High mortality, violence and crime in alcohol dependents: 5 years after seeking treatment in a Brazilian underprivileged suburban community

High mortality, violence and crime in alcohol dependents: 5 years after seeking treatment in a Brazilian underprivileged suburban community

Alternative title Alta mortalidade, violência e crime em dependentes de álcool: seguimento após 5 anos de tratamento em periferia brasileira
Author Silva, Jairo Valentim Autor UNIFESP Google Scholar
Castro, Viviane de Autor UNIFESP Google Scholar
Laranjeira, Ronaldo Autor UNIFESP Google Scholar
Figlie, Neliana Buzi Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Chicago School of Professional Psychology International Psychology PhD Program
Abstract OBJECTIVE: To investigate the results of alcohol-related consequences in an underprivileged area of São Paulo. METHOD: One hundred and ninety one adult patients who sought alcohol treatment in 2002 were reassessed in 2007 regarding alcohol use and involvement with crime. The interview consisted of demographic questions and questionnaires assessing alcohol dependence and pattern of alcohol use. Risk and protective factors and involvement with crime were further explored. RESULTS High mortality rate (16.9%, n = 41) was found in this sample and 97.4% were identified as being severe alcohol dependents. The sample consisted of a homogeneous group, average age of 42, 81.9% male, 57.5% black, 52.2% unemployed and 100% of low socioeconomic status. Individuals ageing 35 or younger, not engaged in religious activities and with intense alcohol consumption in the last month had 2.7 times more chance on committing crimes (95% CI = [1.22; 5.93] p = 0.014). Subjects who consumed alcohol in the last month also had a 4.1 greater chance of becoming involved in crime (95% CI = [1.2; 14.24] p = 0.024). CONCLUSION: Alcohol dependence within an underprivileged community was associated with high rates of crime and mortality. Religious affiliation was negatively associated with delinquent behavior.

OBJETIVO: Explorar as consequências relacionadas ao uso de álcool na periferia de São Paulo. MÉTODO: Pacientes que procuraram tratamento para alcoolismo em 2002 foram convidados para reavaliação em 2007 para estudo de seguimento retrospectivo. A entrevista consistiu de questões sociodemográficas e questionários que avaliaram a dependência alcoólica e o padrão do consumo. Pesquisa adicional sobre fatores de risco e de proteção e envolvimento com crime foi contemplada neste estudo. RESULTADOS: A alta taxa de mortalidade (16,9% n = 41) e a dependência grave de álcool foi confirmada em 97,4% da amostra. O grupo se mostrou homogêneo, média de idade (42 anos), sexo masculino (81,9%), raça negra (57,5%), desempregados (52,2%), proveniente de classe social E e D (100%). Indivíduos com até 35 anos sem afiliação religiosa e tendo consumido muito álcool no ultimo mês apresentaram 2,7 mais chances de cometer crimes (95% IC = [1,22; 5,93] p = 0,014). Indivíduos que consumiram álcool no ultimo mês também tiveram suas chances 4,1 vezes maiores de estarem envolvidos com o crime (95% IC = [1,2; 14,24] p = 0,024). CONCLUSÃO: O consumo alcoólico na periferia foi associado a altas taxas de criminalidade e mortalidade, e a afiliação religiosa foi associada negativamente com comportamento delinquente.
Keywords alcohol
violence
religion
outpatient psychiatry
other psychosocial techniques
álcool
violência
religião
psiquiatria ambulatorial
outras técnicas
Language English
Date 2012-06-01
Published in SILVA, Jairo Valentim et al . High mortality, violence and crime in alcohol dependents: 5 years after seeking treatment in a Brazilian underprivileged suburban community. Rev. Bras. Psiquiatr., São Paulo , v. 34, n. 2, p. 135-142, jun. 2012
ISSN 1516-4446 (Sherpa/Romeo, impact factor)
Publisher Associação Brasileira de Psiquiatria - ABP
Extent 135-142
Origin http://dx.doi.org/10.1590/S1516-44462012000200004
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000305572300004
SciELO ID S1516-44462012000200004 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/7177

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