Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool

Detalhes bibliográficos
Autor(a) principal: Silva, Jailson Vilberto de Sousa
Data de Publicação: 2017
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UNISANTOS
Texto Completo: https://tede.unisantos.br/handle/tede/3702
Resumo: Introduction: Alcohol abuse is considered a public health problem in the world and in Brazil. It accounts for 5.9% of the world's deaths according to the World Health Organization (OMS). In addition to health damage, studies in Brazil found the risk of death in men around 10 times higher than in women, with a high prevalence in the Northeast. In the years 2003 to 2007, a high prevalence was observed related to alcohol abuse in men, with higher frequency in the 4th and 5th decades of deaths recorded by the Death Verification Service (SVO / PB). Objective: To verify the association of mortality due to mortis related to the disorder of alcohol abuse and dependence in deaths admitted to the SVO / PB in the year 2015. Methods: Cross-sectional, quantitative study. The sample consisted of deaths in the year 2015 that, by criterion, were entered in the SVO / PB, in males, aged between 20 and 50 years. The data were collected from the death certificates and the admission forms. Statistical analyzes were performed in the SPSS® and R® programs to evaluate the association between the variables and Pearson's Chi-square test, Fisher's exact test, logistic regression with p <0.05 and as association measure was calculated The prevalence ratio with Confidence Interval (CI). Results: There were 972 deaths in men in the year 2015 in Paraíba. In the age group of 20 to 50 years, 192 deaths were verified and of these 28%, which corresponds to 54 cases, had a death related to alcohol abuse. In the sociodemographic analysis, the highest prevalence was found in the group of deaths due to alcohol abuse for the age group of 40 to 50 years old in a percentage of 66.7%, the brown ethnicity found was 98.1% of the cases, the low level of schooling Accounted for 70.4% of cases, single marital status appeared in 83.3% of cases. Regarding the medical history reported by the family, the most frequent clinical signs were from chronic diseases, with 52.2% of the occurrences being the most frequent: limb edema with 26% and malnutrition 26%; Mental disorders accounted for 42.77% of the signs reported, being the most frequent were: smoking with 34% and alcoholic epilepsy with 22%. The majority of deaths in the alcoholic group occurred in hospitals and health facilities with 44.4% of occurrence. The proportion of deaths in alcoholics with associated digestive tract causes was 55.6%, with 30 cases and the prevalence rate of this association was 9.53 with Confidence Interval - IC 4.58 - 20.60. The highest frequency of deaths was in João Pessoa, where the SVO / PB is located, it was observed that there was statistical significance for the difference between the groups that received assistance by city and in the association between the group that died in hospitals and services Health by city, the highest proportion in the city of João Pessoa in both cases, 44.8% and 33.3%, respectively. Conclusion: To investigate the epidemiological aspects of the deaths through clinical necropsy, it reinforces the importance of information systems for the planning, evaluation and execution of health actions, assisting in the policy of harm reduction through alcohol abuse.
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spelling Andreoli, Sergio Baxterhttp://lattes.cnpq.br/3330444987520974Andreoli, Sergio BaxterMartins, Lourdes ConceiçãoSousa, Selda Gomes de023.839.304-66http://lattes.cnpq.br/5938768038823402Silva, Jailson Vilberto de Sousa2017-06-09T18:12:46Z2017-03-21SILVA, Jailson Vilberto de Sousa. Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool. 2017. 65 f. Dissertação (mestrado) - Universidade Católica de Santos, Programa de Mestrado em Saúde Coletiva, com ênfase na na área de concentração em Saúde, ambiente e mudanças sociais, 2017.https://tede.unisantos.br/handle/tede/3702Introduction: Alcohol abuse is considered a public health problem in the world and in Brazil. It accounts for 5.9% of the world's deaths according to the World Health Organization (OMS). In addition to health damage, studies in Brazil found the risk of death in men around 10 times higher than in women, with a high prevalence in the Northeast. In the years 2003 to 2007, a high prevalence was observed related to alcohol abuse in men, with higher frequency in the 4th and 5th decades of deaths recorded by the Death Verification Service (SVO / PB). Objective: To verify the association of mortality due to mortis related to the disorder of alcohol abuse and dependence in deaths admitted to the SVO / PB in the year 2015. Methods: Cross-sectional, quantitative study. The sample consisted of deaths in the year 2015 that, by criterion, were entered in the SVO / PB, in males, aged between 20 and 50 years. The data were collected from the death certificates and the admission forms. Statistical analyzes were performed in the SPSS® and R® programs to evaluate the association between the variables and Pearson's Chi-square test, Fisher's exact test, logistic regression with p <0.05 and as association measure was calculated The prevalence ratio with Confidence Interval (CI). Results: There were 972 deaths in men in the year 2015 in Paraíba. In the age group of 20 to 50 years, 192 deaths were verified and of these 28%, which corresponds to 54 cases, had a death related to alcohol abuse. In the sociodemographic analysis, the highest prevalence was found in the group of deaths due to alcohol abuse for the age group of 40 to 50 years old in a percentage of 66.7%, the brown ethnicity found was 98.1% of the cases, the low level of schooling Accounted for 70.4% of cases, single marital status appeared in 83.3% of cases. Regarding the medical history reported by the family, the most frequent clinical signs were from chronic diseases, with 52.2% of the occurrences being the most frequent: limb edema with 26% and malnutrition 26%; Mental disorders accounted for 42.77% of the signs reported, being the most frequent were: smoking with 34% and alcoholic epilepsy with 22%. The majority of deaths in the alcoholic group occurred in hospitals and health facilities with 44.4% of occurrence. The proportion of deaths in alcoholics with associated digestive tract causes was 55.6%, with 30 cases and the prevalence rate of this association was 9.53 with Confidence Interval - IC 4.58 - 20.60. The highest frequency of deaths was in João Pessoa, where the SVO / PB is located, it was observed that there was statistical significance for the difference between the groups that received assistance by city and in the association between the group that died in hospitals and services Health by city, the highest proportion in the city of João Pessoa in both cases, 44.8% and 33.3%, respectively. Conclusion: To investigate the epidemiological aspects of the deaths through clinical necropsy, it reinforces the importance of information systems for the planning, evaluation and execution of health actions, assisting in the policy of harm reduction through alcohol abuse.Introdução: O uso abusivo do álcool é considerado um problema de saúde pública no mundo e no Brasil. É responsável por a 5,9% das mortes do mundo segundo a Organização Mundial de Saúde (OMS). Além dos danos à saúde, estudos no Brasil verificaram o risco de óbito em homens em torno de 10 vezes maiores que em mulheres, com alta prevalência no Nordeste. Nos anos de 2003 a 2007 foi observada alta prevalência relacionada ao uso abusivo de álcool em homens, com maior frequência nas 4ª e 5ª décadas dos óbitos registrados pelo Serviço de Verificação de Óbitos (SVO/PB). Objetivo: Verificar a associação da mortalidade por causa mortis relacionadas ao transtorno de abuso e dependência de álcool em óbitos admitidos no SVO/PB no ano de 2015. Métodos: Estudo transversal, quantitativo. A amostra foi composta pelos óbitos ocorridos no ano de 2015 que por critério, deram entrada no SVO/PB, em indivíduos do sexo masculino, com idade entre 20 e 50 anos. Coletou-se os dados a partir das declarações de óbitos e das fichas de admissão. Foram feitas análises estatísticas nos programas SPSS® e R® para avaliar a associação entre as variáveis e usou ¿ se o Teste Qui-quadrado de Pearson, Exato de Fisher, regressão logística com p < 0,05 e como medida de associação calculou-se a razão de prevalência com Intervalo de Confiança (IC). Resultados: Foi verificado 972 óbitos em homens no ano de 2015 na Paraíba. Na faixa etária de 20 a 50 anos foi verificado 192 óbitos e destes 28% que equivale a 54 casos, tiveram o óbito relacionado ao uso abusivo de álcool. Em análise sociodemográfica encontrou-se a maior prevalência no grupo dos óbitos por uso abusivo de álcool para faixa etária de 40 a 50 anos em uma porcentagem de 66,7%, a etnia parda encontrada foi 98,1% dos casos, a baixa escolaridade contabilizou 70,4% dos casos, o estado civil solteiro apareceu 83,3% dos casos. No tocante ao histórico médico relatado pela família os sinais clínicos mais frequentes foram a partir de doenças crônicas com 52,2% das ocorrências sendo os mais frequentes: edema de membros com 26% e desnutrição 26%; os transtornos mentais representaram 42,77% dos sinais relatados, sendo que deste os mais frequentes foram: tabagismo com 34% e epilepsia alcoólica com 22%. A maioria dos óbitos no grupo etilista ocorreu em hospitais e estabelecimentos de saúde com 44,4% de ocorrência. A proporção de óbitos em etilistas com causas do aparelho digestivo associada foi de 55,6% sendo 30 casos e a razão de prevalência dessa associação foi de 9,53 com Intervalo de Confiança - IC 4,58 ¿ 20,60. A maior frequência de óbitos foi em João Pessoa, local onde se encontra o SVO/PB, observou-se que houve significância estatística para a diferença entre os grupos que receberam assistência por cidade e na associação entre o grupo que faleceu em hospitais e serviços de saúde por cidade, estando a maior proporção na cidade de João Pessoa em ambos casos, 44,8% e 33,3%, respectivamente. Conclusão: O nosso estudo mostra que o alcoolismo é um fator importante na causa mortis de um parcela grande da população masculina o que reforça a necessidade de políticas mais vigorosas de enfrentamento deste transtorno. Políticas que enfoquem desde a estruturação de sistemas de informação, análise e planejamento de ações em saúde, auxiliando na política de redução de danos pelo uso abusivo de álcool.application/pdfporUniversidade Católica de SantosMestrado em Saúde ColetivaCatólica de SantosBrasilCentro de Ciências Sociais Aplicadas e SaúdeSILVA, Jailson Vilberto de Sousa. Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool. 2017. 65 f. 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dc.title.eng.fl_str_mv Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
title Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
spellingShingle Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
Silva, Jailson Vilberto de Sousa
óbito; sistemas de informação; Alcoolismo
death; information systems; alcoholism
CIENCIAS DA SAUDE::SAUDE COLETIVA
title_short Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
title_full Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
title_fullStr Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
title_full_unstemmed Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
title_sort Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool
author Silva, Jailson Vilberto de Sousa
author_facet Silva, Jailson Vilberto de Sousa
author_role author
dc.contributor.advisor1.fl_str_mv Andreoli, Sergio Baxter
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/3330444987520974
dc.contributor.referee1.fl_str_mv Andreoli, Sergio Baxter
dc.contributor.referee2.fl_str_mv Martins, Lourdes Conceição
dc.contributor.referee3.fl_str_mv Sousa, Selda Gomes de
dc.contributor.authorID.fl_str_mv 023.839.304-66
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/5938768038823402
dc.contributor.author.fl_str_mv Silva, Jailson Vilberto de Sousa
contributor_str_mv Andreoli, Sergio Baxter
Andreoli, Sergio Baxter
Martins, Lourdes Conceição
Sousa, Selda Gomes de
dc.subject.por.fl_str_mv óbito; sistemas de informação; Alcoolismo
topic óbito; sistemas de informação; Alcoolismo
death; information systems; alcoholism
CIENCIAS DA SAUDE::SAUDE COLETIVA
dc.subject.eng.fl_str_mv death; information systems; alcoholism
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::SAUDE COLETIVA
description Introduction: Alcohol abuse is considered a public health problem in the world and in Brazil. It accounts for 5.9% of the world's deaths according to the World Health Organization (OMS). In addition to health damage, studies in Brazil found the risk of death in men around 10 times higher than in women, with a high prevalence in the Northeast. In the years 2003 to 2007, a high prevalence was observed related to alcohol abuse in men, with higher frequency in the 4th and 5th decades of deaths recorded by the Death Verification Service (SVO / PB). Objective: To verify the association of mortality due to mortis related to the disorder of alcohol abuse and dependence in deaths admitted to the SVO / PB in the year 2015. Methods: Cross-sectional, quantitative study. The sample consisted of deaths in the year 2015 that, by criterion, were entered in the SVO / PB, in males, aged between 20 and 50 years. The data were collected from the death certificates and the admission forms. Statistical analyzes were performed in the SPSS® and R® programs to evaluate the association between the variables and Pearson's Chi-square test, Fisher's exact test, logistic regression with p <0.05 and as association measure was calculated The prevalence ratio with Confidence Interval (CI). Results: There were 972 deaths in men in the year 2015 in Paraíba. In the age group of 20 to 50 years, 192 deaths were verified and of these 28%, which corresponds to 54 cases, had a death related to alcohol abuse. In the sociodemographic analysis, the highest prevalence was found in the group of deaths due to alcohol abuse for the age group of 40 to 50 years old in a percentage of 66.7%, the brown ethnicity found was 98.1% of the cases, the low level of schooling Accounted for 70.4% of cases, single marital status appeared in 83.3% of cases. Regarding the medical history reported by the family, the most frequent clinical signs were from chronic diseases, with 52.2% of the occurrences being the most frequent: limb edema with 26% and malnutrition 26%; Mental disorders accounted for 42.77% of the signs reported, being the most frequent were: smoking with 34% and alcoholic epilepsy with 22%. The majority of deaths in the alcoholic group occurred in hospitals and health facilities with 44.4% of occurrence. The proportion of deaths in alcoholics with associated digestive tract causes was 55.6%, with 30 cases and the prevalence rate of this association was 9.53 with Confidence Interval - IC 4.58 - 20.60. The highest frequency of deaths was in João Pessoa, where the SVO / PB is located, it was observed that there was statistical significance for the difference between the groups that received assistance by city and in the association between the group that died in hospitals and services Health by city, the highest proportion in the city of João Pessoa in both cases, 44.8% and 33.3%, respectively. Conclusion: To investigate the epidemiological aspects of the deaths through clinical necropsy, it reinforces the importance of information systems for the planning, evaluation and execution of health actions, assisting in the policy of harm reduction through alcohol abuse.
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-06-09T18:12:46Z
dc.date.issued.fl_str_mv 2017-03-21
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv SILVA, Jailson Vilberto de Sousa. Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool. 2017. 65 f. Dissertação (mestrado) - Universidade Católica de Santos, Programa de Mestrado em Saúde Coletiva, com ênfase na na área de concentração em Saúde, ambiente e mudanças sociais, 2017.
dc.identifier.uri.fl_str_mv https://tede.unisantos.br/handle/tede/3702
identifier_str_mv SILVA, Jailson Vilberto de Sousa. Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool. 2017. 65 f. Dissertação (mestrado) - Universidade Católica de Santos, Programa de Mestrado em Saúde Coletiva, com ênfase na na área de concentração em Saúde, ambiente e mudanças sociais, 2017.
url https://tede.unisantos.br/handle/tede/3702
dc.language.iso.fl_str_mv por
language por
dc.relation.references.eng.fl_str_mv SILVA, Jailson Vilberto de Sousa. Estudo da mortalidade associado ao transtorno de abuso e dependência ao álcool. 2017. 65 f. Dissertação (mestrado) - Universidade Católica de Santos, Programa de Mestrado em Saúde Coletiva, com ênfase na na área de concentração em Saúde, ambiente e mudanças sociais, 2017.
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Católica de Santos
dc.publisher.program.fl_str_mv Mestrado em Saúde Coletiva
dc.publisher.initials.fl_str_mv Católica de Santos
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Centro de Ciências Sociais Aplicadas e Saúde
publisher.none.fl_str_mv Universidade Católica de Santos
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UNISANTOS
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