The frequency of smoking and problem drinking among general hospital inpatients in Brazil - using the AUDIT and Fagerström questionnaires

The frequency of smoking and problem drinking among general hospital inpatients in Brazil - using the AUDIT and Fagerström questionnaires

Author Figlie, Neliana Buzi Autor UNIFESP Google Scholar
Pillon, Sandra Cristina Autor UNIFESP Google Scholar
Dunn, John Autor UNIFESP Google Scholar
Laranjeira, Ronaldo Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract CONTEXT: Although the CAGE questionnaire is one of the most widely used alcohol screening instruments, it has been criticized for not identifying people who are drinking heavily or who have alcohol related problems but do not as yet show symptoms of alcohol dependence. The AUDIT (Alcohol Use Disorder Identification Test) questionnaire was developed by WHO as a screening instrument specifically designed to identify problem drinkers, as well as those who were already dependent on alcohol. OBJECTIVE: The aim of this study was to use the AUDIT and Fagerström questionnaires in a general hospital inpatient population to measure the frequency of problem drinking and nicotine dependence, and to see if levels varied between medical speciality. DESIGN: Retrospective cross-sectional study. SETTING: Federally funded public teaching hospital. SAMPLE: 275 inpatients from both genders. MAIN MEASUREMENTS: Socio-demographic data, AUDIT (Alcohol Use Disorders Identification Test) and Fagerström Test for Nicotine Dependence. RESULTS: We interviewed 275 inpatients, 49% of whom were men and 51% women. Thirty-four patients were identified as cases by the Audit questionnaire; 22% of the male patients and 3% of the females. Just over 21% of inpatients were current smokers. The gastroenterology (26%) and general medicine (16%) inpatient units had the largest number of individual cases. CONCLUSIONS: Only by knowing the prevalence of alcohol abuse/dependence and nicotine dependence in a general hospital can we evaluate the need for a specialized liaison service to identify and treat these patients.

CONTEXTO: Embora o CAGE seja um dos instrumentos de rastreamento do consumo alcoólico mais utilizado, o mesmo tem sofrido críticas por não identificar pessoas que possuem um consumo nocivo ou pessoas que apresentam problemas relacionados ao consumo alcoólico sem ter desenvolvido um quadro de dependência alcoólica. O questionário AUDIT (Alcohol Use Identification Test) foi desenvolvido pela Organização Mundial de Saúde como instrumento de rastreamento especificamente para identificar pessoas com consumo nocivo do álcool, como também aquelas que possuem dependência do álcool. OBJETIVO: Mensurar a freqüência de uso nocivo/dependência de álcool e nicotina através do AUDIT e Fagerström. TIPO DE ESTUDO: Estudo de corte transversal retrospectivo. LOCAL: Hospital escola do serviço público federal, São Paulo, Brasil. AMOSTRA: 275 pacientes internados de ambos sexos. VARIÁVEIS ESTUDADAS: Dados sócio-demográficos, AUDIT e Fagerström Test for Nicotine Dependence. RESULTADOS: Foram entrevistados 275 pacientes que se encontravam internados, sendo que 49% destes eram homens e 51% mulheres. 34 pacientes foram identificados como casos através do AUDIT, que corresponderam a 22% dos pacientes do sexo masculino e 3% do sexo feminino. Apenas 21% dos pacientes foram considerados fumantes. As enfermarias de gastroenterologia (26%) e clínica médica (16%) foram consideradas como detentoras de maior número de casos quando comparadas com as outras enfermarias. CONCLUSÕES: Somente com o conhecimento da prevalência de uso nocivo/dependência de álcool e de nicotina, em um hospital geral, é possível estimar a necessidade de um serviço de interconsulta que pudesse identificar e tratar esses pacientes.
Keywords AUDIT
Fagerström
Screening
Liaison psychiatry
Inpatients
AUDIT
Fagerström
Instrumento de rastreamento
Interconsulta
Pacientes internados
Language English
Date 2000-09-07
Published in São Paulo Medical Journal. Associação Paulista de Medicina - APM, v. 118, n. 5, p. 139-143, 2000.
ISSN 1516-3180 (Sherpa/Romeo)
Publisher Associação Paulista de Medicina - APM
Extent 139-143
Origin http://dx.doi.org/10.1590/S1516-31802000000500005
Access rights Open access Open Access
Type Article
SciELO ID S1516-31802000000500005 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/1030

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