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Victims of sexual violence (VSV;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200920,492; 14.8%) and rape (RV;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098133; 6.5%) reported higher rates of parental or caregiver alcohol and cigarette use. These adolescents were also more likely to engage in substance use themselves, especially alcohol and illicit drugs, often beginning before age 14. They also faced increased exposure to risky behaviours like drinking with classmates and using illegal drugs. Additionally, the VSV and RV groups reported significantly higher levels of sadness, anger, suicidal thoughts, and poorer overall health. This research, based on data from a large\u2010scale survey conducted in Brazil, underscores the urgent need for targeted interventions and support systems to address the complex challenges faced by adolescents who have experienced sexual violence.\n                  <\/jats:p>","DOI":"10.1002\/ijop.70133","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T05:43:47Z","timestamp":1762235027000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring the Connection Between Substance Use and Mental Health in Brazilian Teens Who Have Experienced Sexual Violence"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4034-1251","authenticated-orcid":false,"given":"Adriana","family":"Scatena","sequence":"first","affiliation":[{"name":"Psychology Section, Santo Andr\u00e9 Medical Center  Santo Andre 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