<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2393-6797</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Medicina Interna ]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Urug. Med. Int.]]></abbrev-journal-title>
<issn>2393-6797</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Medicina Interna del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2393-67972024000101309</article-id>
<article-id pub-id-type="doi">10.26445/09.01.19</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Percepción del riesgo de consumo de tabaco, marihuana y cigarrillo electrónico en jóvenes uruguayos de entre 15 y 21 años.]]></article-title>
<article-title xml:lang="en"><![CDATA[Perception of risk of tobacco, marijuana and electronic cigarette consumption in Uruguayan youth between 15 and 21 years old.]]></article-title>
<article-title xml:lang="pt"><![CDATA[Percepção do risco do consumo de tabaco, maconha e cigarro eletrônico em jovens uruguaios entre 15 e 21 anos.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[Hernán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Eugenia]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Wild]]></surname>
<given-names><![CDATA[Martina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llambí]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas. Facultad de Medicina Unidad de Tabaquismo]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>9</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2393-67972024000101309&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2393-67972024000101309&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2393-67972024000101309&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[resumen está disponible en el texto completo]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Smoking is a public health problem worldwide. It is currently considered the leading cause of preventable death in the world. The simultaneous use of tobacco and marijuana is associated with a higher risk of persistence and relapse of both substances. In the last few years, the use of electronic nicotine delivery systems in young people has increased worldwide, due to the novelty of their use, the large number of flavors and the conception that its use is less harmful. The aim of the present work was to estimate the prevalence of tobacco, marijuana and electronic cigarette consumption in the Uruguayan population between 15 and 21 years of age, the association of consumption between them and the perception of the risk linked to their use.  Methodology:  A cross-sectional analytical study was carried out during February-April 2021. An anonymous, voluntary and self-administered survey was distributed among social networks and public and private schools throughout the country. SPSS 25 data software was used for data processing, considering a significance level of 0.05.  Results and Discussion:  1517 responses were processed. It was found that 54% smoked cigarettes at some point and 19.7% smoked regularly in the last month. 48% used marijuana at some point and 19.4% did so in the last month. The prevalences found for tobacco and marijuana are higher than those reported in the national literature. With regard to electronic cigarettes, there is no local data available for this age range, with the present study reporting that 32% used it at some point. Of those who smoke cigarettes, 84% and 58% used marijuana and e-cigarettes at some point, respectively. Of those who used electronic cigarettes at some point, 50% never smoked or only tried traditional cigarettes; this could attest to electronic cigarettes acting as a gateway to smoking in young people. A significant association between consuming one of the three substances and having a father, mother or guardian who consumes or consumed them was found, data consistent with local records. Regarding risk perception, 98% agreed that tobacco is harmful, 66% agreed so with marijuana and 81% agreed so with electronic cigarettes. When analyzing specific diseases, substantial differences were observed depending on the drug. 73% believe that electronic cigarettes are less harmful than smoking regular cigarettes.  Conclusions: It was shown that there is a high prevalence of consumption of these substances in young people and a considerable association between them. Interestingly, there was a similar prevalence of consumption of cigarettes and marijuana in the last month. This is especially relevant given that there was a significant difference between the risk perception of cigarettes vs marijuana, with the latter being considerably less. Regarding electronic cigarettes, there is an underestimation of the harm associated with their use. Therefore, it would be of hierarchy to promulgate public policies directed to this problem.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução. O tabagismo é um problema de saúde pública mundial. Atualmente é considerado a principal causa de morte evitável do mundo. O uso simultâneo de tabaco e maconha está associado a um maior risco de persistência e recaída de ambos consumos. Nos últimos anos, o uso de sistemas eletrônicos de liberação de nicotina em jovens tem aumentado no mundo todo, devido à novidade do seu uso, ao grande número de sabores e à noção de que são menos nocivos. O objetivo foi conhecer a prevalência do consumo de tabaco, maconha e cigarro eletrônico na população uruguaia de entre 15 e 21 anos, a associação do consumo entre eles e a percepção do risco de seu uso.  Metodologia:  Foi realizado um estudo analítico transversal no período de fevereiro-abril de 2021. Uma pesquisa anônima, voluntária e autoadministrada foi divulgada por meio de redes sociais e centros educacionais públicos e privados em todo o país. Para o processamento dos dados foi utilizado o software de dados SPSS 25, considerando um nível de significância de 0,05.  Resultados e Discussão:  1.517 respostas foram processadas. Constatou-se que 54% fumaram cigarro alguma vez e 19,7% usaram-o regularmente no último mês. 48% usaram maconha em algum momento e 19,4% o fizeram no último mês. As prevalências encontradas para tabaco e maconha são superiores às relatadas na literatura nacional. Com relação ao cigarro eletrônico, não há dados disponíveis em nosso meio para essa faixa etária, sendo que o presente estudo relata que 32% o utilizaram em algum momento. Dos que fumam cigarros, 84% e 58% já usaram maconha e cigarros eletrônicos, respectivamente. Dos que usaram cigarro eletrônico alguma vez, 50% nunca fumaram ou apenas experimentaram com cigarros tradicionais; esse fato pode corresponder ao fato do cigarro eletrônico atuar como porta de entrada para o tabagismo nos jovens. Encontrou-se associação significativa entre consumir uma das três substâncias e ter pai, mãe ou responsável que a consome ou consumiu, dados condizentes com o histórico no Uruguai. Em relação à percepção de risco, 98% concordaram que o tabaco é prejudicial à saúde, 66% concordaram com a maconha e 81% com o cigarro eletrônico. Ao analisar as patologias específicas, observam-se diferenças marcantes de acordo com a substância considerada, sendo que 73%.  Conclusões:  Observou-se alta prevalência de consumo dessas substâncias em jovens e apreciável associação entre elas. Curiosamente, foi encontrada uma prevalência semelhante de uso de cigarro e maconha no último mês. Isso é especialmente relevante tendo em vista que foi observada uma diferença significativa entre a percepção do risco de consumo dessas substâncias, sendo a maconha consideravelmente menor. Em relação aos cigarros eletrónicos, há uma subestimação dos malefícios que provocam entre os jovens inquiridos. Em razão do exposto, a elaboração de políticas públicas especificamente direcionadas a esse problema seria da hierarquia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tabaquismo]]></kwd>
<kwd lng="es"><![CDATA[marihuana]]></kwd>
<kwd lng="es"><![CDATA[cigarrillo electrónico]]></kwd>
<kwd lng="es"><![CDATA[percepción del riesgo de consumo]]></kwd>
<kwd lng="es"><![CDATA[jóvenes]]></kwd>
<kwd lng="en"><![CDATA[smoking]]></kwd>
<kwd lng="en"><![CDATA[marijuana]]></kwd>
<kwd lng="en"><![CDATA[electronic cigarette]]></kwd>
<kwd lng="en"><![CDATA[risk perception of consumption]]></kwd>
<kwd lng="en"><![CDATA[youth]]></kwd>
<kwd lng="pt"><![CDATA[tabagismo]]></kwd>
<kwd lng="pt"><![CDATA[maconha]]></kwd>
<kwd lng="pt"><![CDATA[cigarro eletrônico]]></kwd>
<kwd lng="pt"><![CDATA[percepção de risco de consumo]]></kwd>
<kwd lng="pt"><![CDATA[jovens]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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