scholarly journals Emergency room visits due to external causes and alcohol consumption - Capitals and the Federal District, Brazil, 2011

2015 ◽  
Vol 20 (4) ◽  
pp. 1037-1046 ◽  
Author(s):  
Márcio Dênis Medeiros Mascarenhas ◽  
Alice Cristina Medeiros das Neves ◽  
Rosane Aparecida Monteiro ◽  
Marta Maria Alves da Silva ◽  
Deborah Carvalho Malta

The study objective was to describe the profile and factors related to alcohol consumption among emergency room visits by external causes. It is a cross-sectional study with data from the Survey of Violence and Injuries in Emergency between September and October 2011, in 24 state capitals and the Federal District. Statistical analysis were performed for all cases treated in selected services, comparing the characteristics of the victims, according to the statement of alcohol consumption. 33,289 visits to emergency rooms by external causes in the population above 18 years of age were included. The prevalence of self-reported statement of alcohol consumption among these services was 14.9% for the 24 capitals and the Federal District, and was significantly higher among visits by violent causes than by accidents. For both accidents and violence the associated causes were victims male, black/brown, less educated, members of specific populations, occurrences on public roads. The results support global discussions on the importance of establishing policies and legal measures to restrict the consumption of alcohol and vehicular direction, control advertising of alcoholic beverages, and laws normalizing the functioning of sales points of alcoholic beverages.

2015 ◽  
Vol 20 (3) ◽  
pp. 667-678 ◽  
Author(s):  
Márcio Dênis Medeiros Mascarenhas ◽  
Mariana Gonçalves de Freitas ◽  
Rosane Aparecida Monteiro ◽  
Marta Maria Alves da Silva ◽  
Deborah Carvalho Malta ◽  
...  

Work-related injuries, often classified as occupational injuries (OI), stand out among visits due to external causes (accidents and violence) in health services. To describe the characteristics and factors associated with emergency room visits for OI, a cross-sectional study was conducted using data from the Survey of Violence and Injuries in Emergency Services (VIVA Inquérito 2011) in 24 state capitals and the Federal District. The prevalence of treatment for OI and prevalence ratios (PR) with confidence intervals of 95% (95%CI) were calculated. There were 29,463 emergency room visits due to accidental injuries in the population above 18 years of age. The prevalence of OI was 33.4% and was positively and significantly associated with the male gender, age 30-59 years old, industrial workers, agricultural sector or repair and maintenance services. The occurrence of OI was significantly higher in attendance for objects falling on people (PR = 3.37, 95% CI 2.80 to 4.05) and injuries due to perforating object (PR = 3.01, 95% CI 2.50-3.65). The results support the surveillance of external causes and direct public policies to promote occupational health.


2018 ◽  
Vol 32 (7) ◽  
pp. 1576-1581 ◽  
Author(s):  
Pooja Agrawal ◽  
Andrew Mercer ◽  
Jamila Hassanali ◽  
Chakema Carmack ◽  
Darleesa Doss ◽  
...  

Purpose: We examined differences in the association between alcohol use and sedentary behavior by gender among adults. Design: Cross-sectional study that employs a complex, multistage stratified probability cluster sample design. Setting: National Health and Nutrition Examination Survey (NHANES) 2007 to 2014. Participants: NHANES participants aged ≥20 years and identifying as Hispanic, white, or black (N = 18 441). Measures: Demographic characteristics, sedentary behavior, and alcohol consumption. Sedentary behavior was measured based on the number of minutes of sedentary activity per week. Alcohol consumption in the last year was measured based on responses to items assessing whether the participant consumes alcoholic beverages and the number of alcoholic beverages consumed on average. Analysis: Multinomial logistic regression analysis was used to estimate associations of alcohol use with categories of sedentary behavior by gender. Results: Compared to women who reported not consuming alcohol, women who were heavy drinkers were significantly more likely to engage in high sedentary activity (odds ratio [OR]: 1.47; 95% confidence interval [CI]: 1.16-1.87), relative to low levels of sedentary activity. Similarly, women who were binge drinkers were more likely to engage in moderate levels of sedentary activity (OR: 1.39; 95% CI: 1.05-1.85). There were no significant associations between alcohol use and sedentary activity among men. Conclusion: Findings suggest that alcohol consumption should be considered in health promotion efforts targeting sedentary behavior among women.


2020 ◽  
Vol 29 ◽  
Author(s):  
Letícia Yamawaka de Almeida ◽  
Jaqueline Lemos de Oliveira ◽  
Lilian Carla de Almeida ◽  
Ana Carolina Guidorizzi Zanetti ◽  
Sandra Cristina Pillon ◽  
...  

ABSTRACT Objective: to identify factors related to harmful alcohol consumption, considering both sociodemographic characteristics and mood states. Method: a quantitative cross-sectional study, carried out with 395 non-teaching workers on a campus of a public university in the interior of the state of São Paulo, from July 2017 to June 2018. Information on the sociodemographic profile, mood state and alcohol use pattern were used. Pearson's Chi Square, Fischer Exact and Logistic Regression Tests were performed for data analysis, using the SPSS statistical program. Results: it was identified that 66% of workers had consumed alcoholic beverages in the last 12 months. Of these, 19% were classified in the range of harmful alcohol consumption. It is noteworthy that 35.2% (n=139) of workers mentioned the use in binge and 26.5% (n=105) consume alcohol two to four times a month. These variables were statistically associated with gender, religion and educational level. In addition, a negative correlation was identified between the AUDIT score and the “fatigue” factor of the mood scale. In the end, it was observed that male individuals and those with less education were more likely to consume alcohol in the harmful pattern. Conclusion: it is suggested the development of health promotion and disease prevention initiatives through health education actions and other psychosocial strategies for welcoming these workers.


2006 ◽  
Vol 28 (3) ◽  
pp. 191-195 ◽  
Author(s):  
Alessandra Diehl Reis ◽  
Neliana Buzi Figlie ◽  
Ronaldo Laranjeira

OBJECTIVE: Although there is a considerable amount of data in the literature regarding the association between alcohol consumption and injuries treated in emergency rooms, little is known about the relationship between such injury and the use of other substances. The objective of this study was to estimate the prevalence of substance use in patients admitted to the emergency room for non-fatal injuries. METHOD: A prospective cross-sectional study assessing all patients admitted to the emergency room within 6 hours after a non-fatal injury was conducted over a three-month period. The following were used as measures of alcohol and drug use: a standardized World Health Organization questionnaire; a self-administered questionnaire related to drug consumption within the 24 hours preceding contact; the Drug Abuse Screening Test; urine screens for cannabis, cocaine and benzodiazepines; and determination of blood alcohol concentration. Descriptive analyses were performed and the confidence interval used was 95%. RESULTS: A total of 353 patients were included. Cannabis and cocaine screens were conducted for 242 patients and benzodiazepine screens were conducted for 166. Blood alcohol concentrations reached the level of positivity in 11% (n = 39), and 10% (n = 33) presented some degree of intoxication. Among the 242 patients screened, 13.6% (n = 33) tested positive for cannabis, and 3.3% (n = 8) tested positive for cocaine, whereas 4.2% (n = 7) of the 166 patients screened tested positive for benzodiazepines. CONCLUSIONS: Substance use was highly prevalent among these individuals. In this sample, the frequency for the use of cannabis (an illicit drug) was comparable to that of alcohol. More studies are needed in order to characterize such use among Brazilians and to develop proper approaches to such cases, with the aim of reducing substance use and its consequences.


Author(s):  
Emília Coutinho ◽  
Carlos Pereira ◽  
Odete Amaral ◽  
Paula Nelas ◽  
Claúdia Chaves ◽  
...  

Abstract.CONSUMPTION OF ALCOHOLIC BEVERAGES DURING PREGNANCYIntroduction: The consumption of alcoholic beverages during pregnancy is highly detrimental to the mothers’ health as well as to the health of the fetus. Alcohol consumption during pregnancy leads us to question the quality of health care. The objectives of this study are to quantify the prevalence of alcohol consumption during pregnancy by Portuguese and immigrant women in Portugal and to analyze the information conveyed during pregnancy surveillance visits.Methods: A cross-sectional study, partially analyzed as a control case, involved 753 immigrant mothers between the ages of 16 and 45 (29,30 ± 5,76) and 1654 Portuguese women aged 15-44 (29,99 ± 5, 42). Data collection resorted to self-administered questionnaires in 32 Portuguese maternity wards/ hospitals, from January 2010 to December 2011. Alcohol consumption was defined as the intake of any amount of alcohol during pregnancy. Prevalence was expressed in proportions and the association scale between odds ratios (ORs) and their 95% confidence intervals was determined.Results: Nine out of ten pregnant women did not ingest any alcohol. Among those who ingested it, the highest percentage occurred among immigrants (12.0% vs 6.6%) with statistical significance (OR 0.52, CI 95% 0.37-0.7, x2 = 19.617, p <0.001). As to the frequency of consumption, 57.8% of the Portuguese women and 71.1% of the immigrants (OR 0.37, 95% CI 0.26-0.52) consumed a few times. Regarding the quality of information on alcohol consumption, 39.2% of the Portuguese considered it good and 34.9% of the immigrants, reasonable.Conclusion: Migrant women consume more alcoholic beverages during pregnancy than Portuguese ones. The prevalence of alcohol consumption during pregnancy by immigrants and Portuguese suggests inadequate antenatal care.Keywords: Alcohol; pregnancy; Nurse, health educationResumo.Introdução: O consumo de bebidas alcoólicas durante a gravidez é altamente prejudicial à saúde da mãe bem como à saúde do feto. O consumo de álcool durante a gravidez leva-nos a questionar a qualidade dos cuidados de saúde. Os objetivos deste estudo foram quantificar a prevalência do consumo de bebidas alcoólicas durante a gravidez por mulheres portuguesas e imigrantes em Portugal e analisar a informação veiculada nas consultas de vigilância de gravidez.Métodos: Estudo transversal, parcialmente analisado como caso controlo, envolveu 753 mães imigrantes com idades entre os 16 e os 45 anos (29,30±5,76) e 1654 portuguesas com idades entre os 15 e os 44 anos (29,99±5,42). Recolha de dados por questionário autopreenchido, em 32 maternidades/ hospitais portugueses, de janeiro de 2010 a dezembro de 2011. Considerou-se consumo de bebidas alcoólicas a ingestão de qualquer quantidade de álcool durante a gravidez. As prevalencias foram expressas em proporções e determinou-se ainda a magnitude de associação entre as variáveis com recurso aos Odds Ratio (OR) e respetivos intervalos de confiança a 95%.Resultados: Cerca de 9 em cada 10 das grávidas não ingeriu bebidas alcoólicas, mas entre as que ingeriram, a maior percentagem ocorreu entre as imigrantes (12,0% vs 6,6%) com significância estatística (OR 0,52; IC95% 0,37-0,7; x2=19,617; p<0,001). Quanto à frequência do consumo, consumiram algumas vezes 57,8% das portuguesas e 71,1% das imigrantes (OR 0,37; IC95% 0,26-0,52). Quanto à qualidade de informação sobre o consumo de álcool 39,2% das portuguesas considerou- a boa e 34,9% das imigrantes, razoável.Conclusão: As imigrantes consomem mais bebidas alcoólicas durante a gravidez que as portuguesas. A prevalência de qualquer consumo de álcool durante a gravidez por imigrantes e portuguesas sugere cuidados pré-natais inadequados.Palavras Chave: álcool; gravidez; enfermeiro, educação para a saúde


Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e44478
Author(s):  
Daine Ferreira Brazil do Nascimento ◽  
Georgiane Silva Mota ◽  
Bianca Beatriz Santos de Souza ◽  
Priscilla Nunes Porto ◽  
Carla Tatiane Oliveira Silva ◽  
...  

Objective: to describe the association between sociodemographic factors and alcohol consumption in women from a rural community. Methods: a cross-sectional study conducted with 259 women from a rural community. For data collection, a structured form and the Alcohol Use Disorders Identification Test were used. For analysis, chi-square and/or Fisher’s Exact tests were used, with a 95% confidence interval. Results: there was a statistically significant association between alcoholic consumption by the women investigated and age and zone I (p=0.043), income and zone I (p=0.081), and income and zone IV (p=0.049). Conclusion: participants with lower income consumed alcoholic beverages excessively.


2014 ◽  
Vol 8 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Naseem Salahuddin ◽  
Khadija Mubashar ◽  
Naila Baig-Ansari

Abstract Background: Human rabies is a fatal infectious disease that is entirely preventable if correct and timely postexposure prophylaxis is given. Unfortunately, rabies immune globulin (RIG) administration, a life-saving biological, is often avoided by Emergency Room health care providers (HCPs). Objective: To understand the practices of HCPs for administration of RIG in severe dog-bite exposures, which are common causes of emergency room visits in Pakistan. Methods: A cross-sectional study was conducted among 103 HCPs working in seven hospitals in three cities of Pakistan. Results: Of 103 HCPs who responded to the questionnaires, 97.1% had administered rabies vaccine and 31.1% had administered ERIG in the past three years of their practice; three quarters said they would prefer to use HRIG if available; 35% said they would not inject wounds at all, 24.3% would only vaccinate a patient with severe dog bites, but not administer RIG. More than 55% were concerned about the cost of human and equine RIG. Conclusion: Although there is awareness about use of RIG, this life saving biological is grossly underused because of poor availability in Emergency Rooms (ERs) even though stocked by local dealers. Animal bite centers must make RIG available for severe exposures.


2014 ◽  
Vol 17 (suppl 1) ◽  
pp. 203-214 ◽  
Author(s):  
Deborah Carvalho Malta ◽  
Isis Eloah Machado ◽  
Denise Lopes Porto ◽  
Marta Maria Alves da Silva ◽  
Paula Carvalho de Freitas ◽  
...  

OBJECTIVE: To describe the prevalence of alcohol consumption among Brazilian students and identify the sociodemographic factors associated alcohol consumption in the last 30 days. METHODS: Cross-sectional study with a cluster sample of 109,104 9th grade students in Brazilian public and private schools in 2012. The prevalence and 95% confidence intervals of the indicators of alcohol consumption were analyzed. RESULTS: Of the students analyzed, 50.3% (95%CI 49.0 - 51.6) experimented one dose of alcoholic beverages or more. The consumption of alcohol in the last 30 days was 26.1% (95%CI 24.5 - 27.7), and there was no difference in prevalence between students from public and private schools. Drunkenness episodes were reported by 21.8% (95%CI 21.1 - 22.5) of the students. The perception of students about the negative reaction of their family if they came home drunk occurred in 89,7% (95%CI 89,6 - 89,9) of cases, and 10% (95%CI 8.9 - 11.1) of them reported having problems with their families or friends because they had been drinking. Among adolescents aged less than 14 years old, the first alcoholic drink intake was predominantly at 12 to 13 years old. The most common way to get a drink was at parties, with friends, buying in them in supermarkets, stores or bars and at home. The consumption of alcohol in the last 30 days was less frequent among boys, increasing with age. CONCLUSION: The study demonstrates the extension of alcohol as a problem, making it important to advance in measures such as the improvement of protective legislation for children and adolescents and stricter enforcement in alcohol sales.


Mastology ◽  
2021 ◽  
Vol 31 ◽  
Author(s):  
Jardeson Saraiva Jorge ◽  
Fabio Siqueira ◽  
Jessica Vick de Oliveira Leal

Introduction: In Brazil, for the 2020–2022 triennium, the estimated incidence of breast cancer in women was 66,280/year. It is the most incident type of cancer in all Brazilian regions. Several risk factors are associated with the probable etiology of breast cancer, though the complexity of the disease makes it difficult to define its main cause. Objective: To investigate the prevalence of factors associated with breast cancer in an outpatient population at a public hospital in the Federal District, and to verify the epidemiological profile of this population to compare the data obtained with data published in the literature. Method: This is a descriptive cross-sectional study, with 115 participants diagnosed with breast cancer undergoing treatment in a highly complex unit of oncology care in the Federal District between July and October 2020. Data collection was done through a questionnaire. The electronic medical record was consulted to complement the data. Results: The majority of women were brown, married, with an average age of 52. Hormone therapy was reported by 73.9%, early menarche by only 33.9% and late menopause by 25.2%. Most had children before the age of 30 and more than 80% breastfed. A family history of breast cancer was present in 30.4% of the sample. The consumption of alcoholic beverages was reported by more than half of the women, but the use of cigarettes was denied by the majority. The practice of some physical activity before the diagnosis of cancer was reported by 69.6%. Most were overweight or had some degree of obesity. Non-special invasive carcinoma was the most common type. Conclusions: This study showed that the main factors present in the sample were: advanced age, alcohol consumption, use of hormone therapy and overweight.


2018 ◽  
Vol 12 (10) ◽  
pp. 2643
Author(s):  
Maria Simone Gomes ◽  
Teógenes De Oliiveira ◽  
Macerlane De Lira Silva ◽  
Geane Silva Oliveira ◽  
Renata Lívia Silva Fonseca Moreira de Medeiros

RESUMO Objetivo: estimar a prevalência de álcool entre universitários. Método: trata-se de estudo quantitativo, descritivo, transversal, com 100 universitários no último período da graduação. Aplicou-se um questionário e se realizou a análise estatística com o auxílio do aplicativo SPSS, versão 21.0. Apresentaram-se os dados em tabela e figuras e discutidos à luz da literatura. Resultados: verificou-se a prevalência do público feminino jovem (71%), que consome cerca de cinco doses (57,6%) de cerveja, uísque ou vinhos na busca de diversão (73,5%) ou é influenciado pelos amigos (20,6%) deixando-o mais confiante e com iniciativa (71,6%). Conclusão: pode-se afirmar que o uso do álcool é prevalente e abusivo entre universitários, entretanto, os mesmos reconhecem os riscos ocasionados pelo consumo abusivo do álcool. Considera-se ainda relevante comentar a necessidade de ações relacionadas às políticas públicas que reduzam ou adiem o início do consumo de álcool e problemas relacionados ao uso excessivo. Descritores: Bebidas Alcoólicas; Estudantes; Fatores de Risco; Intoxicação Alcoólica; Vulnerabilidade em Saúde; Dependência (Psicologia).ABSTRACTObjective: to estimate the prevalence of alcohol among college students. Method: this is a quantitative, descriptive, cross-sectional study with 100 university students in the last graduation period. A questionnaire was applied and statistical analysis was performed with the help of the SPSS application, version 21.0. Data were presented in table and figures and discussed in the light of the literature. Results: the prevalence of the young female audience (71%), which consume about five doses (57.6%) of beer, whiskey or wines in search of fun (73.5%) or is influenced by friends (20.6%) making him more confident and with initiative (71.6%). Conclusion: it can be stated that the use of alcohol is prevalent and abusive among university students, however, they recognize the risks caused by abusive alcohol consumption. It is also considered relevant to comment on the need for actions related to public policies that reduce or delay the onset of alcohol consumption and problems related to excessive use. Descriptors: Alcoholic Beverages; Students; Risk Factors; Alcoholic Intoxication; Health Vulnerability; Dependency (Psychology).RESUMEN Objetivo: estimar la prevalencia de alcohol entre universitarios. Método: se trata de un estudio cuantitativo, descriptivo, transversal, con 100 universitarios en el último período de la graduación. Se aplicó un cuestionario y se realizó el análisis estadístico con la ayuda de la aplicación SPSS, versión 21.0. Se presentaron los datos en tabla y figuras y discutidos a la luz de la literatura. Resultados: se verificó la prevalencia del público femenino joven (71%), que consume cerca de cinco dosis (57,6%) de cerveza, whisky o vinos en la búsqueda de diversión (73,5%) o es influenciado por los amigos (20, 6%) dejándolo más confiado y con iniciativa (71,6%). Conclusión: se puede afirmar que el uso del alcohol es prevalente y abusivo entre universitarios, sin embargo, los mismos reconocen los riesgos ocasionados por el consumo abusivo del alcohol. Se considera también relevante comentar la necesidad de acciones relacionadas con las políticas públicas que reduzcan o posterguen el inicio del consumo de alcohol y problemas relacionados con el uso excesivo. Descriptores: Bebidas Alcoólicas; Estudiantes; Factores de Riesgo; Intoxicación Alcohólica; Vulnerabilidad en Salud; Dependencia (Psicología).


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