Navegando por Palavras-chave "Alcohol Drinking"
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- ItemAcesso aberto (Open Access)Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2009-12-01) Lima, Maria Cristina Pereira; Simão, Maria Odete; Oliveira, Janaina Barbosa De; Cavariani, Mariana Braga; Tucci, Adriana Marcassa [UNIFESP]; Kerr-correa, Florence; Universidade Estadual Paulista (UNESP); Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)The objectives of this study are to identify the pattern of alcohol use among the elderly and to analyze its association with falls. A population-based survey was conducted in a sample of Metropolitan São Paulo, Brazil, using the GENACIS questionnaire, Gender, Alcohol and Culture: An International Study. Adjusted prevalence ratios were calculated using Poisson Regression with robust variance, and the dependent variable was the occurrence of falls. Interviews were carried out with 432 subjects whose average age was 69.5 years. Regarding alcohol use 50.9% were lifetime abstainers, 25.5% had not drunk in the previous year and 23.6% were current drinkers. Among the latter, 14 (13.7%) were heavy drinkers. In the previous year 24.5% people had falls, which were associated with being a heavy drinker and being older. Although a relationship between being a heavy drinker and falls found in this survey does not allow for inferences on causality, this association supports the hypothesis that alcohol abuse in later life might be related with health problems.
- ItemAcesso aberto (Open Access)Apreciação de propagandas de cerveja por adolescentes: relações com a exposição prévia às mesmas e o consumo de álcool(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2009-02-01) Vendrame, Alan [UNIFESP]; Pinsky, Ilana [UNIFESP]; Faria, Roberta [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Brazilian teenagers report problematic patterns of alcohol consumption. Alcohol advertising strategies are one of the main factors influencing adolescents' alcohol consumption. The aim of this study was to evaluate the relationship between positive responses to TV beer commercials, exposure, and alcohol consumption. Thirty-two recent TV commercials were shown to 133 high school students from public schools in São Bernardo do Campo, São Paulo State, Brazil. The subjects recorded how well they liked the ads and how often they had already watched each commercial. The teenagers also reported their alcohol consumption rates. The ten commercials analyzed in this article were the five most popular and the five least popular. The analysis showed that subjects had already seen the five most popular ads, but not the five least popular. In addition, the five most popular ads received higher scores from teenagers that reported having consumed beer during the previous month. The study found a positive relationship between enjoying beer advertising and exposure to beer ads, as well as between alcohol consumption and positive responses to alcohol commercials.
- ItemAcesso aberto (Open Access)Binge drinking: a pattern associated with a risk of problems of alcohol use among university students(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2017) Bedendo, Andre [UNIFESP]; Monezi Andrade, Andre Luiz; Opaleye, Emerita Satiro{UNIFESP]; Noto, Ana Regina [UNIFESP]Objective: to evaluate problems associated with alcohol use among university students who reported binge drinking in comparison to students who consumed alcohol without binging. Method: a cross-sectional study among university students (N=2,408) who accessed the website about alcohol use. Logistic and linear regression models were included in the statistical analyzes. Results: alcohol use in the last three months was reported by 89.2% of university students
- ItemAcesso aberto (Open Access)Fatores associados ao uso pesado de álcool entre estudantes das capitais brasileiras(Faculdade de Saúde Pública da Universidade de São Paulo, 2010-04-01) Galduróz, José Carlos Fernandes [UNIFESP]; Sanchez, Zila van der Meer [UNIFESP]; Opaleye, Emérita Sátiro [UNIFESP]; Noto, Ana Regina [UNIFESP]; Fonseca, Arilton Martins [UNIFESP]; Gomes, Paulo Leonardo Sirimarco; Carlini, Elisaldo Araujo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Recuperadora Nacional de CréditoOBJECTIVE: To evaluate the association between heavy use of alcohol among students and family, personal and social factors. METHODS: Cross-sectional study including public school students aged ten to 18 from 27 Brazilian capital cities in 2004. Data was collected using an anonymous, self-report questionnaire that was adapted from a World Health Organization instrument. A representative sample comprising 48,155 students was stratified by census tracts and clusters (schools). The associations between heavy alcohol use and the factors studied were analyzed using logistic regression at a 5% significance level. RESULTS: Of all students, 4,286 (8.9%) reported heavy alcohol use in the month prior to the interview. The logistic regression analysis showed an association between fair or poor relationship with the father (OR = 1.46) and the mother (OR = 1.61) and heavy use of alcohol. Following a religion (OR = 0.83) was inversely associated with heavy alcohol consumption. Sports practice and mother perceived as a liberal person had no significance in the model. However, a higher prevalence of heavy use of alcohol was seen among working students. CONCLUSIONS: Stronger family ties and religion may help preventing alcohol abuse among students.
- ItemAcesso aberto (Open Access)Gravidez na adolescência e uso freqüente de álcool e drogas no contexto familiar(Faculdade de Saúde Pública da Universidade de São Paulo, 2008-06-01) Caputo, Valeria Garcia [UNIFESP]; Bordin, Isabel Altenfelder Santos [UNIFESP]; Faculdade de Medicina de Marília; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To assess individual and family factors associated to teenage pregnancy, including frequent use of alcohol and illicit drugs by family members. METHODS: Case-control study conducted with a sample of 408 sexually active female adolescents (aged 13-17 years) in school from the city of Marília (Southeastern Brazil) in 2003-2004. Cases consisted of 100 primigravid teenagers assisted in prenatal care programs in health units. Controls were 308 nulligravid students from state public schools. Standardized instruments identified demographic and educational factors, contraceptive behavior, mental health problems, and family characteristics. Statistical analysis included chi-square tests and logistic regression models. RESULTS: Low paternal education (p=0.01), lack of information on sexuality and fertilization (p=0.001) and the use of illicit drugs by a resident family member (p=0.006) were independent risk factors. Family income per capita and asking the partner to use a condom were confounders. CONCLUSIONS: The frequent use of illicit drugs by a resident family member is a factor strongly associated to teenage pregnancy, regardless of other risk factors. The expectation of going to college constitutes a protective factor, mainly in the presence of low maternal education.
- ItemAcesso aberto (Open Access)Implantação de rotinas de rastreamento do uso de risco de álcool e de uma intervenção breve na atenção primária à saúde: dificuldades a serem superadas(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2005-06-01) Ronzani, Telmo Mota; Ribeiro, Mário Sérgio; Amaral-Sabadini, Michaela Bitarello do [UNIFESP]; Souza-Formigoni, Maria Lucia Oliveira de [UNIFESP]; Universidade Federal de Juiz de Fora Instituto de Ciências Humanas e de Letras; Universidade Federal de Juiz de Fora Faculdade de Medicina; Universidade Federal de São Paulo (UNIFESP)The variety of problems related to the so-called hazardous patterns of alcohol use make the latter a prominent public health concern. Screening instruments associated with brief interventions in primary care provide one of the frequently recommended secondary prevention strategies. The objective of this study was to assess the implementation of this strategy as a routine practice in primary health care services in the city of Juiz de Fora, Minas Gerais State, Brazil. A qualitative design was employed, including the application of semi-structured interviews for managers and health care professionals in the city's public health system, in addition to content analysis and participant observation. Results point to difficulties in the effective implementation of such routines both by managers and health care professionals. Health care professionals limit the approach to alcohol-dependent patients and demonstrate lack of motivation for preventive work. Health services managers experience difficulties in the organization and administration of such instruments, despite affirming their interest in the project.
- ItemAcesso aberto (Open Access)Padrões de violência domiciliar associada ao uso de álcool no Brasil(Faculdade de Saúde Pública da Universidade de São Paulo, 2009-10-01) Fonseca, Arilton Martins [UNIFESP]; Galduróz, José Carlos Fernandes [UNIFESP]; Tondowski, Cláudia Silveira [UNIFESP]; Noto, Ana Regina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To describe situations of domestic violence committed by perpetrators under the influence of alcohol in the largest Brazilian cities. METHODS: A household survey was carried out in the 108 Brazilian cities with more than 200,000 inhabitants in 2005. A multistage probabilistic self-weighted sample stratified in terms of conglomerate units was performed in three selection stages: census tracts, households, and respondents (population between 12 and 65 years old). The instrument to collect the data was the Substance Abuse and Mental Health Services Administration, with questions on sociodemographics and psychotropic drug abuse.. RESULTS: The survey encompassed 7,939 households. In 33.5% of them there were reports of domestic violence, 17.1% out of which involving intoxicated perpetrators. The most frequently reported types of violence associated with the use of alcohol were: arguments among the people in the household (81,8%), loud arguments not aimed at a specific person (70.9%), threats of assault (39.5%), and breaking households objects (38.7%). The respondents also reported physical assault (27.8%), physical assault with weapon (5.5%), and sexual abuse (3.2%). More than half of perpetrators lived in the household and 88.8% were male. Most of the victims were female (63.9%); 33.9% were wives and 18.2% were children. In terms of recidivism, 14.1% of the cases lasted for a period between 1 and 5 years, and in 14.3% they lasted for over a decade. Most of the victims (86%) and perpetrators (77.9%) did not look for the help of either the health services or the police. CONCLUSIONS: In addition to the considerable number of Brazilian households with a history of violence involving intoxicated abusers, this kind of abuse has many specific characteristics. The low rate for the search for help at the health services/police stations point to the importance of actively identifying cases of domestic violence.
- ItemAcesso aberto (Open Access)Propaganda de álcool e associação ao consumo de cerveja por adolescentes(Faculdade de Saúde Pública da Universidade de São Paulo, 2011-06-01) Faria, Roberta [UNIFESP]; Vendrame, Alan [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; Pinsky, Ilana [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To analyze the association between alcohol advertising and beer drinking among adolescents. METHODS: A total of 1,115 students enrolled in the 7th and 8th grades of three public schools in São Bernardo do Campo, Southeastern Brazil, were interviewed in 2006. The independent variables were as follows: attention paid to alcohol advertisements, belief in the veracity of advertisements, affective response to advertisements and previous tobacco use, among others. The dependent variable was beer drinking in the last 30 days. Univariate and multiple logistic regression analyses were made. Age, importance given to religion and the presence of a bathroom in the home were used as control. RESULTS: Beer drinking in the last 30 days was associated with tobacco use (OR = 4.551), having a favorite alcoholic beverage brand (OR = 5.150), poor parental supervision (OR = 2.139), considering parties one goes to as similar to those seen in commercials (OR = 1.712), paying more attention to advertisements (OR = 1.563) and believing that advertisements tell the truth (OR = 2.122). This association remained, even in the presence of other variables associated with beer drinking. CONCLUSIONS: Alcohol advertisements are positively associated with recent beer drinking, because they remind adolescents of their own reality or make them believe in their veracity. Alcohol advertisement restrictions can be one way to prevent alcohol use and abuse by adolescents.
- ItemAcesso aberto (Open Access)Violência entre parceiros íntimos e consumo de álcool(Faculdade de Saúde Pública da Universidade de São Paulo, 2010-02-01) Zaleski, Marcos [UNIFESP]; Pinsky, Ilana [UNIFESP]; Laranjeira, Ronaldo [UNIFESP]; Ramisetty-Mikler, Suhasini; Caetano, Raul; Universidade Federal de Santa Catarina Núcleo de Psiquiatria; Universidade Federal de São Paulo (UNIFESP); University of Texas Southwestern School of Public HealthOBJECTIVE: To estimate the prevalence of intimate partner violence and alcohol consumption during episodes of violence. METHODS: Cross-sectional study with a multi-stage probability sample, representative of the Brazilian population. Sample was comprised of 1,445 men and women, married or cohabitating, interviewed between November 2005 and April 2006. Interviews were conducted in the interviewees' homes, using a standardized closed questionnaire. Rates of prevalence of intimate partner violence were estimated and chi-square tests were used to assess gender differences in this prevalence. RESULTS: General prevalence of intimate partner violence was 10.7% in men and 14.6% in women. Men consumed alcohol in 38.1% of cases and women in 9.2%. As regards perception of alcohol consumption by intimate partner, men reported their female partners consumed alcohol in 30.8% of episodes of violence, while women reported that their male partners consumed it in 44.6% of episodes. CONCLUSIONS: Women were more frequently involved in mild and serious episodes of violence (perpetration, victimization or both) than men. The fact that episodes of violence reported were four times more frequent in intoxicated men enables the assumption that prevention of intimate partner violence may be promoted by public policies aimed at reducing alcohol consumption.