<?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>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542011000100003</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Impacto da doença crónica na adolescência]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of chronic disease in adolescence]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Sónia]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Elisabete]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrão]]></surname>
<given-names><![CDATA[Alzira]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueiredo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Hospital de São Teotónio Serviço de Pediatria ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2011</year>
</pub-date>
<volume>20</volume>
<numero>1</numero>
<fpage>16</fpage>
<lpage>19</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542011000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542011000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542011000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Introdução: A adolescência, as suas alterações biopsicossociais e a doença crónica influenciam-se mutuamente, com especial relevância no comportamento social, rendimento académico e comportamento sexual. Objectivos: Avaliar se a doença crónica influencia comportamentos de risco nesta idade. Material e Métodos: Estudo transversal e comparativo, realizado entre 15 de Julho e 30 de Setembro de 2008, a jovens entre os 13-20 anos com doença crónica (DC) seguidos em consultas do Hospital São Teotónio de Viseu (HSTV) e a adolescentes saudáveis de duas escolas. Foi aplicado um inquérito específico para avaliação de dados sociodemográficos, história da doença, comportamentos de risco, auto-estima e relacionamento amoroso. Os testes estatísticos utilizados para o tratamento de dados foram o teste X² e de t-student. Resultados: A amostra foi constituída por 125 sujeitos do grupo adolescentes com DC e 135 do grupo de adolescentes saudáveis. Comparando os dois grupos, constatou-se que os adolescentes com DC reprovam mais que os adolescentes saudáveis. Todos os 22 sujeitos sexualmente activos com DC referiam o uso de preservativo. Registou-se um menor consumo de hábitos tabágicos e alcoólicos no grupo de DC. Nenhum adolescente com DC admitiu o consumo de outras drogas. Discussão: A literatura refere que os adolescentes com doença crónica têm a mesma ou maior tendência para comportamentos de risco. No entanto, no actual estudo, os adolescentes com DC apresentam menos comportamentos de risco.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Introduction: Adolescence and its biopsychosocial alterations and the chronic disease influence each other, with special relevance on social behaviour, school performance and sexual behaviour. Objectives: To assess whether chronic disease influences risk behaviours at this age. Material and Methods: A cross-sectional and comparative study, conducted between July 15th and September 30th 2008, to young people between the ages of 13 and 20 with chronic disease (CD), monitored in regular visits at São Teotónio Hospital of Viseu (HSTV), and healthy adolescents from two schools. We applied a specific questionnaire to assess socialdemographic data, history of the disease, risk behaviours, self-esteem and sexual behaviour. The X² and t-student tests were used for statistical analysis. Results: The sample consisted of 125 subjects from group adolescents with CD and 135 adolescents in the group “healthy.” Comparing the two groups, it was found that adolescents with CD fail in school more than the healthy adolescents. All the 22 subjects with CD sexually active reported the use of condom. There was a lower consumption of alcohol and smoking habits in the group of CD. None of the adolescents with CD admitted consumption of other drugs. Discussion: Literature mentions that adolescents with chronic disease have the same or greater tendency to risk behaviours. However, in our study, adolescents with CD have less risk behaviours.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Adolescência]]></kwd>
<kwd lng="pt"><![CDATA[comportamentos de risco]]></kwd>
<kwd lng="pt"><![CDATA[doença crónica]]></kwd>
<kwd lng="en"><![CDATA[Adolescence]]></kwd>
<kwd lng="en"><![CDATA[risk behaviours]]></kwd>
<kwd lng="en"><![CDATA[chronic disease]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p><b>Impacto da doença crónica na adolescência </b></p>      <p>&nbsp;</p>      <p>Sónia Santos<sup>1</sup>, Elisabete Santos<sup>1</sup>, Alzira Ferrão<sup>1</sup>,  Carlos Figueiredo<sup>1 </sup></p>      <p><sup>1 </sup>S. Pediatria, Hospital de São Teotónio, Viseu </p>     <p><a name="top0"></a><a href="#0">Correspond&ecirc;ncia</a></p>     <p><b>&nbsp;</b></p>      <p><b>RESUMO </b></p>      <p><b>Introdução: </b>  A adolescência, as suas alterações biopsicossociais e a doença crónica  influenciam-se mutuamente, com especial relevância no comportamento social,  rendimento académico e comportamento sexual. </p>     <p><b>Objectivos: </b>Avaliar se a doença crónica influencia comportamentos de risco nesta idade. </p>     <p><b>Material e Métodos</b>:  Estudo transversal e comparativo, realizado entre 15 de Julho e 30 de Setembro  de 2008, a jovens entre os 13-20 anos com doença crónica (DC) seguidos em  consultas do Hospital São Teotónio de Viseu (HSTV) e a adolescentes saudáveis  de duas escolas. </p>     ]]></body>
<body><![CDATA[<p>Foi aplicado um inquérito específico para avaliação de dados sociodemográficos,  história da doença, comportamentos de risco, auto-estima e relacionamento  amoroso. Os testes estatísticos utilizados para o tratamento de dados foram o  teste X<sup>2</sup> e de t-student. </p>     <p><b>Resultados: </b>A amostra foi constituída por 125 sujeitos do grupo adolescentes com DC e 135 do  grupo de adolescentes saudáveis. Comparando os dois grupos, constatou-se que  os adolescentes com DC reprovam mais que os adolescentes saudáveis. Todos os 22  sujeitos sexualmente activos com DC referiam o uso de preservativo. Registou-se  um menor consumo de hábitos tabágicos e alcoólicos no grupo de DC. Nenhum  adolescente com DC admitiu o consumo de outras drogas. </p>     <p><b>Discussão: </b> A literatura refere que os adolescentes com doença crónica têm a mesma ou maior  tendência para comportamentos de risco. No entanto, no actual estudo, os  adolescentes com DC apresentam menos comportamentos de risco. </p>     <p><b>Palavras-chave: </b>Adolescência, comportamentos de risco, doença crónica. </p>      <p>&nbsp;</p>      <p><b>Impact of chronic disease in adolescence </b></p>     <p><b>ABSTRACT </b></p>      <p><b>Introduction: </b>  Adolescence and its biopsychosocial alterations and the chronic disease  influence each other, with special relevance on social behaviour, school  performance and sexual behaviour. </p>     <p><b>Objectives: </b>  To assess whether chronic disease influences risk behaviours at this age. </p>     <p><b>Material and Methods</b>:  A cross-sectional and comparative study, conducted between July 15<sup>th</sup>  and September 30<sup>th</sup> 2008, to young people between the ages of 13 and  20 with chronic disease (CD), monitored in regular visits at São Teotónio  Hospital of Viseu (HSTV), and healthy adolescents from two schools. </p>     ]]></body>
<body><![CDATA[<p>We applied a specific questionnaire to assess socialdemographic data, history  of the disease, risk behaviours, self-esteem and sexual behaviour. The X<sup>2</sup>  and t-student tests were used for statistical analysis. </p>     <p><b>Results: </b>The sample consisted of 125 subjects from group adolescents with CD and 135  adolescents in the group “healthy.” Comparing the two groups, it was found that  adolescents with CD fail in school more than the healthy adolescents. All the 22  subjects with CD sexually active reported the use of condom. There was a lower  consumption of alcohol and smoking habits in the group of CD. None of the  adolescents with CD admitted consumption of other drugs. </p>     <p><b>Discussion: </b>Literature mentions that adolescents with chronic disease have the same or  greater tendency to risk behaviours. However, in our study, adolescents with CD  have less risk behaviours. </p>     <p><b>Keywords: </b>Adolescence, risk behaviours, chronic disease. </p>      <p>&nbsp;</p>     <p>Texto completo disponível apenas em PDF.</p>     <p>Full text only available in PDF format.</p>     <p>&nbsp;</p>      <p><b>BIBLIOGRAFIA </b></p>      <!-- ref --><p>1. Suris JC, Michaud PA, Viner R. The adolescent with a chronic condition. Part  I: developmental issues. Arch Dis Child 2004;89:938-42. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000032&pid=S0872-0754201100010000300001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>2. Suris JC. Global trends of young people with chronic and disabling  condition. J Adolesc Health 1995; 17:17-22. </p>     <p>3. Westbrook L, Stein R. Epidemiology of chronic health conditions in  adolescents. Adolescent Medicine State of the Art Reviews 1994; 5:197-209.</p>     <p>4. Suris JC, Parera N. Sex, drugs and chronic illnesse: health behaviours among  chronically ill youth. European Journal of Public Health 2005; 15(5): 484-8.</p>     <p>5. Neinstein LS, Zeltzer LK. Chronic illness in the Adolescent. In: Neinstein LS  editor. Adolescent Health Care – a Practical Guide. 3<sup>rd</sup> ed.  Baltimore: Williams &amp; Wilkins, 1996: 1173-95. </p>     <p>6. Kyngäs HA, Kroll T, Duffy ME. Compliance in adolescents with chronic  diseases: a review. Journal of Adolescent Health 2000; 26:379-88. </p>     <p>7. LaGreca AM. Issues in adherence with pediatric regimens. J Pediatr Psychol 1990; 15:423-36. </p>     <p>8. Michaud PA, Frappier JY, Pless IB. Compliance in adolescents with chronic disease. Art Care Res 1991; 8:329-36.</p>     <p>9. Berntsson L, Berg M, Brydolf M, Hellström AL. Adolescents experiences of well-being when living with a  long-term illness or disability. Scand J Caring Sci  2007; 21:419-25. </p>     <p>10. Westborn L. Well-being of children with chronic illness. A population-based  study in a Swedish primary care district. Acta Paediatr 1992; 81:625-9. </p>     <p>11. Kyngäs H, Rissanen M. Support as a crucial predictor of good compliance of  adolescents with a chronic disease. J Adv Nurs 2001; 10:767-74. </p>     ]]></body>
<body><![CDATA[<p>12. Suris JC, Resnick MD, Cassuto N, Blum RW. Sexual behavior of adolescents with chronic disease and disability.  J Adolesc Health 1996; 16:124-31. </p>     <p>13. Choquet M, Du Pasquier FL, Mandredi R. Sexual behavior among adolescents  reporting chronic conditions: a French national survey. J Adolesc Health 1997;  30:62-7. </p>     <p>14. Alderman EM, Lauby JL, Coupey SM. Problem behaviors in inner-city  adolescents with chronic illness. J Dev Behav Pediatr 1995; 16:339-44. </p>     <p>15. Vida LT, Leslee TB. Smoking rates and the state of smoking interventions for  children and adolescents with chronic illness. Pediatrics 2006; 118:471-87. </p>      <p>&nbsp;</p>      <p><b><a href="#top0">CORRESPONDÊNCIA</a><a name="0"></a></b></p>     <p>Sónia Santos </p>     <p>Hospital São Teotónio de Viseu </p>     <p>Avenida Rei D. Duarte </p>     <p>3504-509 Viseu </p>     ]]></body>
<body><![CDATA[<p><a href="mailto:soniafmuc@gmail.com">soniafmuc@gmail.com</a></p>      <p>&nbsp;</p>     <p><b>AGRADECIMENTOS </b></p>     <p>-Equipa de enfermagem do sector de Consulta Externa de Pediatria do HSTV (Enf.  Rosa, Enf. São Luís e Enf. Ana); </p>     <p>-Aos professores da Escola Secundária Alves Martins e Colégio Via Sacra de  Viseu. </p>       ]]></body><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Suris]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Michaud]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Viner]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[The adolescent with a chronic condition: Part I: developmental issues]]></article-title>
<source><![CDATA[Arch Dis Child]]></source>
<year>2004</year>
<volume>89</volume>
<page-range>938-42</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
