de Sousa Pinheiro Barbosa João, Pereira Leonardo Costa, Chiarello Marileusa Dosolina, Garcia Kerolyn Ramos, de Brito Giovanna Oliveira, Gris Eliana Fortes, de Oliveira Karnikowski Margô Gomes
Faculty of Education and Health Sciences-FACES-Medicine Course, University Center of Brasília-UniCEUB, 707/907, Asa Norte, Brasilia 70790-075, Brazil.
Euroamerican University Center-UniEURO, Avenida das Nações, Trecho 0, Conjunto 05, Asa Sul, Brasilia 70200-001, Brazil.
Healthcare (Basel). 2022 May 26;10(6):989. doi: 10.3390/healthcare10060989.
The inadequate and abusive usage of psychoactive substances is something real that affects Brazil's elderly population, and it is a huge challenge for the public health system and its professionals. Aware of the social impact involving the use of illegal drugs, in 2002, the Ministry of Health instituted a network of psychosocial assistance as a strategy to deal with the problem. This study carried out an analysis of the profile of use of legal and illegal drugs by the elderly who are assisted by the network of psychosocial assistance in the Federal District. A quantitative and analytical study with secondary data collection, using patient records held in the CAPS-AD in the Federal District. The inclusion criteria were people of 60 and over who were users of alcohol and other drugs and who sought assistance at CAPS-AD between 2000 and 2017. A total of 408 medical records were analyzed concerning social demographic variations, types of rehabilitation services sought, types of substances consumed, associations between drugs consumed, time of consumption, and adherence to the treatment. Most of the elderly users were male (85.3%), on average 64 ± 4.42 years old. Regarding the drugs consumed, the highest quantity was for illegal substances (76%), compared to the legal ones (23%). No significant difference was found between males (OR = 1.1) and females (OR = 0.74) regarding the use or abuse of multiple drugs. The elderly used both legal and illegal drugs for a long period of time, with low adherence to the treatment, and alcohol consumption among the elderly prevailed above the other psychoactive substances.
精神活性物质的不当和滥用是影响巴西老年人口的现实问题，对公共卫生系统及其专业人员来说是一项巨大挑战。鉴于非法药物使用所涉及的社会影响，2002年，卫生部设立了一个心理社会援助网络，作为应对该问题的一项战略。本研究对联邦区心理社会援助网络所援助的老年人使用合法和非法药物的情况进行了分析。这是一项使用联邦区综合心理社会援助中心（CAPS-AD）保存的患者记录进行二次数据收集的定量分析研究。纳入标准为60岁及以上、使用酒精和其他药物且在2000年至2017年期间在CAPS-AD寻求援助的人群。共分析了408份病历，内容涉及社会人口统计学差异、寻求的康复服务类型、消费的物质类型、所消费药物之间的关联、消费时间以及对治疗的依从性。大多数老年使用者为男性（85.3%），平均年龄为64±4.42岁。在所消费的药物方面，非法物质的消费量最高（76%），而合法物质为（23%）。在使用或滥用多种药物方面，男性（比值比=1.1）和女性（比值比=0.74）之间未发现显著差异。老年人长期使用合法和非法药物，对治疗的依从性较低，且老年人中的酒精消费量高于其他精神活性物质。
