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      REDUCTION OF THE ALCOHOL CONSUMPTION AMONG WORKERS USING A BRIEF INTERVENTION Translated title: REDUCCIÓN DEL CONSUMO DE ALCOHOL ENTRE TRABAJADORES UTILIZANDO LA INTERVENCIÓN BREVE Translated title: A REDUÇÃO DO CONSUMO DE ÁLCOOL ENTRE TRABALHADORES UTILIZANDO A INTERVENÇÃO BREVE

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          Abstract

          ABSTRACT Objective: to analyze the effect of a brief intervention on the reduction of the alcohol consumption pattern among workers from the worker health perspective. Methods: a quasi-experimental study with a single sample of 36 workers, applying the positive (>8) Alcohol Use Disorders Identification Test and sample selection and using data from the Worker Health Booklet in combination with the mentioned test. Participants had three weekly sessions of brief intervention with motivational interviewing and were reevaluated after three months. Data were analyzed quantitatively. The Wilcoxon test was applied to data on the reduction of the consumption pattern, and a significance p<0.05 was adopted. Results: risky consumption prevailed (61.1%), followed by probable dependence (27.8%) and hazardous consumption (11.1%). The score obtained in the test after three months of the brief intervention was lower than the initial result, with Z=-4.709 and p<0.000. Regarding sociodemographic and occupational characteristics, all the participants showed a significant reduction. Concerning Alcohol Use Disorders Identification Test questions, there was a reduction, especially in the frequency (Z=-3.880 and p<0.000) and binge drinking (Z=-4.144 and p<0.000). Conclusion: the effect of brief intervention associated with motivational interviewing reduced the alcohol consumption pattern among workers at a public university.

          Translated abstract

          RESUMEN Objetivo: Analizar el efecto de la Intervención Breve para reducir el estándar de consumo de alcohol entre trabajadores, en la perspectiva de la salud del trabajador. Método: Estudio cuasiexperimental con muestra única de 36 servidores, con Cuestionario de Identificación de los Trastornos debidos al Consumo de Alcohol positivo (>8) y selección de la muestra utilizando datos del Cuaderno de Salud del Servidor asociado al referido Cuestionario. Los participantes recibieron tres sesiones de Intervención Breve mediante entrevista motivacional, y fueron reevaluados luego de tres meses. Datos analizados cuantitativamente. Se aplicó Test de Wilcoxon para la reducción del estándar de consumo, adoptándose significatividad de p<0,05. Resultados: El consumo riesgoso resultó el más frecuente (61,1%), seguido de la probable dependencia (27,8%) y del nocivo (11,1%). Luego de tres meses de la Intervención Breve, el puntaje del test fue inferior al inicial, con Z=-4,709 y p<0,000. Respecto de las características sociodemográficas y laborales, todas mostraron reducción significativa. En relación a las preguntas del Prueba de identificación de problemas relacionados con el alcohol, se redujo especialmente la frecuencia (Z=-3,880 y p<0,000) y en el consumo binge drinking (Z=-4,144 y p<0,000). Conclusión: El efecto de la Intervención Breve, asociado a la entrevista motivacional, redujo el estándar de consumo alcohólico entre los trabajadores de una universidad pública.

          Translated abstract

          RESUMO Objetivo: analisar o efeito da Intervenção Breve na redução do padrão de consumo de álcool entre trabalhadores, na perspectiva da saúde do trabalhador. Método: estudo quase-experimental com amostra única de 36 servidores, e Teste de Identificação de Problemas Relacionados ao Álcool positivo (>8), e seleção da amostra, utilizando dados do Caderno de Saúde do Servidor associado ao referido teste. Os participantes receberam três sessões de Intervenção Breve por meio de entrevista motivacional, semanal, e após três meses foram reavaliados. Os dados foram analisados quantitativamente. Foi utilizado o teste de Wilcoxon na redução do padrão de consumo, adotando-se significância de p<0,05. Resultados: o consumo de risco apresentou maior frequência (61,1%), seguido de provável dependência (27,8%) e nocivo (11,1%). Após três meses de Intervenção Breve, score encontrado no teste foi inferior ao do resultado inicial com Z=-4,709 e p<0,000. Quanto às características sociodemográficas e ocupacionais, todos apresentaram redução significativa. Em relação às questões do Teste de Identificação de Problemas Relacionados ao Álcool, reduziram principalmente na frequência (Z=-3,880 e p<0,000) e no consumo binge drinking (Z=-4,144 e p<0,000). Conclusão: o efeito da Intervenção Breve, associado à entrevista motivacional, reduziu o padrão de consumo de álcool entre os trabalhadores de uma universidade pública.

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          The prevalence of and factors associated with high-risk alcohol consumption in Korean adults: The 2009–2011 Korea National Health and Nutrition Examination Survey

          Background The consequences of alcohol consumption on health outcomes are largely determined by two separate, but related, dimensions of drinking: the total volume of alcohol consumed and the pattern of drinking. Most epidemiological studies focus on the amount of alcohol consumed and do not consider the pattern of drinking. Objectives This study evaluated the prevalence of and factors associated with high-risk and heavy alcohol drinking in Korean adults. Methods This study analyzed 15,215 of the 28,009 participants in the 2009–2011 Korea National Health and Nutrition Examination Survey (KNHANES). High-risk alcohol drinking was defined as Alcohol Use Disorders Identification Test (AUDIT) scores ≥16, which provides a framework for intervention to identify hazardous and harmful drinking patterns as the cause of alcohol-use disorders, according to World Health Organization guidelines. Results The prevalence of high-risk drinking was 15.1%, with the highest prevalence of 17.2% in middle-aged adults (45–64 years). In men, the prevalence of high-risk alcohol drinking was 23.7%, with the highest prevalence found in middle-aged adults. In women, the prevalence of high-risk alcohol drinking was 4.2%, with the highest prevalence found in younger adults. Men had higher weighted mean AUDIT scores than women (10.0 vs. 4.0, P<0.001), and age was negatively associated with the AUDIT score (P<0.001). Elementary school graduates had higher mean AUDIT scores than senior high school (P = 0.003) or college (P<0.001) graduates. Regarding occupation, clerical support workers (P = 0.002) and service and sales workers (P<0.001) had higher mean AUDIT scores than managers and professionals. Logistic regression analyses of high-risk alcohol drinking using sex, age, education level, number of family members, household income, and occupation as covariates was performed. Women had a lower risk of high-risk alcohol drinking (odds ratio (OR) 0.14, 95% CI: 0.13–0.16, P<0.001) than men. Regarding age, compared to control subjects aged 19–29 years, adults aged 60–69 and older than 70 years had 0.67- (95% CI: 0.51–0.89, P = 0.005) and 0.29-fold (95% CI: 0.20–0.70, P<0.001) lower risks, respectively, of high-risk alcohol drinking, whereas adults aged 30–59 had an increased risk of high-risk alcohol drinking. Using elementary school graduates as controls, senior high school (OR: 0.70, 95% CI: 0.55–0.87, P = 0.002) and college (OR: 0.54, 95% CI: 0.42–0. 70, P<0.001) graduates had lower risks of high-risk alcohol drinking. Regarding occupation, compared to managers and professionals as controls, service and sales workers had a greater risk of high-risk alcohol drinking (OR: 1.36, 95% CI: 1.07–1.73, P = 0.011). The number of family members and household income did not influence high-risk alcohol drinking. Conclusions In a representative sample of Korean adults, the prevalence of high-risk alcohol drinking was 15.1%, with the highest prevalence of 28.3% found in middle-aged men (45–64 years). This study suggests that younger age, male sex, low education level, and service and sales workers are at risk for a high-risk drinking pattern.
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            Exploring productivity outcomes from a brief intervention for at-risk drinking in an employee assistance program.

            Brief intervention (BI) research has traditionally examined alcohol and drug use outcomes; however it is unknown whether BIs can also impact on-the-job productivity. This exploratory study examines changes in workplace productivity and related costs for clients receiving a BI for at-risk drinking in the employee assistance program (EAP). Participants were 44 clients attending the EAP for behavioral health concerns, screened for at-risk drinking, assigned to BI+Usual Care (n=25) or UC alone (n=19), and who completed 3-month follow-up. Absenteeism, presenteeism, and productivity costs were derived as outcomes. At follow-up, participants in the BI+UC group had improved productivity when at work (presenteeism) compared to the UC group. The estimated cost savings from improved productivity for the BI+UC group was $1200 per client over the UC group. Groups did not differ by absenteeism (missed days of work). Preliminary evidence suggests the broad impact BIs may have. Implications for future BI research are discussed.
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              Consumo de drogas entre estudantes universitários: família, espiritualidade e entretenimento moderando a influência dos pares

              pesquisa quantitativa, descritiva e exploratória, com desenho transversal que investigou o papel da família, da espiritualidade e do entretenimento em moderar a relação da influência dos pares sobre o consumo de drogas entre estudantes universitários. A amostra foi composta por 250 estudantes de uma universidade pública brasileira de forma não probabilística. Foi elaborado um questionário com cinco escalas validadas que indagaram sobre a influência do grupo de pares, as relações familiares, o entretenimento, a espiritualidade e o consumo de drogas. Utilizou-se o programa SPSS versão 18 para a análise estatística. Verificou-se que 90,8% dos estudantes da amostra tinham pelo menos um amigo consumidor de drogas, e as mais consumidas foram álcool, tabaco e maconha. Estabeleceu-se associação significativa entre alguns fatores acadêmicos e culturais com o consumo de drogas lícitas e ilícitas. Recomenda-se a elaboração de estratégias preventivas, considerando a influência dos fatores culturais sobre o consumo de drogas entre os estudantes universitários.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                tce
                Texto & Contexto - Enfermagem
                Texto contexto - enferm.
                Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem (, SC, Brazil )
                0104-0707
                1980-265X
                2019
                : 28
                : e20180135
                Affiliations
                [1] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro orgdiv1Coordenação de Políticas em Saúde do trabalhador Brazil
                [3] Rio de Janeiro Rio de Janeiro orgnameInstituto Oswaldo Cruz Brasil
                [2] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro orgdiv1Escola de Enfermagem Anna Nery orgdiv2Departamento de Saúde Pública Brazil
                Article
                S0104-07072019000100347
                10.1590/1980-265x-tce-2018-0135
                6fafeae7-d39c-48d7-9ee9-0e982ed4f5e5

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 16 April 2018
                : 01 August 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 22, Pages: 0
                Product

                SciELO Brazil

                Categories
                Original Article

                Alcoholismo,Trabajadores,Salud laboral,Entrevista motivacional,Atención Primaria de salud,Abuso de álcool,Trabalhadores,Saúde do trabalhador,Atenção primária à saúde,Alcoholism,Workers,Occupational health,Motivational interviewing,Primary health care

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