Objective: Estimate the consumption pattern of alcoholic beverages and the socioeconomic profile of workers at a Public Service. Methods: Cross-sectional study, involving 322 subjects who answered the Alcohol Use Disorders Identification Test (AUDIT) and questions related to the sociodemographic variables. The data were processed and analyzed using the Epi-Info software. Results: It was observed that the consumption of 12.7% was classified as hazardous, harmful and suggestive of dependence. Binge drinking was found in 32.5% and 5.3% had already caused problems for themselves or others. The majority has not consumed alcohol in the previous 12 months, but those that did so consumed large quantities and frequently. Conclusion: The results showed a high prevalence of hazardous, harmful consumption and probable dependence, associated with male workers and low education levels. ResumoObjetivo: Estimar o padrão de consumo de bebidas alcoólicas e o perfil socioeconômico dos trabalhadores de um Serviço Público. Métodos: Estudo transversal realizado com 322 sujeitos que responderam ao Alcohol Use Disorders Identification Test (AUDIT) e às perguntas referentes às variáveis sociodemográficas. Os dados foram processados e analisados por meio do Epi-Info. Resultados: Observou-se que 12,7% fizeram consumo de risco, nocivo e provável dependência. O consumo pesado episódico foi de 32,5%, e 5,3% já causaram problemas a si mesmos ou a outros. A maioria não consumiu álcool nos últimos 12 meses, porém aqueles que consumiram o fizeram em quantidade e frequência elevada. Conclusão: Os resultados mostraram elevada prevalência do padrão de consumo de risco, nocivo e provável dependência associada aos trabalhadores do sexo masculino e ao baixo nível de escolaridade.

RESUMOO presente estudo teve como objetivos descrever as causas da morbidade dos servidores aposentados por invalidez em uma universidade federal; identificar o perfil sociodemográfico e ocupacional dos aposentados por invalidez geral e pelo alcoolismo; e fazer uma associação entre essas causas. Tratou-se de um estudo descritivo seccional retrospectivo, cuja população foi composta por todos os servidores aposentados por invalidez registrados na universidade. O total de aposentados por invalidez foi de 553 servidores, com destaque para os casos de aposentadoria por transtornos psiquiátricos (35,6%) como primeira causa de invalidez, sendo que o alcoolismo motivou a aposentadoria de 9% do total de aposentados. Concluiu-se que o maior percentual de aposentadoria por invalidez foi composto por trabalhadores lotados no hospital universitário.

Background Psychoactive substance use associated with tuberculosis therapy is an urgent public health issue in the contemporary world. Objective To characterize the profile and psychoactive substance use of patients undergoing tuberculosis treatment and to analyze the association between health-related variables, consumption, and treatment adherence, from the perspective of Brief Interventions. Methodology Descriptive transversal epidemiological study, carried out in primary care units, with 114 patients undergoing tuberculosis treatment, from June 2016 to July 2017. The Self-Reporting Questionnaire (SRQ-20) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) were used. Results Smokers who drank alcohol (p = 0.058) and those who reported not having chronic diseases (p = 0.024) had a need to receive brief interventions. Cannabis use was more frequent among smokers (p = 0.009). With regard to cocaine use, a significant association was found between smoking and the number of chronic diseases. In this sample, 40% of smokers, 21.1% of alcohol drinkers, 10.5% of cannabis users, and 13.7% of cocaine/crack users adhered to treatment. Conclusions These results demonstrated the vulnerability of this population to psychoactive substance use based on treatment adherence and the importance of using Brief Interventions for monitoring, especially in primary care settings. Key messages The study showed an opportunity to apply the diagnostic strategy of brief intervention in this population in primary care. It showed an impact on the change in behavior of these patients, in view of greater adherence to treatment and improvement in quality of life.

Objective: to analyze the effect of a brief intervention on the reduction of the alcohol consumption pattern among workers from the worker health perspective. Methods: a quasi-experimental study with a single sample of 36 workers, applying the positive (>8) Alcohol Use Disorders Identification Test and sample selection and using data from the Worker Health Booklet in combination with the mentioned test. Participants had three weekly sessions of brief intervention with motivational interviewing and were reevaluated after three months. Data were analyzed quantitatively. The Wilcoxon test was applied to data on the reduction of the consumption pattern, and a significance p<0.05 was adopted. Results: risky consumption prevailed (61.1%), followed by probable dependence (27.8%) and hazardous consumption (11.1%). The score obtained in the test after three months of the brief intervention was lower than the initial result, with Z=-4.709 and p<0.000. Regarding sociodemographic and occupational characteristics, all the participants showed a significant reduction. Concerning Alcohol Use Disorders Identification Test questions, there was a reduction, especially in the frequency (Z=-3.880 and p<0.000) and binge drinking (Z=-4.144 and p<0.000). Conclusion: the effect of brief intervention associated with motivational interviewing reduced the alcohol consumption pattern among workers at a public university. RESUMOObjetivo: analisar o efeito da Intervenção Breve na redução do padrão de consumo de álcool entre trabalhadores, na perspectiva da saúde do trabalhador. Método: estudo quase-experimental com amostra única de 36 servidores, e Teste de Identificação de Problemas Relacionados ao Álcool positivo (>8), e seleção da amostra, utilizando dados do Caderno de Saúde do Servidor associado ao referido teste. Os participantes receberam três sessões de Intervenção Breve por meio de entrevista motivacional, semanal, e após três meses foram reavaliados. Os dados foram analisados quantitativamente. Foi utilizado o teste de Wilcoxon na redução do padrão de consumo, adotandose significância de p<0,05. Resultados: o consumo de risco apresentou maior frequência (61,1%), seguido de provável dependência (27,8%) e nocivo (11,1%). Após três meses de Intervenção Breve, score encontrado no teste foi inferior ao do resultado inicial com Z=-4,709 e p<0,000. Quanto às características sociodemográficas e ocupacionais, todos apresentaram redução significativa. Em relação às questões do Teste de Identificação de Problemas Relacionados ao Álcool, reduziram principalmente na frequência (Z=-3,880 e p<0,000) e no consumo binge drinking (Z=-4,144 e p<0,000). Conclusão: o efeito da Intervenção Breve, associado à entrevista motivacional, reduziu o padrão de consumo de álcool entre os trabalhadores de uma universidade pública. DESCRITORES: Abuso de álcool. Trabalhadores. Saúde do trabalhador. Entrevista motivacional. Atenção primária à saúde. REDUCCIÓN DEL CONSUMO DE ALCOHOL ENTRE TRABAJADORES UTILIZANDO LA INTERVENCIÓN BREVE RESUMENObjetivo: Analizar el efecto...

Background: Many young people in England do not use services associated with delivery of alcohol IBA (also called screening and brief intervention). The project tested whether IBA can be delivered to 18-30 year-old, on busy city streets, by trained workers who were not healthcare professionals, without framing it as an 'alcohol reduction' intervention. This approach may be referred to as 'IBA Direct'. Materials and methods: Numbers of participants in the intervention were recorded on a monitoring sheet, along with the individual's gender, age and AUDIT score. The evaluator asked some participants to complete a brief, anonymous feedback form about their experience of the intervention. Results: The project was delivered over 3 days, amassing a total of 24 h across 2 Saturdays and 1 Sunday in August 2015. Four workers were present on all days. In total, 402 brief interventions were completed; however, data from 379 participants were recorded. Forty-one percent were female (21 % missing data) and 42 % were aged in their teens or twenties. A participant feedback form was completed by 61 people. Ninety-three percent (n = 57) rated the service as 'Excellent' or 'Good'. All respondents who answered the question on the suitability of the setting of the service (n = 58) said it was suitable. Nine out of ten respondents (n = 55) stated they would participate in this service in a public setting again. Conclusions: The evaluation of this project has demonstrated the feasibility and high acceptability of IBA Direct being delivered by non-health workers to the public on the streets of London. There were high levels of engagement at each location and among those aged 18-30. Important facilitators were considered to be the 'branding' of the intervention and materials, for example, framed as a 'health quiz' not 'alcohol reduction' and incentives to draw people in such as free 'mocktails' (soft drinks).

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Psychoactive substance use in patients with tuberculosis: treatment adherence and interface with Brief Interventions Consumo de sustancias psicoactivas en pacientes con tuberculosis: adhesión al tratamiento e interfaz con Intervención Breve