Consumption of Alcohol, Tobacco and Psychoactive Substances in Adolescents from an Indigenous Territory in the Colombian Amazon. / Consumo de alcohol, tabaco y sustancias psicoactivas de los adolescentes de un territorio indígena en la Amazonía colombiana.

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. In Inírida, a municipality in the Colombian Amazon, there were concerns about a possible consumption issue that had never been characterised before. OBJECTIVE: To characterise the consumption of alcohol, tobacco and PAS in Inírida among teenage evening and blended learning students. METHODS: The Inter-American Uniform Drug Use Data System (SIDUC) survey developed by the Inter-American Drug Abuse Control Commission (CICAD) was adapted to the cultural context and carried out on 95% of 284 evening and blended learning students (262). Descriptive statistics and multiple correspondence analyses were used. RESULTS: Currently, 59% consume alcohol; 28% tobacco; 21% marijuana; 3% cocaine paste; 1% ecstasy (MDMA); 1% cocaine; and 1% inhalants. Also, 61% believe that drugs are available inside and around the vicinity of their school, and that marijuana (62%) and cocaine paste (35%) are easily acquired. Drugs are most commonly offered in neighbourhoods (56%) and at parties (30%). Those offering the highest quantity of drugs are acquaintances (35%) and friends (29%). And 51% stated that they had participated in preventive activities related to consumption. CONCLUSIONS: The population has a higher consumption of the substances studied in comparison with the national reference, that of Orinoquía and Amazonía, with the exception of cocaine and inhalants. The consumption situation was confirmed, so participatory actions are proposed.

Caracterización de la funcionalidad familiar y redes sociales en desplazados por la violencia en localidades de Bogotá DC: año 2007, bajo los lineamientos de medicina familiar / Characterization of family and social networks of violence-related displaced populations at locations in Bogotá DC, 2007, under the guidelines of family medicine

Introducción: Bogotá DC como capital de Colombia es el receptor del mayor flujo migratorio de población desplazada por causa de la violencia, son individuos o grupos familiares con crisis no esperadas, que requieren una atención integral para restituir su bienestar biopsicosocial. Objetivo: caracterizar la funcionalidad, ciclo vital familiar e identificar las redes sociales existentes, por medio de instrumentos de medicina familiar, de una población desplazada por la violencia, en algunas localidades de Bogotá DC. durante el año 2007. Métodos: con la información de las carpetas familiares del convenio de la Fundación Universitaria de Ciencias de la Salud (FUCS) y ASCOFAME, se realizó un subanálisis de la información en un estudio descriptivo de corte transversal, en el cual se describen las características demográficas y la funcionalidad familiar medida por instrumentos debidamente validados (APGAR familiar), así como la valoración de las redes sociales existentes en familias desplazadas por la violencia, certificadas por el gobierno de Colombia, en tres localidades de Bogotá DC.: Engativá, Mártires y San Cristóbal. Resultados: se describen las características de 795 familias con 3.815 individuos. La edad promedio fue 22 años (de 17), la mayor proporción de la población proviene de la zona Andina (49,9%) y Caribe (18,9%). El 53,5% de las familias tenían hijos adolescentes y escolares. Con el puntaje de APGAR se encontraron 40,7% familias funcionales, 27% con disfunción familiar leve, 20,8% moderada y 11,5% con disfunción severa. Conclusiones: la mayoría de las familias desplazadas mostraron por medio del APGAR familiar aplicado a un miembro, ser disfuncionales en cualquier grado predominando la disfunción leve. La severa se asocia con desempleo y ausencia de recreación en el núcleo familiar.

Introduction: As the capital city of Colombia, Bogotá DC. is the major receptor of population migration resulting from violence. These are individuals or family groups who experience non expected crises and need comprehensive assistance in order to recover their biological/psychosocial well-being. Objective: to characterize family function and vital cycle and to identify existing social networks by means of family medicine instruments applied on a violence-related displaced population in some locations of Bogotá DC. during year 2007. Methods: a subgroup analysis was performed using data of family files of Fundación Universitaria de Ciencias de la Salud (FUCS) and ASCOFAME Agreement by means of a cross sectional descriptive trial. It describes demographic features and family function measured with duly validated instruments (Family APGAR), as well as, the assessment of current social networks in Colombian-government-certified violence-related displaced families in three locations: Engativá, Mártires and San Cristóbal. Results: the characteristics of 795 families and 3815 individuals are described. Mean age was 22 years (of 17). The greatest proportion of the studied population came from the Andean zone (49.9%) and the Caribbean (18.9%). Adolescents and elementary-school-aged children were found in 53.5% of families. Using the Family APGAR instrument, 40.7% were classified as functional families, 27% as having mild dysfunction, 20.8% moderate and 11.5% severe dysfunction. Conclusions: any degree of dysfunction was identified in most of the displaced families, predominantly mild dysfunction, when the Family APGAR instrument was completed by one of their members. Severe dysfunction is related to unemployment and to lack of recreation within family nucleus.