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军队消防员使用抗焦虑药物的相关因素。

Factors associated with the use of anxiolytic drugs among military firefighters.

作者信息

Azevedo Danielle Sandra da Silva de, Lima Eduardo de Paula, Assunção Ada Ávila

机构信息

Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.

出版信息

Rev Bras Epidemiol. 2019 Mar 21;22:e190021. doi: 10.1590/1980-549720190021.

Abstract

INTRODUCTION

Use of anxiolytic drugs is an option for treating psychological symptoms. However, even if their use is controlled, there are risks of dependence, intoxication and cognitive alterations. Uncontrolled use among workers worsens these problems.

OBJECTIVES

Identify the prevalence of anxiolytic use and to know the factors associated with consumption in military firefighters.

METHOD

Cross-sectional survey of 711 firefighters from Belo Horizonte, Minas Gerais, Brazil, was conducted through self-reporting. Multinomial logistic regression was used to investigate associations between sociodemographic characteristics, living, working and health conditions and anxiolytic consumption in a controlled or uncontrolled manner.

RESULTS

Prevalence of anxiolytic use was 9.9%. For 7.5% of firefighters the consumption occurred without indication and/or specialized therapeutic control. Controlled use was only associated with symptoms compatible with Common Mental Disorder (OR = 23.6; 95%CI 6.54 - 85.11). Uncontrolled use was associated with length of service (OR = 2.57; 95%CI 1.03 - 6.40), smoking (OR = 3.22; 95%CI 1.50 - 6.91) and symptomatology compatible with Common Mental Disorder (OR = 4.02; 95%CI 2.17 - 7.45).

CONCLUSION

The high prevalence of consumption indicates alert to occupational health programs.

摘要

引言

使用抗焦虑药物是治疗心理症状的一种选择。然而,即使其使用受到控制,仍存在依赖、中毒和认知改变的风险。工人中不受控制的使用会使这些问题恶化。

目的

确定军事消防员中抗焦虑药物的使用 prevalence,并了解与消费相关的因素。

方法

通过自我报告对巴西米纳斯吉拉斯州贝洛奥里藏特市的711名消防员进行横断面调查。采用多项逻辑回归来研究社会人口学特征、生活、工作和健康状况与以受控或不受控方式使用抗焦虑药物之间的关联。

结果

抗焦虑药物的使用率为9.9%。7.5%的消防员在没有指征和/或专业治疗控制的情况下使用。受控使用仅与符合常见精神障碍的症状相关(OR = 23.6;95%CI 6.54 - 85.11)。不受控使用与服役年限(OR = 2.57;95%CI 1.03 - 6.40)、吸烟(OR =

3.22;95%CI 1.50 - 6.91)以及符合常见精神障碍的症状学相关(OR = 4.02;95%CI 2.17 - 7.45)。

结论

高消费率表明对职业健康计划需保持警惕。

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