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sanches_pma_dr_arafcf.pdf: 728500 bytes, checksum: f44dd5056bc704526edf93782c6898d2 (MD5) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Considerando a importância do diagnóstico precoce do alcoolismo para implementação de políticas públicas voltadas para sua prevenção e tratamento, realizou-se este estudo composto por três capítulos. O Capítulo 1 apresenta uma revisão de literatura, a fim de descrever a aplicação do geoprocessamento em saúde no Brasil. O Capítulo 2 avaliou espacialmente o risco de desenvolvimento de alcoolismo. Participaram do estudo 1.710 indivíduos adultos moradores de Araraquara, com média de idade de 43,78+15,83 anos, sendo 50,00% do sexo masculino, que responderam ao Teste de identificação de transtornos devido ao uso de álcool (AUDIT). Dos entrevistados, 18,42% foram classificados como apresentando risco de alcoolismo. Observou-se probabilidade de alcoolismo maior em homens (OR=5,04, IC95%:3,68-6,91), tabagistas (OR=2,15, IC95%:1,53-3,02) e trabalhadores (OR=1,47, IC95%:1,11-1,96) e risco semelhante segundo religião (OR=0,75, IC95%:0,52-1,10), nível econômico (OR=1,27, IC95%:0,98-1,65) e excesso de peso (OR=0,85, IC95%:0,65-1,11). No semivariograma experimental observou-se que a probabilidade de ocorrência de alcoolismo não apresentou dependência espacial. O Capítulo 3 avaliou a prevalência de alcoolismo e sua distribuição espacial em adolescentes do ensino médio de Araraquara (SP). Participaram 1.837 adolescentes. Entre os entrevistados, observou-se alta prevalência de consumo de bebidas alcoólicas pelos adolescentes, tanto do sexo masculino (46,27%; IC95%:42,80- 49,75) quanto feminino (49,04%; IC95%:46,01- 52,07). A probabilidade do comportamento de beber de risco foi aproximadamente 2 vezes maior em adolescentes do sexo masculino (IC95%:1,42-3,00), 1,8 vezes maior para os adolescentes que os pais consomem bebidas alcoólicas (IC95%:1,16-2,69) e 2,3 vezes maior em adolescentes que têm relacionamento regular/ruim com a mãe... / This study, composed by three chapters, was performed considering the importance of the early diagnostic of alcoholism to the implementation of public policies focused on its prevention and treatment. Chapter 1 presents a literature review, in order to describe the application of geoprocessing in the Brazilian health. Chapter 2 has spatially evaluated the risk of alcoholism development. 1,710 adults living in Araraquara, with an average age of 43.78+15.83 years old, 50% being male, have participated in the study by answering the AUDIT test (Alcohol use disorders identification test). From those interviewed, 18.42% were classified as presenting risk of alcoholism. It was possible to observe that the probability of alcoholism was greater in men (OR=5.04, CI95%:3.68-6.91), smokers (OR=2.15, CI95%:1.53-3.02) and workers (OR=1.47, CI95%:1.11-1.96). There was a similar risk according to religion (OR=0.75, CI95%:0.52-1.10), economic level (OR=1.27, CI95%:0.98-1.65) and overweight (OR=0.85, CI95%:0.65-1.11). The experimental semivariogram indicated that the probability of alcoholism occurrence did not present spatial dependence. Chapter 3 evaluated the prevalence of alcoholism and its spatial distribution in high school teenagers from Araraquara (SP). 1,837 teenagers have participated in the study. It was possible to observe a high prevalence of alcoholic drinks consumption by teenagers, either male (46.27%; IC95%:42.80-49.75) or female (49.04%; IC95%:46.01-52.07). The risk probability of drinking was approximately 2 times greater in male teenagers (CI95%:1.42-3.00), 1.8 times greater for teenagers whose parents consume alcoholic drinks (CI95%:1.16-2.69), and 2.3 three times greater in teenagers who have a regular/bad relationship with their mother (CI95%:1.26-4.26). The religion has acted as a protection factor (CI95%:0.42-0.93) It was not possible to observe spatial dependence... (Complete abstract click electronic access below)
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.unesp.br:11449/100971 |
| Date | 01 December 2010 |
| Creators | Sanches, Priscila Milene Angelo [UNESP] |
| Contributors | Universidade Estadual Paulista (UNESP), Campos, Juliana Alvares Duarte Bonini [UNESP] |
| Publisher | Universidade Estadual Paulista (UNESP) |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | Portuguese |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | 102 f. |
| Source | Aleph, reponame:Repositório Institucional da UNESP, instname:Universidade Estadual Paulista, instacron:UNESP |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -1, -1 |
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