Hospitalization due to mental and behavioral disorders caused by use of alcohol and psychoactive substances among older adults and elderly people in Brazil

a cross-sectional study

Autores

Palavras-chave:

Alcohol-induced disorders, Substance-related disorders, Aging

Resumo

BACKGROUND: It has been estimated that 17% of individuals aged 50 years or older suffer from addiction to legal or illegal drugs. Use of alcohol and psychoactive substances has been correlated with several diseases, e.g. psychiatric conditions and cardiovascular and sexual dysfunctions. OBJECTIVE: To discuss the Brazilian profile of mental and behavioral disorders caused by use of alcohol and psychoactive substances among older adults and elderly people, over the period from 2008 to 2019. DESIGN AND SETTING: Cross-sectional study conducted among Brazilians aged 50 years or older. METHODS: Hospitalization due to mental and behavioral disorders caused by use of alcohol and psychoactive substances was assessed through data obtained from the National Health System Department of Informatics (Departamento de Informática do Sistema Único de Saúde, DATASUS). RESULTS: Decreasing and steady trends of hospitalization due to mental and behavioral disorders caused by use of alcohol among both men and women at all ages were observed. Similar trends were reported for all age ranges among men and women aged 60 years and older. In contrast, a slight increase was seen among women aged 50 to 59 years. CONCLUSION: These data are crucial for qualifying mental healthcare for older adults and elderly people and for planning mental health services.

Downloads

Não há dados estatísticos.

Biografia do Autor

Pedro Paulo Luciano Afonso, Universidade Federal de São Paulo

MD. Resident of Psychiatry, Department of Psychiatry, Hospital Municipal do Campo Limpo, São Paulo (SP), Brazil.

Mariana Luciano Afonso, Universidade Federal de São Paulo

PhD. Psychologist, Assistant Professor, Department of Medicine, Universidade Cidade de São Paulo (UNICID), São Paulo (SP), Brazil.

Gabriela Rodrigues Barbosa, Universidade Federal de São Paulo

MSc. Biomedical Scientist and Doctoral Student, Department of Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Alberto Fernando Oliveira Justo, Universidade Federal de São Paulo

PhD. Biomedical Scientist and Associate Researcher, Department of Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Referências

Hulse GK. Alcohol, drugs and much more in later life. Rev Bras Psiquiatr. 2002;24(Suppl 1):34-41. https://doi.org/10.1590/S1516-44462002000500008

Das A. Genes. Childhood Trauma, and Late Life Depressive Symptoms. J Aging Health. 2019;31(8):1503-24. PMID: 31288597; https://doi.org/10.1177/0898264319861001

Fantini-Hauwel C, Mikolajczak M. Factor structure, evolution, and predictive power of emotional competencies on physical and emotional health in the elderly. J Aging Health. 2014;26(6):993-1014. PMID: 24920650; https://doi.org/10.1177/0898264314535633

Meshesha LZ, Abrantes AM, Anderson BJ, et al. Marijuana use motives mediate the association between experiences of childhood abuse and marijuana use outcomes among emerging adults. Addict Behav. 2019;93:166-72. PMID: 30711670; https://doi.org/10.1016/j.addbeh.2019.01.040

Lofwall MR, Schuster A, Strain EC. Changing Profile of Abused Substances by Older Persons Entering Treatment. J Nerv Ment Dis. 2008;196(12):898-905. PMID: 19077857; https://doi.org/10.1097/NMD.0b013e31818ec7ee

Arndt S, Clayton R, Schultz SK. Trends in substance abuse treatment 1998-2008: Increasing older adult first-time admissions for Illicit drugs. Am J Geriatr Psychiatry. 2011;19(8):704-11. PMID: 21785290; https://doi.org/10.1097/JGP.0b013e31820d942b

Choi NG, DiNitto DM, Marti CN, Kaplan MS, Conwell Y. Suicide Means among Decedents Aged 50+ Years, 2005–2014: Trends and Associations with Sociodemographic and Precipitating Factors. Am J Geriatr Psychiatry. 2017;25(12):1404-14. PMID: 28689643; https://doi.org/10.1016/j.jagp.2017.06.001

Justo AFO, Oliveira MG De, Calmasini FB, et al. Preserved activity of soluble guanylate cyclase (sGC) in iliac artery from middle-aged rats: Role of sGC modulators. Nitric Oxide. 2021;Jan 1(106):9-16. PMID: 33122152; https://doi.org/10.1016/j.niox.2020.10.005

Oliveira MG de, Alexandre EC, Bonilla-Becerra SM, et al. Autonomic dysregulation at multiple sites is implicated in age associated underactive bladder in female mice. Neurourol Urodyn. 2019;38(5):1212-21. PMID: 30932250; https://doi.org/10.1002/nau.23990

Siragusa M, Justo AFO, Malacarne PF, et al. VE-PTP inhibition elicits eNOS phosphorylation to blunt endothelial dysfunction and hypertension in diabetes. Cardiovasc Res. 2020;117(6):1546-56. PMID: 32653904; https://doi.org/10.1093/cvr/cvaa213

Braga TBT, Pfaffench G, Weiss DPL, Barros MBA, Bergsten-Mends G. Point prevalence of drug prescriptions for elderly and non-elderly inpatients in a teaching hospital. Sao Paulo Med J. 2004;122(2):48-52. PMID: 15257359; https://doi.org/10.1590/s1516-31802004000200003

Pereira GB, Silveira KL, Borges CL dos S, Oliveira MM de. Clinical characteristics of drug users hospitalized in an intensive care unit. SMAD Rev Eletrônica Saúde Ment Álcool e Drog (Edição em Port. 2020;16(2):34-41. https://doi.org/10.11606/issn.1806-6976.smad.2020.158506

Mendes MC, da Cunha JRF, Nogueira AA. A mulher e o uso de álcool. Rev Bras Ginecol e Obstet. 2011;33(11):323-7. PMID: 22267109; https://doi.org/10.1590/S0100-72032011001100001

Santos SA, Lovisi G, Legay L, Abelha L. Prevalência de transtornos mentais nas tentativas de suicídio em um hospital de emergência no Rio de Janeiro, Brasil. Cad Saude Publica. 2009;25(9):2064-74. PMID: 19750393; https://doi.org/10.1590/s0102-311x2009000900020

Pinsky I, Bernal C, Vuolo L, Neighbors C. Introducing care management to Brazil’s alcohol and substance use disorder population. Braz J Psychiatry. 2018;40(3):320-4. PMID: 29267603; https://doi.org/10.1590/1516-4446-2017-2235

Becker P, Razzouk D. Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo. Sao Paulo Med J. 2018;136(5):433-41. PMID: 30570094; https://doi.org/10.1590/1516-3180.2018.0164310818

Trevisan ER, Castro S de S. Centros de Atenção Psicossocial - álcool e drogas: perfil dos usuários. Saúde em Debate. 2019;43(121):450-63. https://doi.org/10.1590/0103-1104201912113

Paparelli R, Sato L, Oliveira F de. A saúde mental relacionada ao trabalho e os desafios aos profissionais da saúde. Rev Bras Saúde Ocup. 2011;36(123):118-27. https://doi.org/10.1590/S0303-76572011000100011

Gavin RS, Reisdorfer E, Gherardi-Donato EC da S, Reis LN, Zanetti ACG. Associação entre depressão, estresse, ansiedade e uso de álcool entre servidores públicos. SMAD Rev Eletrônica Saúde Ment Álcool e Drog. 2015;11(1):2-9. https://doi.org/10.11606/issn.1806-6976.v11i1p2-9

Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Sao Paulo Med J. 2016;134(1):92. https://doi.org/10.1590/1516-3180.20161341T1

Lecrubier Y. Depressive illness and disability. Eur Neuropsychopharmacol. 2000;10(SUPPL. 4):439-43. PMID: 11114489; https://doi.org/10.1016/s0924-977x(00)00111-5

Silva LLP da, Almeida AB de, Amato T de C. A perspectiva dos profissionais sobre o processo de alta de pacientes do Caps-AD: critérios e dificuldades. Saúde em Debate. 2019;43(122):819-35. https://doi.org/10.1590/0103-1104201912213

Schmidt MI, Duncan BB, E Silva GA, et al. Chronic non-communicable diseases in Brazil: Burden and current challenges. Lancet. 2011;377(9781):1949-61. PMID: 21561658; https://doi.org/10.1016/S0140-6736(11)60135-9

Ministério da Saúde. DATASUS [Internet]. Informações de Saúde. Demográficas e Socioeconômicas. 2020. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/niuf.def Accessed in 2021 (Jul 12).

Dias DMO, Justo RMO, Oliveira EM, et al. Hospitalização e mortalidade por acidente vascular encefálico no estado de Goiás: um estudo epidemiológico entre 2010 a 2018. Rev Interdiscip Promoção da Saúde, St Cruz do Sul. 2019;2(4):1-8.

IBGE. Brazilian Institute of Geography and Statistics [Internet]. 2020 [cited 2020 Jun 1]. Available from: http://www.censo2010.ibge.gov.br/ Accessed in 2021 (Jul 12).

Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study. Lancet. 2012;380(9836):37-43. PMID: 22579043; https://doi.org/10.1016/S0140-6736(12)60240-2

WHO. Global status report on alcohol and health 2018. World Health Organization. 2018 [cited 2020 Oct 14]. Available from: https://www.who.int/publications/i/item/9789241565639 Accessed in 2021 (Jul 12).

MINISTÉRIO DA PREVIDÊNCIA SOCIAL. Adoecimento Mental e Trabalho: A concessão de benefícios por incapacidade relacionados a transtornos mentais e comportamentais entre 2012 e 2016 [Internet]. Secretaria de Políticas de Previdência Social. 2017. Available from: http://sa.previdencia.gov.br/site/2017/04/1%C2%BA-boletim-quadrimestral.pdf Accessed in 2021 (Jul 12).

WHO. Alcohol [Internet]. World Health Organization. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/alcohol Accessed in 2021 (Jul 12).

Bingham CR, Elliott MR, Shope JT. Social and Behavioral Characteristics of Young Adult Drink/ Drivers Adjusted for Level of Alcohol Use. Alcohol Clin Exp Res. 2007;31(4):655-64. PMID: 17374045; https://doi.org/10.1111/j.1530-0277.2007.00350.x

Silva TS, Christino JMM, Moura LRC, de Morais VHF. Gender and alcohol consumption among young people: Evaluation and validation of the conformity to masculine norms inventory. Cienc e Saude Coletiva. 2019;24(9):3495-506. PMID: 31508767; https://doi.org/10.1590/1413-81232018249.23952017

Connell R. Masculinidade corporativa e o contexto global: Um estudo de caso de dinâmica conservadora de gênero. Cad Pagu. 2013;(40):323-44. https://doi.org/10.1590/S0104-83332013000100010

Flecha E, Puigvert L, Ríos O. The New Alternative Masculinities and the Overcoming of Gender Violence. Int Multidiscip J Soc Sci. 2013;2(1):88-113. https://doi.org/10.4471/rimcis.2013.14

De Visser RO, Smith JA. Alcohol consumption and masculine identity among young men. Psychol Heal. 2007;22(5):595-614. https://doi.org/10.1080/14768320600941772

Molina BSG, Walther CAP, Cheong JW, et al. Heavy alcohol use in early adulthood as a function of childhood ADHD: Developmentally specific mediation by social impairment and delinquency. Exp Clin Psychopharmacol. 2014;22(2):110-21. PMID: 24611838; https://doi.org/10.1037/a0035656

Lee CM, Cadigan JM, Fairlie AM, Lewis MA. Transitions into young adulthood: Extent to which alcohol use, perceived drinking norms, and consequences vary by education and work statuses among 18–20 year olds. Addict Behav. 2018;79:107-12. PMID: 29287186; https://doi.org/10.1016/j.addbeh.2017.12.004

Lopes GM, Nóbrega BA, Del Prette G, Scivoletto S. Use of psychoactive substances by adolescents: Current panorama. Braz J Psychiatry. 2013;35(SUPPL. 1):51-61. PMID: 24142128; https://doi.org/10.1590/1516-4446-2013-S105

Brasil. I Levantamento nacional sobre os padrões de consumo de álcool na população brasileira [Internet]. Secretaria Nacional Antidrogas. 2007. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/relatorio_padroes_consumo_alcool.pdf Accessed in 2021 (Jul 12).

Andrade AG de. Álcool e a Saúde dos Brasileiros Panorama 2019 [Internet]. Centro de Informação sobre Saúde e Álcool. 2019. Available from: https://cisa.org.br/images/upload/Panorama_Alcool_Saude_CISA2019.pdf Accessed in 2021 (Jul 12).

Han B, Gfroerer J, Colliver J. An examination of trends in illicit drug use among adults aged 50 to 59 in the United States. Off Appl Stud. 2009;(August):1-10.

Gfroerer J, Penne M, Pemberton M, Folsom R. Substance abuse treatment need among older adults in 2020: The impact of the aging baby-boom cohort. Drug Alcohol Depend. 2003;69(2):127-35. PMID: 12609694; https://doi.org/10.1016/s0376-8716(02)00307-1

Coutinho RZ, Golgher AB. The changing landscape of religious affiliation in Brazil between 1980 and 2010: age, period, and cohort perspectives. Rev Bras Estud Popul. 2014;31(1):73-98. https://doi.org/10.1590/S0102-30982014000100005

Gomes FC, de Andrade AG, Izbicki R, Almeida AM, de Oliveira LG. Religion as a protective factor against drug use among Brazilian university students: A national survey. Braz J Psychiatry. 2013;35(1):29-37. PMID: 23567597; https://doi.org/10.1016/j.rbp.2012.05.010

Cassorla RMS. Suicídio: fatores inconscientes e aspectos socioculturais: uma introdução. 1a ed. São Paulo: Edgar Blucher Ltda.; 2017.

Brewster KK, Ciarleglio A, Brown PJ, et al. Age-Related Hearing Loss and Its Association with Depression in Later Life. Am J Geriatr Psychiatry. 2018;26(7):788-96. PMID: 29752060; https://doi.org/10.1016/j.jagp.2018.04.003

Pinto LW, De Assis SG. Descriptive study of suicide attempts in the brazilian elderly population, 2000–2014. Cienc e Saude Coletiva. 2015;20(6):1681-92. PMID: 26060946; https://doi.org/10.1590/1413-81232015206.03532015

Downloads

Publicado

2022-03-03

Como Citar

1.
Afonso PPL, Afonso ML, Barbosa GR, Justo AFO. Hospitalization due to mental and behavioral disorders caused by use of alcohol and psychoactive substances among older adults and elderly people in Brazil: a cross-sectional study. Sao Paulo Med J [Internet]. 3º de março de 2022 [citado 14º de março de 2025];140(2):229-36. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/899

Edição

Seção

Artigo Original