[Sexually transmitted diseases, AIDS, and use/abuse of psychoactive substances in adolescence]

OBJECTIVE: To discuss theoretical and practical aspects of sexually transmitted diseases, AIDS, and psychoactive substances in adolescence, focusing on a holistic and multiprofessional approach. METHODS: Review of national and international literature on concepts, classifications, social and cultural, clinical, therapeutic and preventive aspects of sexually transmitted diseases/AIDS, as well as the use of psychoactive substances, with the aim of pointing out problem-solving alternatives. RESULTS: Adolescents do not show resilient behavior and are vulnerable to environmental hazards. For this reason, preventive actions and intervention for the control of sexually transmitted diseases/AIDS and use or abuse of psychoactive substances among adolescents are a priority. According to the World Health Organization, one out of 20 adolescents acquires sexually transmitted disease in the world every year and, more than 7,000 are infected by HIV every day, totaling 2.6 millions a year. This scenario results from unprotected sex and from the interaction between sexually transmitted diseases and psychoactive substances, especially alcohol. CONCLUSIONS: It is crucial that health care providers consider magnitude, transcendence, vulnerability and feasibility as well as the set of interactions among substance, individual, and his/her social and cultural environment when the multifocal and holistic approach is used. This requires the formation of a support and protection network, involving the family, physicians, community, and adolescents. The major element in this network, though, are the adolescent themselves, who can overcome their conflicts, aiming at a healthy and longer life.