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Martins-de-Barros AV, Barros AM, Silva CC, Ramos LF, Ferreira SJ, Araújo FA, Silva ED, Carvalho MD. High prevalence of oral potentially malignant disorders and risk factors in a semi-urban brazilian city: a population-based cross-sectional study. Med Oral Patol Oral Cir Bucal 2021; 26:e778-e785. [PMID: 34023843 PMCID: PMC8601640 DOI: 10.4317/medoral.24747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 05/03/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Oral Potentially Malignant Disorders (OPMDs) are defined as lesions with a greater likelihood of progressing to cancer. Population-based studies that evaluate the prevalence of OPMDs are scarce in Brazil. The aim of the present study was to determine the prevalence of OPMDs and associated risk factors in a semi-urban Brazilian population. MATERIAL AND METHODS This is a cross-sectional study, whose universe included individuals aged 40 years or older residing in a medium-sized city of northeastern Brazil. Data collection was divided into two steps: interview and oral examination. The outcome variable was the presence of OPMDs. The predictor variables were sociodemographic characteristics and risk habits. The bivariate analysis was performed through chi-square test. The crude prevalence ratios (PR) and its respective 95% confidence intervals (CI) were calculated. Poisson regression analysis with robust variance was used to calculate adjusted PRs and 95% CI. RESULTS Three hundred fourteen individuals were included in the study. When asked about risk habits, 58.9% reported being current smokers or ex-smokers and 62.2% reported being current drinkers or ex-drinkers. The prevalence of OPMDs was 7.6% and was significantly higher among individuals with black skin color (p < 0.001), alcohol users (p = 0.017), and individuals with both tobacco and alcohol habits (p = 0.012). CONCLUSIONS Therefore, the population in the present study had a high frequency of risk habits associated with PMDs of the oral cavity.
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Affiliation(s)
- A-V Martins-de-Barros
- School of Dentistry. University of Pernambuco Rua Arnóbio Marquês, 310, Santo Amaro, Recife, Pernambuco, Brazil
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Malta DC, Silva AGD, Prates EJS, Alves FTA, Cristo EB, Machado ÍE. Convergence in alcohol abuse in Brazilian capitals between genders, 2006 to 2019: what population surveys show. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2021; 24:e210022. [PMID: 33886895 DOI: 10.1590/1980-549720210022.supl.1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Accepted: 12/10/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To analyze the temporal trend of the prevalence of alcohol abuse among adults in Brazilian capitals, between 2006 and 2019. METHODS Time series study, based on data from the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel), between 2006 and 2019. The population consisted of adults (≥ 18 years old) with landline telephone residing in Brazilian capitals. The trend analysis was performed by linear regression. RESULTS Between 2006 and 2019 there was a significant increase (p = 0.03) in the abusive consumption of alcoholic beverages in the total adult population, from 15.6 to 18.8%. Among men, there was a stability trend (p = 0.96), and among women, there was an increase from 7.7 to 13.3% (p < 0.001; β = 0.295). In the male gender stratified by capitals, from 2006 to 2019 there was a reduction in Belém, Fortaleza, João Pessoa, Macapá, Manaus, Natal, Recife, São Luis, and Teresina. On the other hand, there was growth in the Federal District. Among women, the trend was upward in: Aracaju, Belo Horizonte, Cuiabá, Curitiba, Florianópolis, Goiânia, Palmas, Porto Alegre, Rio de Janeiro, Salvador, São Paulo, Vitória, and the Federal District. CONCLUSION The results indicate that more adult women are currently drinking in excess compared to previous years, suggesting an increased risk of alcohol-related harm in this portion of the population in Brazilian capitals, bringing about a convergence effect with the prevalence among men and women.
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Affiliation(s)
- Deborah Carvalho Malta
- Maternal-Child and Public Health Nursing Department, Nursing School, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | - Alanna Gomes da Silva
- Post-graduate Nursing School, Nursing School, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
| | | | | | - Elier Broche Cristo
- Secretariat of Health Surveillance, Ministry of Health - Brasília (DF), Brazil
| | - Ísis Eloah Machado
- Department of Family Medicine, Mental and Collective Health, Medical School, Universidade Federal de Ouro Preto - Ouro Preto (MG), Brasil
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Martins JG, Guimarães MO, Jorge KO, Silva CJDP, Ferreira RC, Pordeus IA, Kawachi I, Zarzar PMPDA. Binge drinking, alcohol outlet density and associated factors: a multilevel analysis among adolescents in Belo Horizonte, Minas Gerais State, Brazil. CAD SAUDE PUBLICA 2020; 36:e00052119. [PMID: 31939545 DOI: 10.1590/0102-311x00052119] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Accepted: 07/09/2019] [Indexed: 11/22/2022] Open
Abstract
Our study sought to evaluate the prevalence of binge drinking in adolescents and its association with density of alcohol outlets around schools. This cross-sectional study was conducted in Belo Horizonte, Minas Gerais State, Brazil, with 436 high-school students aged between 17 and 19 and enrolled in 18 public and private schools. The students completed the Alcohol Use Disorder Identification Test (AUDIT-C), consisting of questions about alcohol consumption by parents and siblings, and socioeconomic status (type of school, mother's education level). Data from geographic information systems were used to estimate the density of alcohol outlets around schools participating. The association between exploratory variables and binge drinking was investigated using multilevel logistic regression analysis (p < 0.05) with random intercepts and fixed slopes. A three-step sequential modeling strategy was adopted. The prevalence of binge drinking was 39.9%. The alcohol consumption among adolescents was lower for those studying in areas with low density of alcohol outlets around schools (OR = 0.32; 95%CI: 0.14; 0.73) and the consumption of alcohol by mothers was associated with binge drinking among adolescents (OR = 1.94; 95%CI: 1.14; 3.30). Our study concluded that binge drinking among adolescents was associated with density of alcohol outlets around the schools and mother's alcohol consumption.
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Tobias JSP, da Silva DLF, Ferreira PAM, da Silva AAM, Ribeiro RS, Ferreira ASP. Alcohol use and associated factors among physicians and nurses in northeast Brazil. Alcohol 2019; 75:105-112. [PMID: 30640073 DOI: 10.1016/j.alcohol.2018.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Revised: 07/06/2018] [Accepted: 07/06/2018] [Indexed: 12/16/2022]
Abstract
The consequences of alcohol use are closely related to its pattern of intake. The aim of this study is to analyze the pattern of alcohol use by doctors and nurses. Associated co-factors have also been considered. We calculated a representative sample of doctors and nurses from two hospitals in Maranhão, Northeastern Brazil. The Alcohol Use Disorders Identification Test (AUDIT) was employed to assess patterns of alcohol consumption. A score ≥8 was defined as alcohol misuse, and an answer to question number 3 > 1 was indicative of heavy episodic drinking (HED). In order to identify factors associated with HED and alcohol misuse, bivariate and multiple logistic regression analyses were performed with SPSS v20.0. A sample of 510 professionals was examined and 25% of those were abstainers; among those who had drinks containing alcohol, 86% were classified as low-risk alcohol use, scoring lower than 8, while 10.6% of the whole sample was categorized as alcohol misusers, scoring more than 8. The habit of smoking (OR = 6.02; CI: 1.71-21.16), following the Catholic religion (OR = 3.55; CI: 2.47-8.58), and also gender (OR = 3.09; CI: 1.68-5.71) were independently associated with alcohol misuse. HED was found in 14.3%. Younger age (OR = 0.96; CI: 0.92-0.98), male gender (OR = 5.13; CI: 2.55-10.30), the Catholic religion (OR = 3.22; CI: 1.44-7.21), and smoking habits (OR = 5.25; CI: 1.26-21.75) were associated with HED. Therefore, physicians and nurses have a lesser prevalence of abstainers, similar rates of alcohol misuse, and greater prevalence of HED when compared to the general Brazilian adult population. More studies involving these professionals need to be carried out in other Brazilian states in order to determine whether the results can be understood as widespread throughout the country.
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Granja GL, Lacerda-Santos JT, Brilhante DDM, Nóbrega ÍDS, Granville-Garcia AF, Caldas Junior ADF, dos Santos JA. Smoking and alcohol consumption among university students of the healthcare area. J Public Health (Oxf) 2019. [DOI: 10.1007/s10389-018-01011-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Guimarães MO, Paiva PCP, Paiva HN, Lamounier JA, Ferreira EFE, Zarzar PMPDA. Religiosity as a possible protective factor against "binge drinking" among 12-year-old students: a population-based study. CIENCIA & SAUDE COLETIVA 2018; 23:1067-1076. [PMID: 29694567 DOI: 10.1590/1413-81232018234.04872016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Accepted: 06/24/2016] [Indexed: 11/21/2022] Open
Abstract
Associated with positive impacts on health, religiosity has presented itself as a possible protection factor against alcohol consumption by teenagers. This study evaluated the prevalence of binge drinking and its association with religiosity among 12-year-old students, from Diamantina, State of Minas Gerais. Statistical analyses involved chi-square Pearson (p < 0,05) and Poisson regression with robust variance. The sample included a census of 588 students. Participation in religious activities was associated with no binge drinking (PR = 0,823; 95% CI: 0,717 - 0,945); and consumption of alcoholic beverages by the best friend was associated with binge drinking (PR = 1.554; 95% CI: 1,411-1,711). It was concluded that religiosity was associated with no consumption of alcoholic beverages in binge drinking sessions.
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Affiliation(s)
| | - Paula Cristina Pelli Paiva
- Departamento de Odontologia, Faculdade de Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brasil
| | - Haroldo Neves Paiva
- Departamento de Odontologia, Faculdade de Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brasil
| | - Joel Alves Lamounier
- Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil,
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Dimenstein M, Macedo JPS, Leite J, Dantas C, Silva MPRD. Iniquidades Sociais e Saúde Mental no Meio Rural. PSICO-USF 2017. [DOI: 10.1590/1413-82712017220313] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Esse artigo objetiva discutir casos de comorbidade de transtornos mentais comuns e uso abusivo de álcool e suas determinações entre moradores de assentamentos de reforma agrária. Trata-se de um estudo de delineamento combinado quantitativo-qualitativo, com amostra inicial de 2.012 moradores, resultando, após aplicação de questionário sociodemográfico e ferramentas de rastreamento (SRQ-20 e AUDIT) na identificação de 39 casos de comorbidade, aos quais foi aplicada entrevista semiestruturada. Para análise descritiva dos dados quantitativos utilizou-se o software SPSS for Windows, versão 20 e a construção de mapas dialógicos para os qualitativos. Aspectos envolvendo educação e trabalho, ambientes de interação/coesão social (redes e apoio social), mobilidade e transporte, acesso a equipamentos e serviços, falta de espaços de lazer, são fatores que interferem na saúde mental. Considera-se, dessa forma, a interdependência entre condições socioeconômicas, características dos territórios, padrões culturais, histórias de vida dos indivíduos e os agravos em saúde e morbidades psiquiátricas, em particular.
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Affiliation(s)
| | | | - Jader Leite
- Universidade Federal do Rio Grande do Norte, Brazil
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Cardoso LGV, Melo APS, Cesar CC. [Prevalence of moderate and excessive alcohol consumption and associated factors among residents of Quilombo Communities (hinterland settlements founded by people of African origin) of Vitória da Conquista, Bahia, Brazil]. CIENCIA & SAUDE COLETIVA 2017; 20:809-20. [PMID: 25760121 DOI: 10.1590/1413-81232015203.12702014] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2014] [Accepted: 08/30/2014] [Indexed: 11/21/2022] Open
Abstract
The scope of the study was to assess moderate and excessive alcohol consumption and associated factors among residents of Quilombola Communities in Vitória da Conquista in the State of Bahia. It involved a cross-sectional study among 750 individuals aged ≥ 18 years interviewed in 2011 using an adapted version of the National Survey of Health Questionnaire. Alcohol consumption was classified into abstemious, moderate and heavy drinking categories and was analyzed using the multinomial regression model. Consumption was observed among 41.5% of participants (95% CI [37.8, 44.98]); 10.7% being identified in the excessive consumption category and 30.8% in the moderate consumption category. Moderate consumption was inversely associated with age and is more common among whites and mulattoes, the better educated, the gainfully employed and among smokers. Heavy consumption increased with level of education, being more prevalent among those who had at least 8 years of schooling, smokers and the gainfully employed. The study shows that in these communities there are differences in the sociodemographic characteristics among the profiles of alcohol drinkers and these differences should be taken into account when drawing up proposals for the promotion of healthy habits.
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Jomar RT, Abreu ÂMM, Griep RH. [Patterns of alcohol consumption and associated factors among adult users of primary health care services of Rio de Janeiro, Brazil]. CIENCIA & SAUDE COLETIVA 2016; 19:27-37. [PMID: 24473600 DOI: 10.1590/1413-81232014191.2009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2012] [Accepted: 10/31/2012] [Indexed: 01/16/2023] Open
Abstract
This study sought to verify the patterns of alcohol consumption and associated factors among adult users of a primary health care service in the city of Rio de Janeiro, Brazil. A household survey with a sample of 301 individuals who responded to a collection instrument containing the Alcohol Use Disorders Identification Test and social, demographic and health variables was conducted. Logistic regression was used to assess the association between the pattern of problematic alcohol consumption and the independent variables. Patterns of problematic alcohol consumption were identified among males, black, unmarried, smokers, with no religious affiliation, and persons without chronic disease attended at the health unit. Health services should therefore be prepared to identify the early stages of problematic alcohol abuse in order to prevent social and health consequences in the population, especially those attended in primary health care, for which the promotion of health and prevention of disease are priority health concerns.
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"Healthy Men" and High Mortality: Contributions from a Population-Based Study for the Gender Paradox Discussion. PLoS One 2015; 10:e0144520. [PMID: 26641245 PMCID: PMC4671596 DOI: 10.1371/journal.pone.0144520] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2015] [Accepted: 11/19/2015] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Inequalities between men and women in morbidity and mortality show a contrast, which has been called gender paradox. Most studies evaluating this paradox were conducted in high-income countries and, until now, few investigations have been performed in Brazil. This study aims to estimate the magnitude of inequalities between adult men and women in several dimensions: demographic and socioeconomic, health behaviors, morbidity, use of health services and mortality. METHODS The data were obtained from population-based household survey carried out in Campinas (Campinas Health Survey 2008/09) corresponding to 957 people, and data from the Mortality Information System (MIS) between 2009 and 2011. Prevalences and prevalence ratios were analyzed in order to verify the differences between men and women regarding socioeconomic and demographic variables, health behaviors, morbidities and consultations in the last two weeks. Mortality rates and the ratio between coefficients considering the underlying causes of death were calculated. RESULTS Women had a greater disadvantage in socioeconomic indicators, chronic diseases diagnosed by a health professional and referred health problems as well as make more use of health services, while men presented higher frequency of most unhealthy behaviors and excessive mortality for all causes investigated. CONCLUSIONS The findings contribute to the discussion of gender paradox and demonstrate the need to employ health actions that consider the differences between men and women in the various health dimensions analyzed. The premature male mortality from preventable causes was outstanding, making clear the need for more effective prevention and health promotion directed to this segment of the population.
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Souza JGS, Jones KM, Fonseca ADG, de Barros Lima Martins AME. Consumption profile and factors associated with the ingestion of beer and distilled beverages among elderly Brazilians: Gender differences. Geriatr Gerontol Int 2015; 16:810-20. [PMID: 26246252 DOI: 10.1111/ggi.12556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2015] [Indexed: 11/29/2022]
Abstract
AIM To estimate the prevalence of the consumption of beer and distilled beverages and associated factors among Brazilian older adults residing in a highly populated city in Brazil, highlighting the factors associated with frequent consumption and differences in consumption between men and women. METHODS It was a cross-sectional, analytic study carried out by means of probability samples of conglomerates of older adults (aged 65-74 years). Descriptive analysis, univariate analysis and estimates of multivariate models through logistic regression (OR, 95% CI) were realized. RESULTS 500 of the 736 evaluated seniors were included in the present analysis. 128 (27.3%), 103 (21.3%) and 167 (34.9%) of the seniors indicate past or current use of beer, distilled beverages and frequent use of alcohol, respectively. The consumption of beer was associated with use of tobacco between women; and with marital status and schooling between men. The consumption of distilled beverages was associated with schooling and use of tobacco between women; and age and use of tobacco in men. Daily or weekly use was associated with schooling and use of tobacco between women; age and the use of tobacco between men. CONCLUSION In the elderly population studied, a noteworthy prevalence of the consumption of beer and distilled beverages was identified, and this use was associated with personal and behavioral determinants. Similar associations related to frequent (daily or weekly) consumption were also identified. Significant differences in the profile of consumption were identified between men and women, with more abusive use among men. Geriatr Gerontol Int 2016; 16: 810-820.
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Affiliation(s)
- João Gabriel Silva Souza
- Department of Physical Sciences, Piracicaba Dental School - The State University of Campinas, Montes Claros, Minas Gerais, Brazil
| | - Kimberly Marie Jones
- Center for Research, The Educative Association of Brazil, Montes Claros, Minas Gerais, Brazil
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Ferreira LN, Bispo Júnior JP, Sales ZN, Casotti CA, Braga Junior ACR. [Prevalence and associated factors of alcohol abuse and alcohol addiction]. CIENCIA & SAUDE COLETIVA 2014; 18:3409-18. [PMID: 24196905 DOI: 10.1590/s1413-81232013001100030] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2012] [Accepted: 07/30/2012] [Indexed: 11/21/2022] Open
Abstract
The scope of this study is to estimate the prevalence of alcohol abuse and alcohol addiction and the respective associated factors in the urban population of a city of northeastern Brazil. It is a population-based cross-sectional study that investigated the consumption of alcohol of 270 people living in the urban area of Jequié, State of Bahia. Alcohol abuse, defined by a score of > 8 from responses to the Alcohol Use Disorders Identification Test (AUDIT). Alcohol addiction was identified by a score > 2 obtained in the application of the Cut down, Annoyed by criticism, Guilty and Eye-opener (CAGE). The analysis used the logistic regression model. The prevalence of alcohol abuse was 18.5%. For alcohol addiction it was 10.4%. After adjusted analysis, the groups with greater alcohol abuse were men (OR = 5.56) and young (OR = 5.41). Professing evangelical belief was inversely associated with alcohol abuse (OR = 0.04). An association between alcohol abuse was established in the young, males, and smoking, whereas the inverse association was observed with those professing evangelical religious beliefs.
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da Silva JKS, Guimarães FJ, Perrelli JGA, dos Santos ZC, Pagliuca LMF. Pattern of Alcohol Consumption in Registered Users of a Family Health Unit. Health (London) 2014. [DOI: 10.4236/health.2014.611144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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