Arilton Martins Fonseca

Fatores associados ao uso pesado de álcool entre estudantes das capitais brasileiras

OBJETIVO: Analisar a associacao entre o uso pesado de alcool entre estudantes e os fatores familiares, pessoais e sociais. METODOS: Estudo transversal realizado com estudantes de dez a 18 anos de escolas publicas de 27 capitais brasileiras, em 2004. Os dados foram coletados por meio de questionario anonimo, de autopreenchimento, adaptado de instrumento desenvolvido pela Organizacao Mundial da Saude. A amostra representativa, composta por 48.155 estudantes, foi estratificada por setores censitarios e por conglomerados (escolas). Associacoes entre o uso pesado de alcool e os fatores estudados foram analisadas por meio de regressao logistica, considerando nivel de significância de 5%. RESULTADOS: Do total de estudantes, 4.286 (8,9%) fizeram uso pesado de alcool no mes anterior a entrevista. A analise por regressao logistica mostrou associacao entre relacoes ruins ou regulares com pai (OR=1,46) e mae (OR=1,61) e uso pesado de alcool. Seguir uma religiao (OR=0,83) mostrou-se inversamente associado a este tipo de consumo de alcool. A pratica de esportes e o fato de a mae se percebida como liberal nao mostraram significância no modelo. Houve maior prevalencia de uso pesado de alcool entre os estudantes que trabalhavam. CONCLUSOES: Ligacoes familiares mais coesas e seguir uma religiao podem prevenir o uso abusivo de alcool entre estudantes.

Comparison between two household surveys on psychotropic drug use in Brazil: 2001 and 2004

CEBRID (Brazilian Center of Information on Psychotropic Drugs) conducted two household surveys on drug use in Brazil, the first in 2001 and the second in 2005, making it possible for researchers, for the first time ever, to have a timeline comparison using this type of methodology. The universe studied corresponded to the Brazilian population living in 107 Brazilian cities with more than 200.00 inhabitants. 8,589 people were interviewed in the first survey in 2001, and 7,939 people in the second. Data on prevalence of lifetime use for psychotropic drugs showed that there was a significant increase only in the number of people who had made lifetime use of psychotropic substances (including tobacco and alcohol). In 2001, 19.4% of the interviewees reported having used some type of drug, and the ranking of lifetime drug use in 2004 was 22.8%, a statistically significant increase. There was also a statistically significant increase in lifetime use of alcohol and tobacco in comparison between the two surveys.

Padrões de violência domiciliar associada ao uso de álcool no Brasil

OBJETIVO: Analizar las situaciones de violencia domiciliar ocurridas con el agresor bajo efecto de alcohol. METODOS: Fue realizado un levantamiento domiciliar que incluyo las 108 ciudades brasileras con mas de 200 mil habitantes en 2005. El muestreo fue por conglomerados, estratificado, probabilistico y autoponderado, obtenido en tres fases de seleccion: sectores censitarios, domicilios y respondentes (poblacion entre 12-65 anos de edad). El instrumento utilizado para obtencion de los datos fue el Substance Abuse and Mental Health Services Administration, con preguntas sobre datos sociodemograficos y uso de drogas psicotropicas. RESULTADOS: Fueron investigados 7.939 domicilios. En 33,5% fue relatado historico de violencia domiciliar, siendo 17,1% con agresores alcoholizados. Los tipos de violencia en asociacion con uso de alcohol mas frecuentes fueron: discusiones direccionadas a personas del domicilio (81,8%), escandalos no direccionados a alguien especifico (70,9%), amenaza de agresion fisica (39,5%) y de ruptura de objetos (38,7%), agresiones fisicas (27,8%), con armas (5,5%) y abuso sexual (3,2%). Mas de la mitad de los agresores era morador del domicilio, 88,8% de ellos del sexo masculino. La mayoria de las victimas era del sexo femenino (63,9%); 33,9% eran esposas y 18,2% hijos. Con relacion a las reincidencias, 14,1% de los casos perduraron por periodo entre uno a cinco anos y en 14,3% ultrapasaron una decada. La mayor parte de las victimas (86%) y de los agresores (77,9%) no procuro ayuda en servicio de salud y/o policia. CONCLUSIONES: Ademas de la alta proporcion de domicilios brasileros con historico de violencia con agresores alcoholizados, las agresiones presentaron varias especificidades. La baja busqueda de ayuda en servicios de salud/policia indica la importancia de la deteccion activa de casos de violencia domiciliar.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.

Factors associated with heavy alcohol use among students in Brazilian capitals

OBJETIVO: Analisar a associacao entre o uso pesado de alcool entre estudantes e os fatores familiares, pessoais e sociais. METODOS: Estudo transversal realizado com estudantes de dez a 18 anos de escolas publicas de 27 capitais brasileiras, em 2004. Os dados foram coletados por meio de questionario anonimo, de autopreenchimento, adaptado de instrumento desenvolvido pela Organizacao Mundial da Saude. A amostra representativa, composta por 48.155 estudantes, foi estratificada por setores censitarios e por conglomerados (escolas). Associacoes entre o uso pesado de alcool e os fatores estudados foram analisadas por meio de regressao logistica, considerando nivel de significância de 5%. RESULTADOS: Do total de estudantes, 4.286 (8,9%) fizeram uso pesado de alcool no mes anterior a entrevista. A analise por regressao logistica mostrou associacao entre relacoes ruins ou regulares com pai (OR=1,46) e mae (OR=1,61) e uso pesado de alcool. Seguir uma religiao (OR=0,83) mostrou-se inversamente associado a este tipo de consumo de alcool. A pratica de esportes e o fato de a mae se percebida como liberal nao mostraram significância no modelo. Houve maior prevalencia de uso pesado de alcool entre os estudantes que trabalhavam. CONCLUSOES: Ligacoes familiares mais coesas e seguir uma religiao podem prevenir o uso abusivo de alcool entre estudantes.

Alcohol-related domestic violence: a household survey in Brazil

OBJETIVO: Analizar las situaciones de violencia domiciliar ocurridas con el agresor bajo efecto de alcohol. METODOS: Fue realizado un levantamiento domiciliar que incluyo las 108 ciudades brasileras con mas de 200 mil habitantes en 2005. El muestreo fue por conglomerados, estratificado, probabilistico y autoponderado, obtenido en tres fases de seleccion: sectores censitarios, domicilios y respondentes (poblacion entre 12-65 anos de edad). El instrumento utilizado para obtencion de los datos fue el Substance Abuse and Mental Health Services Administration, con preguntas sobre datos sociodemograficos y uso de drogas psicotropicas. RESULTADOS: Fueron investigados 7.939 domicilios. En 33,5% fue relatado historico de violencia domiciliar, siendo 17,1% con agresores alcoholizados. Los tipos de violencia en asociacion con uso de alcohol mas frecuentes fueron: discusiones direccionadas a personas del domicilio (81,8%), escandalos no direccionados a alguien especifico (70,9%), amenaza de agresion fisica (39,5%) y de ruptura de objetos (38,7%), agresiones fisicas (27,8%), con armas (5,5%) y abuso sexual (3,2%). Mas de la mitad de los agresores era morador del domicilio, 88,8% de ellos del sexo masculino. La mayoria de las victimas era del sexo femenino (63,9%); 33,9% eran esposas y 18,2% hijos. Con relacion a las reincidencias, 14,1% de los casos perduraron por periodo entre uno a cinco anos y en 14,3% ultrapasaron una decada. La mayor parte de las victimas (86%) y de los agresores (77,9%) no procuro ayuda en servicio de salud y/o policia. CONCLUSIONES: Ademas de la alta proporcion de domicilios brasileros con historico de violencia con agresores alcoholizados, las agresiones presentaron varias especificidades. La baja busqueda de ayuda en servicios de salud/policia indica la importancia de la deteccion activa de casos de violencia domiciliar.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.

Factores asociados al uso pesado de alcohol entre estudiantes de las capitales brasileras

OBJETIVO: Analisar a associacao entre o uso pesado de alcool entre estudantes e os fatores familiares, pessoais e sociais. METODOS: Estudo transversal realizado com estudantes de dez a 18 anos de escolas publicas de 27 capitais brasileiras, em 2004. Os dados foram coletados por meio de questionario anonimo, de autopreenchimento, adaptado de instrumento desenvolvido pela Organizacao Mundial da Saude. A amostra representativa, composta por 48.155 estudantes, foi estratificada por setores censitarios e por conglomerados (escolas). Associacoes entre o uso pesado de alcool e os fatores estudados foram analisadas por meio de regressao logistica, considerando nivel de significância de 5%. RESULTADOS: Do total de estudantes, 4.286 (8,9%) fizeram uso pesado de alcool no mes anterior a entrevista. A analise por regressao logistica mostrou associacao entre relacoes ruins ou regulares com pai (OR=1,46) e mae (OR=1,61) e uso pesado de alcool. Seguir uma religiao (OR=0,83) mostrou-se inversamente associado a este tipo de consumo de alcool. A pratica de esportes e o fato de a mae se percebida como liberal nao mostraram significância no modelo. Houve maior prevalencia de uso pesado de alcool entre os estudantes que trabalhavam. CONCLUSOES: Ligacoes familiares mais coesas e seguir uma religiao podem prevenir o uso abusivo de alcool entre estudantes.

Patrones de violencia domiciliar asociada al uso de alcohol en Brasil

OBJETIVO: Analizar las situaciones de violencia domiciliar ocurridas con el agresor bajo efecto de alcohol. METODOS: Fue realizado un levantamiento domiciliar que incluyo las 108 ciudades brasileras con mas de 200 mil habitantes en 2005. El muestreo fue por conglomerados, estratificado, probabilistico y autoponderado, obtenido en tres fases de seleccion: sectores censitarios, domicilios y respondentes (poblacion entre 12-65 anos de edad). El instrumento utilizado para obtencion de los datos fue el Substance Abuse and Mental Health Services Administration, con preguntas sobre datos sociodemograficos y uso de drogas psicotropicas. RESULTADOS: Fueron investigados 7.939 domicilios. En 33,5% fue relatado historico de violencia domiciliar, siendo 17,1% con agresores alcoholizados. Los tipos de violencia en asociacion con uso de alcohol mas frecuentes fueron: discusiones direccionadas a personas del domicilio (81,8%), escandalos no direccionados a alguien especifico (70,9%), amenaza de agresion fisica (39,5%) y de ruptura de objetos (38,7%), agresiones fisicas (27,8%), con armas (5,5%) y abuso sexual (3,2%). Mas de la mitad de los agresores era morador del domicilio, 88,8% de ellos del sexo masculino. La mayoria de las victimas era del sexo femenino (63,9%); 33,9% eran esposas y 18,2% hijos. Con relacion a las reincidencias, 14,1% de los casos perduraron por periodo entre uno a cinco anos y en 14,3% ultrapasaron una decada. La mayor parte de las victimas (86%) y de los agresores (77,9%) no procuro ayuda en servicio de salud y/o policia. CONCLUSIONES: Ademas de la alta proporcion de domicilios brasileros con historico de violencia con agresores alcoholizados, las agresiones presentaron varias especificidades. La baja busqueda de ayuda en servicios de salud/policia indica la importancia de la deteccion activa de casos de violencia domiciliar.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.