Implementação de intervenções breves para uso problemático de álcool na atenção primária, em um contexto amazônico

Moretti-Pires, Rodrigo Otávio; Corradi-Webster, Clarissa Mendonça

doi:10.1590/s0104-11692011000700020

Cited by 9 publications

(10 citation statements)

References 13 publications

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“…These studies highlighted some barriers to BI implementation in Latin America. These include lack of engagement of policymakers and health service administrators [ 31 ], stigma among professionals [ 49 , 64 ], scarcity of human resources [ 47 ], high levels of professional turnover [ 49 ], and lack of training [ 48 , 49 ]. Finally, the majority of these studies from Latin America are from around 7 out of 33 nations; each one having its own political, sociocultural, economic, and epidemiological idiosyncrasies that should be considered while implementing BIs.…”

Section: Resultsmentioning

confidence: 99%

Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions

Nadkarni

Bhatia

Bedendo

et al. 2022

Int J Ment Health Syst

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Global alcohol consumption and harmful use of alcohol is projected to increase in the coming decades, and most of the increase will occur in low- and middle-income countries (LMICs); which calls for cost-effective measures to reduce alcohol exposure in these countries. One such evidence based measure is screening and brief intervention (BI) for alcohol problems. Some of the characteristics of BI make them a particularly appealing choice of interventions in low-resource settings. However, despite evidence of effectiveness, implementation of BI in LMICs is rare. In this paper we discuss barriers to implementation of BI in LMICs, with examples from Latin America and India. Key barriers to implementation of BI in LMICs are the lack of financial and structural resources. Specialized services for alcohol use disorders are limited or non-existent. Hence primary care is often the only possible alternative to implement BI. However, health professionals in such settings generally lack training to deal with these disorders. In our review of BI research in these countries, we find some promising results, primarily in countries from Latin America, but so far there is limited research on effectiveness. Appropriate evaluation of efficacy and effectiveness of BI is undermined by lack of generalisability and methodological limitations. No systematic and scientific efforts to explore the implementation and evaluation of BI in primary and community platforms of care have been published in India. Innovative strategies need to be deployed to overcome supply side barriers related to specialist manpower shortages in LMICs. There is a growing evidence on the effectiveness of non-specialist health workers, including lay counsellors, in delivering frontline psychological interventions for a range of disorders including alcohol use disorders in LMICs. This paper is intended to stimulate discussion among researchers, practitioners and policy-makers in LMICs because increasing access to evidence based care for alcohol use disorders in LMICs would need a concerted effort from all these stakeholders.

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Section: Resultsmentioning

confidence: 99%

Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions

Nadkarni

Bhatia

Bedendo

et al. 2022

Int J Ment Health Syst

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“…The first three questions of the AUDIT evaluate the quantity, frequency and drunkenness; the following three questions, the symptoms of dependence; and the last four questions, evaluate the risk of harmful consequences to the user. The necessary time to fill in the questionnaire was approximately five minutes [3] [8].…”

Section: Methodsmentioning

confidence: 99%

“…In Brazil, the data showed that 23% have already drunk alcoholic beverages, and they also presented prob-lems due to this consumption; 28% have abusively drunk alcoholic beverages, at least once in the period of one year; 20% of those users presented higher frequency than weekly and 20% used alcohol at home. Other additional information revealed that 3% of the Brazilian population took too much alcohol and 9% of them presented alcoholic dependence [3] [4]. One of the ten main causes of morbidity and mortality in Brazil is the use of alcohol, but the prevalence on this type of disease has little research in the area of primary attention to health, although a study made shows that a considerable frequency of this type of disease has little research in the area of primary attention to health, however a study made shows considerable frequency of this type of disease in the areas covered by this type of service [5].…”

Section: Introductionmentioning

confidence: 99%

Pattern of Alcohol Consumption in Registered Users of a Family Health Unit

Silva¹,

Guimarães²,

Perrelli³

et al. 2014

Health

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The alcohol abuse is associated with a wide range of social, health and legal problems to analyze the pattern of alcohol consumption of users of a Family Health Unit. A descriptive, cross-sectional study with a quantitative approach, conducted with 207 users of a Family Health Unit who responded the Alcohol Use Disorders Identification Test. Data were analyzed with the aid of the STATA/SE 12.0 software. To analyze the association of the variables, the chi-square and Fisher's exact test were used. Of the participants, 40.6% presented abusive consumption of alcohol, which is strongly associated to the male sex, single, between 18 and 30 years of age, who have no religion and some sort of occupation. There was no relation with monthly income and education. Screening and prevention programs to alcohol abuse are important for the most vulnerable group in the primary health care.

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“…A maioria dos estudos primários encontrados, ensaios randomizados que avaliam a eficácia da IB para a redução dos níveis de consumo de álcool, não detalhou elementos facilitadores nem barreiras para a implantação das ações. Coerentemente à concepção dominante na formação de trabalhadores da saúde, o enfoque biomédico foi o mais encontrado nesses artigos, enfoque esse que favorece a fragmentação do objeto do trabalho em saúde e o consequente predomínio de preconceitos e estereótipos 31 . Foi também descrita nessa categoria a descontinuidade das ações implantadas 32 , devido à rotatividade de trabalhadores da saúde, associada a mudanças políticas de gestão, e também à não adesão de toda a equipe.…”

Section: Estudos Sobre Ibunclassified

Práticas de Atenção Primária à Saúde na área de drogas: revisão integrativa

et al. 2021

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RESUMO O objetivo deste estudo foi o de identificar e analisar as práticas voltadas ao consumo prejudicial de drogas na Atenção Primária à Saúde. Trata-se de Revisão integrativa que buscou estudos nas fontes Medline e Lilacs utilizando os termos ‘Atenção Primária à Saúde’ e ‘Redução do Dano’. Como resultado, incluiram-se 52 estudos, analisados de acordo com os arcabouços teóricos que orientam as práticas em saúde. Tais estudos foram sintetizados em três categorias empíricas: comportamento de risco, que incluiu intervenção breve, programas para prevenir e diminuir o uso de drogas, entre outros; fatores determinantes, que incluiu visitas domiciliares, práticas grupais e organizacionais; e necessidades em saúde, que incluiu práticas educativas emancipatórias. Conclui-se que, majoritariamente, os estudos abordam o uso de drogas pela categoria risco, com proposição de práticas para adaptação social. As intervenções relativas aos determinantes promovem a saúde, propondo melhorias em ambientes de vida e trabalho. Práticas críticas às relações sociais estabelecidas pelo complexo das drogas são minoritárias e envolvem complexidade operacional.

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Implementação de intervenções breves para uso problemático de álcool na atenção primária, em um contexto amazônico

Cited by 9 publications

References 13 publications

Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions

Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions

Pattern of Alcohol Consumption in Registered Users of a Family Health Unit

Práticas de Atenção Primária à Saúde na área de drogas: revisão integrativa

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