–Drogen–Medikamente–Tabak.Repräsentativerhebungen bei Jugendlichen in Bayern 1973, 1976, 1980, 1984. Bayrisches Staatsministerium des Innern, MunichGoogle Scholar
Kandel, D.B.Simcha-Fagan, O. & Davies, M. (1986) Risk factors for delinquency and illicit drug use front adolescence to young adulthood.. J. Drug. Issues 16, 67–90CrossRefGoogle Scholar
Kandel, D.B. (1978) Convergences in prospective longitudinal surveys of drug use in normal populations. In: Longitudinal Research on Drug Use. Empirical Findings and Methodological Issues. John Wiley and Sons, New York, pp. 3–38Google Scholar
Krystall, H. & Raskins, H.H. (1970) Drug Dependence. Waync State University Press, DetroitGoogle Scholar
Leselbaum, M.Coridian, C. & Defrance, J. (1985) Tabac, Alcool, Drogues. Des Lycéens Parisiens répondent. INRP/HCEIAGoogle Scholar
Maréchal, C. (1986) Alcoolisation excessive et conduites toxicomaniaques: quelles stratégies de prévention? HCEIA : Informations 2, 27–29Google Scholar
Matheis, J.Prussen, P. & Bintener, G. (1985) Nos élèves devant la drogue.Institut de Formation pour Educateurs et Moniteurs; Centre d’Etudes Educatives et Sociales, Luxembourg/FentangeGoogle Scholar
Michaud, P.A. & Martin, J. (1984) Un projet de service de santé scolaire pour les adolescents de 16 à 19 ans. Med. Hyg. 42, 437–442Google Scholar
Michaud, P.A. & Martin, J. (1983) La santé des adolescents Vaudois de 16 à 19 ans: leurs perceptions, leurs pratiques et leurs souhaits.Service de la Santé Publique et de la Planification Sanitaire du Canton de Vaud, LausanneGoogle Scholar
Orp, D.P.Weiser, S.P.Dian, D.A. & Maurana, C.A. (1987) Adolescent health care: perceptions and needs of the practicing physician. J. Adolesc. Health Care 8, 239–245Google Scholar
Plant, M.A. (1987) Drugs in Perspective. Hodder and Stoughton, LondonGoogle Scholar
Plant, M.A.Peck, D.F. & Samuel, E. (1985) Alcohol, Drugs and School-Leavers. Tavistock Publications, LondresGoogle Scholar
Riggs, S. & Cheng, T. (1987) Adolescents’ willingness to use a school-based clinic in view of expressed health concerns. J. Adolesc. Health Care 8, 307 (abstr.)CrossRefGoogle Scholar
Robins, L.N. (1984) The natural history of adolescent drug use. Am. J. Public Health 74, 656–657CrossRefGoogle ScholarPubMed
Rydelius, P. A. (1985) Toxicomanie et alcoolisme chez les enfants et adolescents en Suède. In: L ‘Enfant dans sa Famille. Enfants dans la Tourmente, Parents de Demain. (Anthony, E.J. & Chiland, C. Eds.) PUF, Paris, pp. 192–203Google Scholar
Rutter, M. & Giller, H. (1984) Juvenile Delinquency.Trends and Perspectives. The Guilford Press, New YorkGoogle Scholar
Servais, E. (1984) Drogues. Un Programme d‘Education pour la Santé. Editions Labor, BruxellesGoogle Scholar
Silber, T. J. (1987) Adolescent marijuana use : the role of the physician. Adolescence 86, 363–370Google Scholar
Sobal, J. (1987) Health concerns of young adolescents. Adolescence 87, 739–750Google Scholar
Welte, J.W. & Barnes, G.M. (1985) Alcohol : the gateway to other drug use among secondary school students. J. Youth Adolesc. 14, 487–498CrossRefGoogle ScholarPubMed
Wilkins, J. (1986) Le médecin et son patient adolescent, ses rôles et ses tâches. Med. Hyg. 1662, 1838–1840Google Scholar
Winfree, L.T. (1985) Peers, parents and adolescent drug use in a rural community : a two-wave panel study. J. Youth Adolesc. 14, 499–512CrossRefGoogle Scholar
Wright, L.S. (1985) High school polydrug users and abusers. Adolescence 80, 853–861Google Scholar
Yancy, W.S. (1987) Community resources for adolescents. J. Adolesc. Health Care 8, 221–224CrossRefGoogle ScholarPubMed
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