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Amaral CMM, Carvalho RC, Vieira MEB, Aguiar PM. Factors Associated With Use of Medications for Anxiety and Depression in Pharmacy Students in Brazil. AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION 2021; 85:8285. [PMID: 34315701 PMCID: PMC8341240 DOI: 10.5688/ajpe8285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 02/23/2021] [Indexed: 06/13/2023]
Abstract
Objective. To map undergraduate pharmacy students' use of medications for anxiety and depression and associated factors at one university in Brazil.Methods. A cross-sectional study was conducted from May to July 2019 among undergraduate pharmacy students at one university. Data regarding sociodemographic issues and the use of psychotropics were collected using an online questionnaire. Exploratory descriptive analysis of data, the chi-square test, and multivariate binary logistic regression were performed to identify factors associated with the use of medications for anxiety and depression.Results. Of 900 students enrolled, usable survey responses were received from 198. Most respondents were female with a mean age of 22.3 years. Among these, 17.7% of pharmacy students used medications to treat anxiety and 13.1% used medications for depression. The most common psychotropics were escitalopram and fluoxetine. There were two peak usage times: the initial and final year of pharmacy school. Dissatisfaction with the pharmacy program and psychological care were significantly associated with the use of medications for anxiety. In contrast, monthly income from three to 15 times the minimum wage, religiosity/spirituality, and psychological care were associated with students' use of medications for depression.Conclusion. There was a high prevalence of medication use to treat anxiety and depression among undergraduate pharmacy students, and this use was associated with psychological care, monthly income, and religiosity/spirituality.
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Affiliation(s)
| | - Renata Cunha Carvalho
- University Hospital of University of São Paulo, Psychiatric Outpatient Clinic, São Paulo, Brazil
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Rohr P, da Silva GF, Vicentini VEP, Almeida IVD, Dos Santos RA, Takahashi CS, Goulart MO, da Silva GN, de Oliveira LB, Grisolia CK, Piau TB, Bassi Branco CL, Reis ÉDM, de Oliveira Galvão MF, de Medeiros SRB, Monteiro MS, de Vasconcelos Lopes RA, Brandão SFI, Batista NJC, Paz MFCJ, da Silva J. Buccal micronucleus cytome assay: Inter-laboratory scoring exercise and micronucleus and nuclear abnormalities frequencies in different populations from Brazil. Toxicol Lett 2020; 333:242-250. [PMID: 32841739 DOI: 10.1016/j.toxlet.2020.08.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 08/14/2020] [Accepted: 08/20/2020] [Indexed: 11/25/2022]
Abstract
The Buccal Micronucleus Cytome Assay (BMCyt) has become an important biomonitoring tool for assessing cytogenetic damage in many studied populations. Each laboratory applies protocols that vary according to the method of collecting and preparing samples. Besides, Brazil is a country of great territorial extensions that received immigrants from various parts of the world with different genetic backgrounds. Therefore, the present study aimed to evaluate the inter-laboratory variation in scoring the same set of slides using the more comprehensive scoring criteria, to standardize the BMCyt protocol, to observe the basal alterations in populations of different Brazilian regions and to compare it with other places around the world. Our results showed that a valuable number of laboratories participated, ten laboratories from different regions of the country, for the validation of the BMCyt in human biomonitoring studies, resulting in the 804 healthy individuals. This was possible because we observed: a range of measures needs to be considered, such as the baseline frequency of DNA damage and cell death in non-exposed individuals; age when grouped showed an influence on DNA damage, although when evaluated by group we did not see an influence; association between smoking habit and all endpoints of the BMCyt (except karyolytic cells) was evident; the basal MN frequency, in the majority of groups, follows those around the world; and the BMCyt was confirmed as a good health status biomarker. We emphasize the need for constant discussions on the parameters of cell death due to greater difficulty among the analyzers.
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Affiliation(s)
- Paula Rohr
- Laboratório de Genética Toxicológica, Programa de Pós- Graduação em Biologia Celular e Molecular Aplicada à Saúde (PPGBioSaúde), Universidade Luterana do Brasil, ULBRA, Canoas, RS, Brazil.
| | - Gabrieli Flesch da Silva
- Laboratório de Genética Toxicológica, Programa de Pós- Graduação em Biologia Celular e Molecular Aplicada à Saúde (PPGBioSaúde), Universidade Luterana do Brasil, ULBRA, Canoas, RS, Brazil
| | | | - Igor Vivian de Almeida
- Laboratório de Mutagênese e Monitoramento Ambiental, Universidade Estadual de Maringá, UEM, Maringá, PR, Brazil
| | - Raquel Alves Dos Santos
- Laboratório de Genética e Biologia Molecular, Universidade de Franca, UNIFRAN, Franca, SP, Brazil
| | - Catarina Satie Takahashi
- Departmento de Genética, Escola de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil; Departmento de Biologia, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Mirian Oliveira Goulart
- Laboratório de Genética e Biologia Molecular, Universidade de Franca, UNIFRAN, Franca, SP, Brazil
| | - Glenda Nicioli da Silva
- Laboratório de Pesquisas Clínicas, Universidade Federal de Ouro Preto, UFOP, Ouro Preto, MG, Brazil
| | | | - Cesar K Grisolia
- Laboratório de Genética Toxicológica Instituto de Biologia, Universidade de Brasilia, UnB, Brasília, DF, Brazil
| | - Tathyana B Piau
- Laboratório de Genética Toxicológica Instituto de Biologia, Universidade de Brasilia, UnB, Brasília, DF, Brazil
| | | | - Érica de Melo Reis
- Laboratório de Mutagênese, Universidade Federal de Mato Grosso, UFMT, Cuiabá, MT, Brazil
| | | | | | - Magaly Sales Monteiro
- Núcleo Bioprospecção e Experimentação Molecular-NUBEM, Centro Universitário INTA-UNINTA, Sobral, CE, Brazil
| | | | | | | | | | - Juliana da Silva
- Laboratório de Genética Toxicológica, Programa de Pós- Graduação em Biologia Celular e Molecular Aplicada à Saúde (PPGBioSaúde), Universidade Luterana do Brasil, ULBRA, Canoas, RS, Brazil; Laboratório de Genética Toxicológica, Programa de Pós- Graduação Profissional em Saúde e Desenvolvimento Humano (PPGSDH), Universidade La Salle, UniLaSalle, Canoas, RS, Brazil.
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