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ABSTRACT: Binge drinking (BD) is a harmful pattern of alcohol use. This study describes this pattern of drinking and the sociodemographic variables associated with it in a representative sample of Brazilians.
A cross-sectional survey of 3007 individuals using a multistage probabilistic sample was conducted in 143 Brazilian municipalities. The frequency of BD in the year preceding the study was assessed. BD was defined as the consumption of four drinks of alcohol within a two-hour period for women and five drinks in two hours for men. Weighted-ordered logit regression was used to assess the relationship between sociodemographic factors and BD.
Most respondents had not engaged in binge drinking (69.7%; 95% confidence interval (CI) 67.0-72.2%). Binge drinking was more common among participants who were male (odds ratio (OR) 2.9; 95% CI 2.3-3.6) or single (OR 1.5; 95% CI 1.1-2.1) or had higher family income (OR 2.3; 95% CI 1.3-3.8). Individuals between 18 and 44 years of age were four times more likely to engage in binge drinking than adolescents (OR 4.7; 95% CI 3.3-6.8). Evangelicals/Protestants were less likely to engage in binge drinking (OR 0.7; 95% CI 0.2-0.5).
Our study, which is the first representative survey of BD in Brazil, showed that the age range of adults who engaged in BD is wider than the age range observed in other countries. These individuals are at increased risk for the adverse consequences of binge drinking, including addiction, car accidents, involvement in crime, absenteeism, and family violence.
Drug and alcohol dependence 06/2012; 126(1-2):272-6. · 3.60 Impact Factor
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02/2010: pages 415-422; , ISBN: 978-85-363-2452-4
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09/2009: pages 1055-1063; , ISBN: 8573793678586
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ABSTRACT: The objectives of this study are to present the creation and operation of a support network to help physicians in Brazil, describe the socio-demographic profile, and investigate the prevalence of mental disorders and chemical dependence among physicians seeking treatment.
Semi-structured interviews using ICD-10 criteria were conducted to obtain data regarding alcohol/drug dependence, and psychiatric comorbidity. Socio-demographic and occupational characteristics were obtained.
247 patients made contact and 192 attended the first evaluation visit. Of those, 158 were male, and most (55%) were married. The mean age was 42.4+/-11.1 years. The reasons for seeking treatment were: comorbidity between mental disorders and chemical dependence (67.7%); chemical dependence (20.8%); mental disorders (7.8%); and burnout (4.2%). The mean interval between the detection of the problem and seeking treatment was 7.5 years. Factors associated with the severity of the problem included unemployment (21.6%), difficulties of practicing professional activities (63.5%), problems with the Regional Council of Medicine (13%), psychiatric hospital admission (31.2%), and self-medication (71.8%). In our sample, 9.3% of the physicians had changed their area of specialization.
A high prevalence of psychiatric disorders was found in this sample as well as psychosocial and professional problems. Treatment networks focusing on the physicians' mental health could catalyze cultural changes in treatment-seeking behavior, thereby improving early detection and treatment.
Revista Brasileira de Psiquiatria 10/2007; 29(3):258-61. · 1.20 Impact Factor
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09/2007: pages 105-106; , ISBN: 978-85-98632-04-9
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Marcos Zaleski,
Ronaldo Ramos Laranjeira,
Ana Cecília Petta Roselli Marques,
Lílian Ratto,
Marcos Romano, Hamer Nastasy Palhares Alves,
Márcia Britto de Macedo Soares,
Valter Abelardino,
Félix Kessler,
Sílvia Brasiliano,
Sérgio Nicastri,
Patrícia Brunferntrinker Hochgraf,
Analice de Paula Gigliotti,
Tadeu Lemos
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ABSTRACT: Recently, several studies have focused on comorbity psychiatric disorders with alcohol and other substance dependence. The Brazilian Association of Studies on Alcohol and Other Drugs proposed the Brazilian Guidelines project. This study review diagnostic and therapeutic criteria to the most prevalent psychiatric comorbidities. Randomized clinical trials, epidemiological, animal studies and other forms of research are reviewed. The main psychiatric comorbidities are studied based on guidelines adopted by other countries and the literature data resumed. Epidemiological aspects, diagnoses, integrated treatment and service organization, as well as specific psychotherapic and pharmacological treatment are discussed. The Brazilian Association of Studies on Alcohol and Other Drugs Guidelines reassures the importance of adequate diagnoses and treatment regarding alcoholic and drug dependent patients suffering of comorbid psychiatric disorders.
Revista Brasileira de Psiquiatria 07/2006; 28(2):142-8. · 1.20 Impact Factor
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Marcelo Ribeiro,
Ana Cecília Petta Roselli Marques,
Ronaldo Laranjeira, Hamer Nastasy Palhares Alves,
Marcelo Ribeiro de Araújo,
Danilo Antônio Baltieri,
Wanderley Marques Bernardo,
L A G P Castro,
Isac Germano Karniol,
Florence Kerr-Corrêa,
Sérgio Nicastri,
Moacyr Roberto Cuce Nobre,
Reynaldo Ayer de Oliveira,
Marcos Romano,
Sérgio Dario Seibel,
Cláudio Jerônimo da Silva
Revista da Associação Médica Brasileira 51(5):247-9. · 0.77 Impact Factor