Associação do uso de álcool e tabaco entre pacientes hospitalizados
Resumo
https://doi.org/10.1590/1982-0275202239e200193
O presente estudo teve como objetivo avaliar a associação do uso de álcool e tabaco entre pacientes internados em um hospital geral e comparar o uso das duas substâncias entre pacientes que vivem com o Vírus da Imunodeficiência Humana/Síndrome de Imunodeficiência Adquirida e outros diagnósticos. Realizou-se um estudo observacional em um hospital público para avaliação do uso de tais substâncias. Entre 972 pacientes, 20,3% fizeram uso prejudicial de álcool e 14,9% de tabaco. Quase metade dos tabagistas (47,6%) fizeram uso prejudicial do álcool, enquanto 15,5% dos não tabagistas relataram uso excessivo da substância (p < 0,001). A porcentagem de fumantes foi significativamente mais alta no grupo de pacientes que vivem com o Virus da Imunodeficiência Humana do que nos demais diagnósticos (32,1% vs 14,4%, p = 0,009). Percebe-se a associação do uso de tabaco e uso prejudicial de álcool entre pacientes hospitalizados e alta prevalência do uso de tabaco entre pacientes que vivem com o Vírus da Imunodeficiência Humana/Síndrome de Imunodeficiência Adquirida. Esses dados podem direcionar o planejamento de intervenções para cessação do consumo de tabaco que consigam direcionar as comorbidades relacionadas ao uso da substância
Downloads
Referências
Azar, M. M., Springer, S. A., Meyer, J. P., & Altice, F. L. (2010). A systematic review of the impact of alcohol use disorders on HIV treatment outcomes, adherence to antiretroviral therapy and health care utilization. Drug Alcohol Dependence, 112(3), 178-193. http://doi.org/10.1016/j.drugalcdep.2010.06.014
Brown, J., West, R., Beard, E., Brennan, A., Drummond, C., Gillespie, D., Hickman, M., Holmes, J., Kaner, E., & Michie, S. (2016). Are recent attempts to quit smoking associated with reduced drinking in England? A cross-sectional population survey. BMC Public Health, 16(535), 2-7.
Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Archives of Internal Medicine, 158(16), 1789-1795. http://archinte. jamanetwork.com/article.aspx?articleid=208954
Chagas, M. H., Crippa, J. A., Loureiro, S. R., Hallak, J. E., Meneses-Gaya, C. d., Machado-de-Sousa, J. P., Rodrigues, G. R., Filho, A. S., Sanches, R. F., & Tumas, V. (2011). Validity of the PHQ-2 for the screening of major depression in Parkinson’s disease: two questions and one important answer. Aging & Mental Health, 15(7), 838-843.
Cruvinel, E., Liebman, E., Leite, I., Hu, J., & Richter, K. P. (2020). Prevalence of smoking, quit attempts and access to cessation treatment among adults with mental illness in Brazil: a cross-sectional analysis of a National Health Survey. BMJ Open, 10(5), e033959. http://doi.org/10.1136/bmjopen-2019-033959
Cruvinel, E., Richter, K. P., Colugnati, F., & Ronzani, T. M. (2019). An experimental feasibility study of a hybrid telephone counseling/text messaging intervention for post-discharge cessation support among hospitalized smokers in Brazil. Nicotine & Tobacco Research, 21(12), 1700-1705. https://doi.org/10.1093/ntr/nty165
Fagerstrom, K. O., & Schneider, N. G. (1989). Measuring nicotine dependence: a review of the Fagerstrom Tolerance Questionnaire. Journal of Behavioral Medicine, 12(2), 159-182.
Frazier, E. L., Sutton, M. Y., Brooks, J. T., Shouse, R. L., & Weiser, J. (2018). Trends in cigarette smoking among adults with HIV compared with the general adult population, United States – 2009-2014. Preventive Medicine, 111, 231-234. https://doi.org/10.1016/j.ypmed.2018.03.007
Giles, M. L., Gartner, C., & Boyd, M. A. (2018). Smoking and HIV: what are the risks and what harm reduction strategies do we have at our disposal? AIDS Research and Therapy, 15(1), e26. https://doi.org/10.1186/s12981-018-0213-z
González-Álvarez, S., Madoz-Gúrpide, A., Parro-Torres, C., Hernández-Huerta, D., & Ochoa Mangado, E. (2019). Relationship between alcohol consumption, whether linked to other substance use or not, and antiretroviral treatment adherence in HIV+ patients. Adicciones, 31(1), 8-17. https://doi.org/10.20882/adicciones.916
Helleberg, M., May, M. T., Ingle, S. M., Dabis, F., Reiss, P., Fätkenheuer, G., Costagliola, D.; d’Arminio, A.; Cavassini, M.; Smith, C.; Justice, A. C. l.; Gill, J.; Sterne, J. A. C.; & Obel, N. (2015). Smoking and life expectancy among HIV-infected individuals on antiretroviral therapy in Europe and North America. Aids, 29(2), 221-229. https://doi.org/10.1097/ qad.0000000000000540
Hughes, J. R., Keely, J. P., Niaura, R. S., Ossip-Klein, D. J., Richmond, R. L., & Swan, G. E. (2003). Measures of abstinence in clinical trials: issues and recommendations. Nicotine & Tobacco Research, 5(1), 13-25. https://doi.org/10.1080/14 62220031000070552
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. (2012). Personal habits and indoor combustions. Volume 100 E. A review of human carcinogens. IARC Monogr Eval Carcinog Risks Hum, 100(Pt E), 1-538.
Instituto Brasileiro de Geografia e Estatística. (2014). Pesquisa Nacional de Saúde, 2013: percepção do estado de saúde, estilo de vida e doenças crônicas.
Kupiainen, H., Kinnula, V. L., Lindqvist, A., Postma, D. S., Boezen, H. M., Laitinen, T., & Kilpeläinen, M. (2012). Successful smoking cessation in COPD: association with comorbidities and mortality. Hindawi Publishing Corporation: Pulmonary Medicine, 2012, 1-7. https://doi.org/10.1155/2012/725024
Levy, D., Almeida, L. M., & Szklo, A. (2012). The Brazil simsmoke policy simulation model: the effect of strong tobacco control policies on smoking prevalence and smoking-attributable deaths in a middle income nation. Plos Medicine, 9(11), e1001336. https://doi.org/10.1371/journal.pmed.1001336
Marshall, M. M., McCormack, M. C., & Kirk, G. D. (2009). Effect of cigarette smoking on HIV acquisition, progression, and mortality. AIDS Education and Prevention, 21(3 Suppl), 28-39. https://doi.org/10.1521/aeap.2009.21.3_supp.28
Mdege, N. D., Shah, S., Ayo-Yusuf, O. A., Hakim, J., & Siddiqi, K. (2017). Tobacco use among people living with HIV: analysis of data from Demographic and Health Surveys from 28 low-income and middle-income countries. Lancet Glob Health, 5(6), e578-e592. https://doi.org/10.1016/s2214-109x(17)30170-5
Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implementation Science, 6(42), 2-11. https://doi.org/10.1186/1748-5908-6-42
O’Cleirigh, C., Valentine, S. E., Pinkston, M., Herman, D., Bedoya, C. A., Gordon, J. R., & Safren, S. A. (2015). The unique challenges facing HIV-positive patients who smoke cigarettes: HIV viremia, ART adherence, engagement in HIV care, and concurrent substance use. AIDS Behav, 19(1), 178-185. https://doi.org/10.1007/s10461-014-0762-7
Rasmussen, L. D., Helleberg, M., May, M. T., Afzal, S., Kronborg, G., Larsen, C. S., Pedersen, C., gerstoft, J., Nordestgaard, B. G., & Obel, N. (2015). Myocardial infarction among Danish HIV-infected individuals: population-attributable fractions associated with smoking. Clinical Infectious Diseases, 60(9), 1415-1423. https://doi.org/10.1093/cid/civ013
Rigotti, N. A., Clair, C., Munafo, M. R., & Stead, L. F. (2012). Interventions for smoking cessation in hospitalised patients. Cochrane Database of Systematic Reviews, 5(5) Cd001837. https://doi.org/10.1002/14651858.CD001837.pub3
Schultz, A. S., Temple, B., Gibbons, C., Preston, J., & Ronson, G. (2014). Listening to those who are living with HIV and tobacco dependence and exploring their health care context. Journal of the Association of Nurses in AIDS Care, 25(1), 46-59. https://doi.org/10.1016/j.jana.2013.01.003
Scott-Sheldon, L. A., Walstrom, P., Carey, K. B., Johnson, B. T., & Carey, M. P. (2013). Alcohol use and sexual risk behaviors among individuals infected with HIV: a systematic review and meta-analysis 2012 to early 2013. Current HIV/AIDS Reports, 10(4), 314-323. https://doi.org/10.1007/s11904-013-0177-5
Sherman, S. E., Link, A. R., Rogers, E. S., Krebs, P., Ladapo, J. A., Shelley, D. R., Fang, Y., Wang, B., & Grossman, E. (2016). Smoking-Cessation Interventions for Urban Hospital Patients: A Randomized Comparative Effectiveness Trial. American Journal of Preventive Medicine, 51(4), 566-577. https://doi.org/10.1016/j.amepre.2016.06.023
Silva, L. C. C. d., Araújo, A. J., Queiroz, Â. M. D., Sales, M. P. U., & Castellano, M. V. C. O. (2016). Smoking control: challenges and achievements. Jornal Brasileiro de Pneumologia, 42, 290-298. http://www.scielo.br/scielo. php?script=sci_arttext&pid=S1806-37132016000400290&nrm=iso
Smith, C. L., Jenkins, G., Burduli, E., Tham, P., Miguel, A., Roll, J., & McPherson, S. (2020). Crossover associations of alcohol and smoking, craving and biochemically verified alcohol and nicotine use in heavy drinking smokers. Behavioural Pharmacology, 31(7), 702-705. https://doi.org/10.1097/fbp.0000000000000568
Tabuchi, T., Ozaki, K., Loka, A., & Miyashiro, I. (2015). Joint and independent effect of alcohol and tobacco use on the risk of subsequent cancer incidence among cancer survivors: a cohort study using cancer registries. International Journal of Cancer, 137(9), 2114-2123. https://doi.org/10.1002/ijc.29575
Taylor, A. L., Denniston, M. M., Klevens, R. M., McKnight-Eily, L. R., & Jiles, R. B. (2016). Association of hepatitis C Virus with alcohol use among U.S. adults: NHANES 2003-2010. American Journal of Preventive Medicine, 51(2), 206-215. https://doi.org/10.1016/j.amepre.2016.02.033
Trickey, A., May, M. T., Vehreschild, J., Obel, N., Gill, M. J., Crane, H., Boesecke, C., Samiji, H., Grabar, S., Cazanave, C., Cavassini, L. S., Monforte, A. A., Smit, C., Saag, M., Lampe, F., Hernando, V., Montero, M., . . . Sterne, J. A. (2016). Cause-specific mortality in HIV-Positive patients who survived ten years after starting antiretroviral therapy. Plos One, 11(8), e0160460. https://doi.org/10.1371/journal.pone.0160460
World Health Organization. (2008). Guide to drug abuse epidemiology.
Yang, J., Song, M., Yoon, H.-S., Lee, H.-W., Lee, Y., Lee, S.-A., Choi, J.-Y., Lee, J.-K., & Kang, D. (2015). What Are the major determinants in the success of smoking cessation: results from the health examinees study. Plos One, 10(12), 1-16. https://doi.org/10.1371/journal.pone.0143303
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 Erica CRUVINEL, Taynara FORMAGINI, Rafaela Russi ERVILHA, Lígia Menezes do AMARAL, Kimber RICHTER, Fernando Antonio Basile COLUGNATI, Telmo Mota RONZANI
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
