Mestrado em Saúde Coletiva

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http://repositorio.ufes.br/handle/10/17586

Nível: Mestrado Acadêmico
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Navegando Mestrado em Saúde Coletiva por Assunto "Abuso de drogas"

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    Dor de origem dentária e utilização dos serviços odontológicos pelos usuários de substâncias psicoativas da Região Metropolitana de Vitória-ES
    (Universidade Federal do Espírito Santo, 2017-03-13) Lorencini, Bruna Venturin; Zandonade, Eliana; Miotto, Maria Helena Monteiro de Barros; Barcellos, Ludmilla Awad; Siqueira, Marluce Mechelli de
    The use of psychoactive substances results in mental and behavioral disorders, with negative consequences in oral health and life quality. The aim of this study was to define the dental pain prevalence and the dental services use and their associations in Centros de Atenção Psicossocial Álcool e Drogas (CAPS AD) patients in Vitória Metropolitan Region, ES, Brazil. A transversal study was conducted and its data were collected between June 2015 and February 2016 through scripts like Oral Health Impact Profile (OHIP), Alcohol Smoking and Substance Involvement Screening Test (ASSIST), World Health Organization Quality of Life (WHOQOL), and others about oral health and socialdemographic data. A descriptive analysis of the data was carried out using frequency tables with number and percentage for each item. The demographic factors comparison with drug use and its frequency, and life quality was verified using Fisher's test. The Odds Ratio (OR) was used to verify the association strength. The significance level was 5% and for this analysis, the statistical package IBM SPSS 20 was used. The number of indivuals to participate in this study was 280. They were distributed proportionally among the three CAPS AD. The pain prevalence was 59.3% and individuals who had impact on their life quality due their oral conditions were 2.2 times more likely to report toothache in last 6 months. The use of dental services prevalence was 32.14%, and individuals with high risk for crack dependence were 2.3 times more likely to report non-use of dental services in the last 6 months. Psychoactive substances users presented high prevalence of dental pain and high dental services use; Individuals who were impacted in their life quality due their oral conditions were more likely to have toothache. Those who were at high risk for crack dependence had lower demand for dental services, suggesting that these individuals need more attention to oral problems, especially in basic care.
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    O consumo de substâncias psicoativas e suas implicações na qualidade de vida de usuários dos Centros de Atenção Psicossocial álcool e drogas da Grande Vitória, ES
    (Universidade Federal do Espírito Santo, 2016-08-23) Simões, Jeremias Campos; Amorim, Maria Helena Costa; Miotto, Maria Helena Monteiro de Barros; Barcellos, Ludmilla Awad; Siqueira, Marluce Mechelli de
    The consumption of psychoactive substances is considered a study phenomenon in the field of collective health and its implications reflect in the patients’ life. The objectives of this study were: to evaluate the socio demographic profile and describe the psychoactive substances consumption standard by the patients attended to in the Pshyco social attention, alcohol and drugs Center of the cities of Vitória, Vila Velha and Serra, Espírito Santo, Brazil, and to investigate the impact of social economic factors as well as the use of psychoactive substances concerning these patients’ quality of life. That is a transversal study developed between June/2015 and February/2016. The sample was calculated making use of the program Bioestat 3.1, considering the population studied in about 1.000 users during the study period, prevalence of drug consumption of 50%, level of trust of 95% and sample error of 5%, determining the final sample of 280 subjects. Data were analyzed by the Statistics Package for Social Sciences, version 20.0. Three questionnaires were used as interview: social demographic, an instrument called Alcohol, Smoking and Substance Involvement Screening Test and Whoqol-Bref. For the first objective, a descriptive analysis of the data was made, making use of Chi-Square test. The Odds Ratio (OR) was calculated within the interval of trust of 95%. For the second objective, a descriptive analysis of the data was made through frequency tables with number and percentage for each item of the instrument, besides average, median and standard deviation. The comparison of the quality of life with the social demographic variables and standard of consumption was tested through the most appropriate test – Chi-Square test and/or Fisher’s Exact Test and ANOVA. The level of significance adopted was of 5%. The project was approved by the Federal University of Espírito Santo Ethics in Research Committee under the register n. 1.081.4591/15. The results demonstrated that 78,9% of the participants selfdeclared non-white, 74,3% were male gender. The pattern of consumption in life was found for all drugs and it prevailed the consumption of tobacco abuse (60,9%), snorted cocaine (39,6%) and cannabis (37,4%), as for dependency, crack (59,1%) and alcohol (50,0%) were highlighted. It was significantly evident the statistics for the pattern of consumption for alcohol dependency (p=0,04), cannabis (p=0,00), concerning the variable age and snorted cocaine for the variable age (p=0,05) and income (p=0,00), besides reports of dissatisfaction as for the state of health in 40,71% of the users and negative self-perception for the quality of life by 38,5% of the sample. For all domains average below 54,3 was identified, indicating low quality of life. Low economical condition was associated to worse quality of life (p=0,00; OR: 2,1. IC 95%: 1,2 - 3,5), and, for alcohol consumption, it was potentially significant to present a pattern of use/dependency and worse quality of life (p=0,05). The psychoactive substance consumption explicitness keeps the subject insert into a context of vulnerabilities concerning the aspects of health and quality field. The dissatisfaction about health condition and the low indicator of quality of life found should be used as indicators for developing actions in order to best meet the users’ demands needs of these services.