Keywords
Tuberculosis
Epidemiologic
Studies. Primary Health Care.
How to Cite
Abstract
Objective: To describe the abusive alcohol consumption on the prevalence
and associated factors, and the attempt to give up drinking in patients with
pulmonary tuberculosis (TB) in the primary care units. Methods: Crosssectional study to analyze the adult patients (≥18 years old) undergoing
treatment for pulmonary tuberculosis in Campinas, SP from 2013 to 2014.
The variable abusive drinker outcome was defined using AUDIT, negative
(0-7) and positive (8-40), and the variable attempt to quit drinking alcoholic
beverages in the last 12 months was also used. AUDIT negative and positive
patients were compared for different characteristics using Pearson chisquare. Following a hierarchical theoretical model, the multiple logistic
regression was applied. Results: Among 195 interviewees, the prevalence
of alcohol abuse was 28.2%, and the variables associated with it were: male,
age from 30 to 59 years old, divorced, separated or widowed, unemployed
and smoker. No statistical difference was found in the attempt to quit, not
even the recommendations received from the health team and from the
family and relatives supports. Conclusion: Improvements should be done
on the actions related to the attempt to stop drinking, and to include the
family in the treatment of alcohol abuse in patients with pulmonary TB.
The support and guidance received by patients were not enough to them to
give up the abusive drinking.
References
World Health Organization.
Global Tuberculosis report 2014.
Geneva; 2014: 1-171.
World Health Organization. Estrategia
mundial para reducir el uso nocivo
del alcohol. Geneva; 2010: 1- 46.
Laranjeira R. in: II Levantamento Nacional
de Álcool e Drogas (LENAD) – 2012.
São Paulo: Instituto Nacional de Ciência
e Tecnologia para Políticas Públicas
de Álcool e Outras Drogas (INPAD),
UNIFESP. 2014; 1 (1): 1- 85.
Molina EP, Happel KI, Zhang P,
Kolls JK, Nelson S. Focus on: alcohol
and the immune system. Rev. Alc
& Health. 2010; 33 (1):97-108.
Zhang P, Bagby G, Happel K,
Summer W, Nelson S. Pulmonary
host defenses and alcohol. Front
Biosci, 2002; 1: 1314-30.
Rehm J, Samokhvalov AV, Neuman
MG, Robin Room R, Charles Parry C,
Lönnroth K et al. The association between
alcohol use, alcohol use disorders and
tuberculosis (TB). A systematic review.
BMC Public Healt. 2009; 9: 1-13.
Shin SS, Livchits V, Nelson AK,
Lastimoso CS, Yanova GV, Yanov SA et al.
Implementing Evidence - Based Alcohol
Interventions in a Resource-Limited Setting:
Novel Delivery Strategies in Tomsk, Russia.
Harv Rev Psyc. 2012; 20 (1): 58-67.
Volkmann T, Moonan PK, Miramontes
R, Oeltmann J. Tuberculosis and excess
alcohol use in the United States, 1997-2012.
Int J Tuberc Lung Dis. 2015: 19 (1): 111-9.
Duraisamy K, Mrithyunjayan S, Ghosh S,
Nair SA, Balakrishnan S, Subramoniapillai
J et al. Does Alcohol consumption
during multidrug-resistant tuberculosis
treatment affect outcome? A populationbased study in Kerala, India. Ann Am
Thorac Soc. 2014; 11 (5): 712-8.
Kendall EA, Theron D, Franke MF, Helden
PV, Victor TC, Murray MB et al. Alcohol,
hospital discharge, and socioeconomic
risk factors for default from multidrug
resistant tuberculosis treatment in rural
South Africa: a retrospective cohort
study. PLoS One, 2013; 8 (12): 834-80.
Pelaquin MHH, Souza e Silva R,
Ribeiro SA. Fatores associados ao
óbito por tuberculose na zona leste
da cidade de São Paulo, 200. J. Bras
Pneumol. 2007; 33 (3): 311-7.
Instituto Brasileiro de Geografia e
Estatística. IBGE. http://cidades.ibge.
gov.br/xtras/perfil.php?codmun=350950
(Acessado em 10/ jul/2016).
Prefeitura Municipal de Campinas.
Secretaria Municipal de Saúde. 2016.
http://www.saude.campinas.sp.gov.br/
saude/ (Acessado em 10/jul/2016).
Nascimento EPL, Correa CRS,
Nozawa MRO. O município de
Campinas e a organização da Secretaria
Municipal de Saúde. Rev. Ciênc. Méd,
Campinas. 2007; 16 (3):161-17.
Babor TF, Higging-Biddle JC, Sunders JB.
The alcohol user disorders identification of
test. World Health Organization. 2001: 1-41.
Oliveira, HB and Moreira Filho, DC.
Recidivas da tuberculose e seus fatores
de risco. Rev Panam Salud Publica/Pan
Am J Public Health. 2000; 7(4): 232-41.
Garcia LP, Freitas LRS. Consumo abusivo
de álcool no Brasil: resultados da pesquisa
nacional de saúde 2013. Rev. Epidemiol.
Serv. Saúde. 2015; 24 (2): 227-37.
Seiscento M, Vargas FS, Rujula MJP,
Bombarda S, Uip DE, Galesi VMN.
Aspectos epidemiológicos da tuberculose
pleural no estado de São Paulo (1998-2005).
J Bras. Pneumol. 2009. 35 (6): 548-54.
Gajalakshmi V, Peto R. Smoking, drinking
and incident tuberculosis in rural India:
population-based case-control study. Int
Jour of Epidemiol. 2009; 38 (4): 1018-25.
Reis DC, Almeida TAC, Quites HFO,
Sampaio MM. Perfil epidemiológico da
tuberculose no Município de Belo Horizonte
(MG), no período de 2002 a 2008. Rev.
Bras Epidemiol. 2013; 16 (3): 592-602.
Patra J, Jha P, Rehm J, Suraweera W.
Tobacco smoking, alcohol drinking,
diabetes, low body mass índex and the
risk of self-reported symptoms of active
tuberculosis: individual participant
data (IPD) meta-analyses of 72,684
individuals in 14 high tuberculosis burden
countries. Plos One. 2014; 9 (5): 1-11.
Dhanaraj B, Papanna MK, Adinarayanan S,
Vedachalam C, Sundaram V, Shanmugam
S et al. Prevalence and Risk Factors
for Adult Pulmonary Tuberculosis in
a Metropolitan City of South India.
Plos One. 2015; 10 (4): 1-15.
Madruga CS, Saibro P, Ferri CP, Caetano
R, Laranjeira R, Pinsky I. Correlated
Factors and Prevalence of Alcohol
Treatment in Brazil: A National Survey.
Addict dis & their treat. 2014;1-7.
Lanna NB, Silva Fonseca VA, AguiarNemer AS, Caetano R, Pinsky I, Zaleski
M, Laranjeira RR. Abstinenceofalcohol in
Brazil. J Public Health. 2014; 22: 49-55.
Caetano R, Mills B, Madruga C,
Pinsky I, Laranjeira R. Discrepant
Trends in Income, Drinking, and Alcohol
Problems in an Emergent Economy:
Brazil 2006 to 2012. Alcohol Clin
Exp Re., 2015; 39 (5): 863-71.
Shin S, Livchits V, Connery S, Shields
A, Yanov S, Yanova G. Effectiveness of
Alcohol Treatment Interventions Integrated
into Routine Tuberculosis Care in Tomsk,
Russia. Addiction. 2013; 108 (8): 1387-96.
Przybylski G, Dabrowska A, Trzcinska
H. Alcoholism and other sociodemographic risk factors for adverse
TB-drug reactions and unsuccessful
tuberculosis treatment – data from ten
years observation at the Regional Centre
of Pulmonology, Bydgoszcz, Poland.
Med SciMonit. 2014; 20: 444-53.
Pang PT, Leung CC, Lee SS.
Neighbourhood risk factors for
tuberculosis in Hong Kong. Int J Tuberc
Lung Dis. 2010; 14 (5): 585-92.
Jee SA, Golub JE, Jo J, Park S, Ohrr
H, Samet JM. Smoking and Risk of
Tuberculosis Incidence, Mortality
and Recurrence in South Korean
Men and Women. Am J Epidemiol.
; 170 (12): 1478-85.
Maciel EL, Brioschi AP, Peres RL,
Guidoni LM, Ribeiro FK, Hadad DJ et al.
Smoking and 2-month culture conversion
during anti-tuberculosis treatment. Int J
Tuberc Lung Dis. 2013; 17 (2): 225-8.
Huang CG, Tchetgen ET, Becerra MC,
Cohen T, Galea J, Calderon R et al.
Cigarette smoking among tuberculosis
patients increases risk of transmission
to child contacts Int. J Tuberc Lung
Dis. 2014; 18 (11): 1285-91.
Ephrem T, Mengiste B, Mesfin F,
Godana W. Determinants of active
pulmonary tuberculosis in Ambo
Hospital, West Ethiopia. Afr J Prm Health
Care Fam Med. 2015; 7 (1): 1-8.
Zellweger JP, Cattamanchi A, Sotgiu
G. Tobacco and tuberculosis: could
we improve tuberculosis outcomes by
helping patients to stop smoking? Rev.
EurRespirJour. 2015; 45 (1): 583-5.
Andrade RLP, Villa TCS, Pillon
S. A influência do alcoolismo no
prognóstico e tratamento da tuberculose.
Rev. SMAD. 2005; 1 (1): 1-8.
Silva CB, Lafaiete RS, Donato M.
O consumo de álcool durante o
tratamento da tuberculose: percepção
dos pacientes. Rev. Eletronic. Saúd Men
Álcool e drog. 2011; 7 (1): 10-17.
World Health Organization. Tuberculosis
Fact Sheet No 104 Reviewed March
Disponível em: http://www.
who.int/mediacentre/factsheets/fs104/
en/ (Acessado em 04/ abril/2015).
Gyawali N, Gurung R, Poudya lN, Amatya
R, Shrestha R, Khanal LK et al. Tobacco
and alcohol: The relation to pulmonary
tuberculosis in household contacts.
Nepal Med Coll J. 2012; 15(2): 134-7.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2017 Magnania Cristiane Pereira da Costa, Letícia Marín-León, Helenice Bosco de Oliveira