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- ItemAcesso aberto (Open Access)Epidemiologia do uso de álcool no Brasil(Associação Brasileira de Psiquiatria - ABP, 2004-05-01) Galduróz, José Carlos Fernandes [UNIFESP]; Caetano, Raul; Universidade Federal de São Paulo (UNIFESP); Universidade do Texas Centro Médico do Sudoeste Escola de Saúde PúblicaThe authors describe the most recent and significant epidemiological studies on alcohol conducted in Brazil in the last years. The aim was to outline the pattern of alcohol consumption in the country through the analysis of population surveys (household surveys, drug abuse among students, homeless children) and statistical indicators (hospital admissions for addictions, data from the Institute of Forensic Medicine, related traffic accidents and information on sales of alcoholic beverages). The analysis of the data presented in this article suggests two basic points: greater emphasis should be laid on epidemiological studies in Brazil, through increasing the scope of research, as well as its systematic updating. Alcohol certainly has a strong influence in the etiology and maintenance of several social, economic and health problems faced in our country.
- ItemAcesso aberto (Open Access)Trends in drug use among students in Brazil: analysis of four surveys in 1987, 1989, 1993 and 1997(Associação Brasileira de Divulgação Científica, 2004-04-01) Galduróz, José Carlos Fernandes [UNIFESP]; Noto, Ana Regina [UNIFESP]; Nappo, Solange Aparecida [UNIFESP]; Carlini, Elisaldo Araujo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The consumption of psychotropic drugs among Brazilian secondary school students was examined by comparing data from four surveys using a questionnaire adapted from the WHO's Program on Research and Reporting on the Epidemiology of Drug Dependence. Students filled out the form in their classrooms without the presence of teachers. The target population consisted of 10-18-year-old students (on average, 15,000 students responded to each survey) in Brazil's ten largest state capitals: Belém, Belo Horizonte, Brasília, Curitiba, Fortaleza, Porto Alegre, Recife, Rio de Janeiro, Salvador, and São Paulo. Among the legal drugs, lifetime use (use at least once during life) of tobacco was increased in seven cities (the exceptions were Brasília, Porto Alegre and Rio de Janeiro). There was also a significant increase in frequent use of alcohol (six times or more per month) in 6 of the cities, from an average of 9.2% in 1987 to 15.0% in 1997. With respect to illegal drugs, there was a significant increase in lifetime use of marijuana (a 3-fold increase from 2.8% in 1987 to 7.6% in 1997). Cocaine use increased 4-fold over the survey period (0.5% in 1987 to 2.0% in 1997). Lifetime use of cocaine significantly increased in eight capitals (except Recife and Rio de Janeiro). However, frequent cocaine use increased in only three capitals (Belém, Fortaleza and Porto Alegre), from an average of 1.0% in 1987 to 3.6% in 1997. Lifetime use of medications such as anxiolytics and amphetamines increased 2-fold on average over the survey period. Comparing the four studies, the main conclusion is that there were significant increases in the frequencies for lifetime use, frequent use and heavy use of many drugs.