Objectives: To estimate the prevalence and associated factors to psychotic substance use in low-income adolescents from the Caribbean region of Colombia Methods: A cross sectional study was conducted. Adolescents between 10-24 years of age residents in 21 municipalities were randomly selected from the population affiliated to a subsidized-regime insurance company between 2014-2018. A previously constructed questionnaire was used to obtain information regarding sociodemographic variables and potential risk factors. Prevalence of lifetime use of substance abuse was assessed. Bivariate and multivariate logistic regression models were used to establish associated factors. Absolute and relative frequencies were compared with the Chi2 test and continuous variables were compared with the t-test. A p value <0.050 was considered significant