Problems Related to Alcohol Consumption in Primary Health Care: Prevalence and Clinical Profile

1993 ◽  
Vol 10 (4) ◽  
pp. 424-430 ◽  
Author(s):  
F ESCOBAR ◽  
F ESPI ◽  
M CANTERAS
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Alcohol Consumption ◽  
Clinical Profile ◽  
Primary Health

Russian-language mobile applications for reducing alcohol use: a systematic search and evaluation. (Preprint)

2021 ◽  
Author(s):  
Anna Bunova ◽  
Veronika Wiemker ◽  
Boris Gornyi ◽  
Carina Ferreira-Borges ◽  
Maria Neufeld
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Mobile Applications ◽  
Russian Language ◽  
Brief Interventions ◽  
Bibliographic Databases ◽  
Lifestyle Behavior ◽  
Primary Health

BACKGROUND Personalized prevention tools, such as mobile applications designed to reduce alcohol consumption, are widespread in mobile application stores accessible in Russia. However, their quality and content have not been systematically evaluated. OBJECTIVE This study aimed to identify Russian-language mobile applications for reducing alcohol use and evaluate their quality and potential to change alcohol-related health behavior. It further aimed to identify applications that could facilitate screening and brief interventions in primary health care in Russia. METHODS A systematic search for mobile applications available in Russia was carried out between April 1 and 15, December 1 and 15, 2020, and in March 2021 in the iOS App Store, Google Play Store, and the 4PDA forum. Application quality was assessed via the Mobile App Rating Scale (MARS), and structured searches in electronic libraries and bibliographic databases used to evaluate the applications’ evidence base. The number of features facilitating changes in lifestyle behavior was assessed using the App Behavior Change Scale (ABACUS). RESULTS We identified a total of 63 mobile applications for reducing alcohol use. Mean MARS quality ratings were high for the subscales of “Functionality” (3.92 out of 5, SD = 0.58) and “Aesthetics” (2.96; SD = 0.76) and low for “Engagement” (2.42; SD = 0.76) and “Information” (1.65, SD = 0.60). Additional searches in electronic libraries and bibliographic databases (Elibrary, Cyberleninka, Google Scholar) yielded no studies involving the identified applications. ABACUS scores ranged from 1 to 15 out of 25, with a mean of 5 (SD = 3.24). Two of the identified applications might be useful for screening and brief interventions in Russian primary health care after improvements in content and scientific testing. CONCLUSIONS Russian-language mobile applications for reducing alcohol use are accessible in the application stores. Many of them are aesthetically pleasing, functional, and easy to use. However, information about scientific trialing or testing is lacking. Most applications contain a low number of features that facilitate changes in lifestyle behavior. Further research should examine the context of Russian-language mobile applications for reducing alcohol use. Our findings underline the need to develop evidence-based applications to mitigate alcohol consumption in Russia and elsewhere. CLINICALTRIAL PROSPERO (CRD42020167458) (review ongoing).

scholarly journals O PERFIL CLÍNICO DE PACIENTES PORTADORES DE SÍFILIS ATENDIDOS EM SERVIÇOS DE ATENÇÃO PRIMÁRIA E AMBULATORIAL – REVISÃO INTEGRATIVA

2021 ◽  
Vol 32 (1) ◽  
Author(s):  
Felipe Da Cruz Lima ◽  
Alice Tavares da Mota ◽  
Luanna Feitosa ◽  
Paula Regina Dos Santos Bispo Alves ◽  
Fernanda Dantas Barros
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Treponema Pallidum ◽  
Clinical Profile ◽  
Primary Health

A sífilis é uma infecção sexualmente transmissível, causada pelo Treponema pallidum, o qual provoca principalmente uma série de lesões genitais nos indivíduos infectados. Sendo caracterizada como uma patologia com um tratamento eficaz e de baixo custo, inúmeras são as barreiras para o seu controle. Diante disso, o presente estudo, tem como objetivo uma caracterização dos casos de sífilis de pacientes atendidos na Atenção Primária e em serviços ambulatoriais, evidenciando assim situações e condições de risco que podem ser úteis no desenvolvimento de medidas para o controle de tal problemática, através de uma revisão integrativa com busca realizada nas seguintes bases de dados: Scielo, PubMed, Lilacs e Medline, onde foram encontradas 25 publicações por meio dos descritores: Syphilis, Primary Health Care e Ambulatory Care combinados com o operador booleano AND e da palavra-chave Clinical Profile, e ao final, após análise completa do material, restaram apenas 15 publicações para composição desse estudo. Os resultados mostraram que homens que fazem sexo com outros homens são o principal grupo de risco relacionado aos casos de sífilis adquirida e que mulheres estão mais vulneráveis a tal situação durante o período gestacional. Situações como baixa escolaridade e vulnerabilidade socioeconômica são determinantes presentes nessa condição, além disso comportamentos de risco, como múltiplos parceiros e uso de aplicativos contribuem fortemente para disseminação de tal infecção.    

scholarly journals Can alcohol consumption in Germany be reduced by alcohol screening, brief intervention and referral to treatment in primary health care? Results of a simulation study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255843
Author(s):  
Jakob Manthey ◽  
Adriana Solovei ◽  
Peter Anderson ◽  
Sinclair Carr ◽  
Jürgen Rehm
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Open Access ◽  
Simulation Model ◽  
Population Level ◽  
Primary Health ◽  
Screening Coverage ◽  
Coverage Rates

Background Screening, brief intervention and referral to treatment (SBIRT) is a programme to reduce alcohol consumption for drinkers with high alcohol consumption levels. Only 2.9% of patients in primary health care (PHC) are screened for their alcohol use in Germany, despite high levels of alcohol consumption and attributable harm. We developed an open-access simulation model to estimate the impact of higher SBIRT delivery rates in German PHC settings on population-level alcohol consumption. Methods and findings A hypothetical population of drinkers and non-drinkers was simulated by sex, age, and educational status for the year 2009 based on survey and sales data. Risky drinking persons receiving BI or RT were sampled from this population based on screening coverage and other parameters. Running the simulation model for a ten-year period, drinking levels and heavy episodic drinking (HED) status were changed based on effect sizes from meta-analyses. In the baseline scenario of 2.9% screening coverage, 2.4% of the adult German population received a subsequent intervention between 2009 and 2018. If every second PHC patient would have been screened for alcohol use, 21% of adult residents in Germany would have received BI or RT by the end of the ten-year simulation period. In this scenario, population-level alcohol consumption would be 11% lower than it was in 2018, without any impact on HED prevalence. Screening coverage rates below 10% were not found to have a measurable effect on drinking levels. Conclusions Large-scale implementation of SBIRT in PHC settings can yield substantial reductions of alcohol consumption in Germany. As high screening coverage rates may only be achievable in the long run, other effective alcohol policies are required to achieve short-term reduction of alcohol use and attributable harm in Germany. There is large potential to apply this open-access simulation model to other settings and for other alcohol interventions.

scholarly journals Women’s alcohol consumption in a Primary Health Care service

2021 ◽  
Vol 55 ◽  
Author(s):  
Talita Dutra Ponce ◽  
Andressa Pelissoli Picciano ◽  
Divane de Vargas
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Alcohol Consumption ◽  
Care Service ◽  
Health Care Service ◽  
Univariate Analysis ◽  
Primary Health Care Service ◽  
Younger Women ◽  
Primary Health ◽  
Sample Method

ABSTRACT Objective: To identify alcohol consumption patterns in people cared by a Primary Health Care service and verify the association between the patterns and the variables of the sample. Method: Our observational study used both the Alcohol Use Disorders Identification Test instrument and a questionnaire with socio-demographic, clinical, and behavioral questions for data collection. We carried out the descriptive and univariate analysis with Kendall and Kruskal-Wallis correlation tests. We introduced variables with p ≤ 0.2 values in the multiple logistic regression – Mann-Whitney test. Results: The sample of the study was constituted by 561 women. The analysis results indicated relevant influence for higher patterns of consumption: not having a partner, not having a religion, smoking and drug habits, and having arterial hypertension. Besides that, within each additional year in women’s age, the alcohol consumption decreases. Conclusion: We endorsed data that female alcohol consumption is presenting a tendency to increase especially among younger women, this information is essential for the promotion of Primary Health Care.

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