ABSTRACT OBJECTIVE To investigate the epidemiology of tobacco use and nicotine dependence in a sample of truck drivers in Brazil. METHODS Between 2015 and 2016, a cross-sectional study was conducted on 624 truck drivers who operate on the BR-050 highway in Brazil. Participants were interviewed about sociodemographic data, occupational characteristics, mental health, behavioral data, and tobacco use. Then, the Fagerstrom test for nicotine dependence (FTND) was used to verify nicotine dependence in smoking truck drivers. Logistic regression and linear regression were also used to verify factors associated with tobacco use in the previous 30 days and nicotine dependence scores, respectively. RESULTS The prevalence of tobacco use among truck drivers was 21.1% (n = 132;95%CI: 18.1–24.5). Of the total number of smokers who responded to the FTND (n = 118; 89.4%), most had high/very high nicotinic dependence (68.6%; 95%CI: 59.8–76.3). Tobacco use was associated with absence of religion (adjusted odds ratio [AOR]: 2.60; 95%CI: 1.35–5.01), employment relationship of the contract (AOR = 1.98; 95%CI: 1.26–3.13); > 12 hours daily working time (AOR = 1.80; 95%CI: 1.09–2.98) and alcohol use in the previous 30 days (AOR = 2.92; 95%CI: 1.86–4.57). Irregular physical activity was associated with higher scores of nicotine dependence (β = 1.87; 95%CI: 0.55–3.19). CONCLUSION The results showed a high prevalence of tobacco use and high/very high nicotine dependence among the truck drivers.

ABSTRACT OBJECTIVE To investigate the epidemiology of tobacco use and nicotine dependence in a sample of truck drivers in Brazil. METHODS Between 2015 and 2016, a cross-sectional study was conducted on 624 truck drivers who operate on the BR-050 highway in Brazil. Participants were interviewed about sociodemographic data, occupational characteristics, mental health, behavioral data, and tobacco use. Then, the Fagerstrom test for nicotine dependence (FTND) was used to verify nicotine dependence in smoking truck drivers. Logistic regression and linear regression were also used to verify factors associated with tobacco use in the previous 30 days and nicotine dependence scores, respectively. RESULTS The prevalence of tobacco use among truck drivers was 21.1% (n = 132;95%CI: 18.1–24.5). Of the total number of smokers who responded to the FTND (n = 118; 89.4%), most had high/very high nicotinic dependence (68.6%; 95%CI: 59.8–76.3). Tobacco use was associated with absence of religion (adjusted odds ratio [AOR]: 2.60; 95%CI: 1.35–5.01), employment relationship of the contract (AOR = 1.98; 95%CI: 1.26–3.13); > 12 hours daily working time (AOR = 1.80; 95%CI: 1.09–2.98) and alcohol use in the previous 30 days (AOR = 2.92; 95%CI: 1.86–4.57). Irregular physical activity was associated with higher scores of nicotine dependence (β = 1.87; 95%CI: 0.55–3.19). CONCLUSION The results showed a high prevalence of tobacco use and high/very high nicotine dependence among the truck drivers.

Objective to describe the search for the therapeutic help of individuals using and abusing of psychoactive substances. Methods it is a cross-sectional epidemiology study of individuals from the central-western region of Brazil, with a history of abusive use of psychoactive substances. Face-to-face interviews were conducted at the research sites in a private setting. The data were analyzed by statistical analysis. Results there were 266 individuals interviewed, 85.3% were male and with an age of onset of use ≥18 years old. Most interviewees reported seeking help in rehabilitation clinics. Prayer was the most frequent intervention, and the professional with the greatest influence was the pharmacist. Conclusion men were prevalent among those who sought help, and crack was the drug in use reported by most of them.

Objetivo descrever a procura por ajuda terapêutica de indivíduos em uso e abuso de substâncias psicoativas. Métodos epidemiológico transversal, realizado com indivíduos da região centro-oeste do Brasil, com histórico de uso abusivo de substâncias psicoativas. Realizaram-se entrevistas face a face nos locais da pesquisa em ambiente privativo. Os dados passaram por análise estatística. Resultados foram entrevistados 266 indivíduos, sendo 85,3% do sexo masculino e idade de início de uso ≥18 anos. A maioria dos entrevistados relatou busca por ajuda em clínicas de reabilitação. A oração foi a ação de intervenção mais frequente, e o profissional com maior influência foi o farmacêutico. Conclusão homens foram prevalentes dentre aqueles que procuraram ajuda, e o crack foi a droga em uso relatada pela maioria.

RESUMO Objetivo: estimar a prevalência da probabilidade de transtorno mental comum entre indivíduos que abusam de álcool e outras drogas. Método: estudo transversal. A amostra constituiu-se de 234 indivíduos em tratamento e reabilitação de dependência química em clínicas e em um Centro de Atenção Psicossocial na região sudeste do Estado de Goiás. Foram aplicados instrumentos sobre perfil sociodemográfico, consumo de drogas lícitas e/ou ilícitas, e o questionário que rastreia sofrimento mental comum. Resultados: a variável desfecho foi a probabilidade de transtorno mental comum, com 37,2% do total da amostra. Houve associação da probabilidade para transtorno mental comum com sexo feminino (odds ratio=4,06; IC95% 1,56-10,56), idade ≤25 anos (odds ratio=3,00; IC95% 1,41-6,38) e uso de maconha na vida (odds ratio=2,83; IC95% 1,38-5,78). Conclusão: o estudo revelou a associação entre uso e abuso de drogas com o risco para transtorno mental comum.

ABSTRACT Objective: to estimate the prevalence of the probability of common mental disorders among abusers of alcohol and other drugs. Method: a cross-sectional study. The sample was made up of 234 individuals undergoing treatment and rehabilitation for chemical dependence in private clinics and in a Psychosocial Care Center in the Southeast area of the state of Goiás, Brazil. Instruments on sociodemographic profile, use of licit and/or illicit drugs, and a questionnaire that tracks common mental suffering were applied. Results: the outcome variable was the probability of common mental disorder, with 37.2% of the total of the sample. Association between the probability of common mental disorders and the female gender (odds ratio=4.06; 95% CI 1.56-10.56), age ≤25 years old (odds ratio=3.00; 95% CCI 1.41-6.38), and use of marijuana in life (odds ratio=2.83; 95% CI 1.38-5.78) were found. Conclusion: the study showed an association between the use and abuse of drugs and risk for common mental disorders.

RESUMEN Objetivo: estimar la prevalencia de probabilidad de trastorno mental común entre sujetos que abusan de alcohol y otras substancias. Metodo: estudio trasversal. La muestra se constituyó de 234 sujetos en tratamiento y rehabilitación por la dependencia química en clínicas y en un Centro de Atención Psicosocial en la región sudeste del Estado de Goiás, en Brasil. Fueron aplicados instrumentos sobre el perfil sociodemográfico, el consumo de drogas lícitas y/o ilícitas y el cuestionario que rastrea el sufrimiento mental común. Resultados: la variable de resultado fue la probabilidad de trastorno mental común, con 37,2% del total de la muestra. Hubo una asociación de la probabilidad para Trastorno Mental Común, con el sexo femenino (odds ratio=4,06; IC95% 1,56-10,56), la edad ≤25 años (odds ratio=3,00; IC95% 1,41-6,38) y el uso de marihuana (odds ratio=2,83; IC95% 1,38-5,78). Conclusión: el estudio reveló una asociación entre el uso y abuso de substancias con el riesgo para trastorno mental común.

ABSTRACT Objective: to estimate the prevalence of the probability of common mental disorders among abusers of alcohol and other drugs. Method: a cross-sectional study. The sample was made up of 234 individuals undergoing treatment and rehabilitation for chemical dependence in private clinics and in a Psychosocial Care Center in the Southeast area of the state of Goiás, Brazil. Instruments on sociodemographic profile, use of licit and/or illicit drugs, and a questionnaire that tracks common mental suffering were applied. Results: the outcome variable was the probability of common mental disorder, with 37.2% of the total of the sample. Association between the probability of common mental disorders and the female gender (odds ratio=4.06; 95% CI 1.56-10.56), age ≤25 years old (odds ratio=3.00; 95% CCI 1.41-6.38), and use of marijuana in life (odds ratio=2.83; 95% CI 1.38-5.78) were found. Conclusion: the study showed an association between the use and abuse of drugs and risk for common mental disorders.

RESUMEN Objetivo: estimar la prevalencia de probabilidad de trastorno mental común entre sujetos que abusan de alcohol y otras substancias. Metodo: estudio trasversal. La muestra se constituyó de 234 sujetos en tratamiento y rehabilitación por la dependencia química en clínicas y en un Centro de Atención Psicosocial en la región sudeste del Estado de Goiás, en Brasil. Fueron aplicados instrumentos sobre el perfil sociodemográfico, el consumo de drogas lícitas y/o ilícitas y el cuestionario que rastrea el sufrimiento mental común. Resultados: la variable de resultado fue la probabilidad de trastorno mental común, con 37,2% del total de la muestra. Hubo una asociación de la probabilidad para Trastorno Mental Común, con el sexo femenino (odds ratio=4,06; IC95% 1,56-10,56), la edad ≤25 años (odds ratio=3,00; IC95% 1,41-6,38) y el uso de marihuana (odds ratio=2,83; IC95% 1,38-5,78). Conclusión: el estudio reveló una asociación entre el uso y abuso de substancias con el riesgo para trastorno mental común.

RESUMO Objetivo: estimar a prevalência da probabilidade de transtorno mental comum entre indivíduos que abusam de álcool e outras drogas. Método: estudo transversal. A amostra constituiu-se de 234 indivíduos em tratamento e reabilitação de dependência química em clínicas e em um Centro de Atenção Psicossocial na região sudeste do Estado de Goiás. Foram aplicados instrumentos sobre perfil sociodemográfico, consumo de drogas lícitas e/ou ilícitas, e o questionário que rastreia sofrimento mental comum. Resultados: a variável desfecho foi a probabilidade de transtorno mental comum, com 37,2% do total da amostra. Houve associação da probabilidade para transtorno mental comum com sexo feminino (odds ratio=4,06; IC95% 1,56-10,56), idade ≤25 anos (odds ratio=3,00; IC95% 1,41-6,38) e uso de maconha na vida (odds ratio=2,83; IC95% 1,38-5,78). Conclusão: o estudo revelou a associação entre uso e abuso de drogas com o risco para transtorno mental comum.

Resumo Objetivo: Estimar a prevalência de probabilidade de transtorno mental comum em gestantes e os fatores associados. Métodos: Estudo transversal, quantitativo e descritivo com 330 gestantes cadastradas em um Serviço de Atenção à Saúde da Mulher localizado no Brasil Central. Os dados foram obtidos por meio de um questionário que abordou características sociodemográficas, antecedentes familiares e pessoais. No rastreamento de transtorno mental comum, aplicaram-se o Self-Reporting Questionnaire e a regressão de Poisson, para verificar os fatores associados a ele. Resultados: A prevalência de probabilidade do desfecho transtorno mental comum em gestantes foi de 57,1% e esteve associada com as variáveis estado civil, idade gestacional, gravidez planejada e sangramento. Conclusão: A prevalência de gestantes com probabilidade de transtorno mental comum e a média do escore do Self-Reporting Questionnaire estimados nesta pesquisa foram superiores às outras encontradas em estudos com amostras de população geral.

Abstract Objective: To estimate the prevalence of probability of common mental disorders in pregnant women and associated factors. Methods: A cross-sectional study with a quantitative and descriptive approach was performed with 330 pregnant women enrolled in a Women's Health Service located in Mid-West Brazil. Data were obtained through a questionnaire about socio-demographic characteristics and family or personal history. The Self-Reporting Questionnaire and Poisson regression were applied to screen for common mental disorders, aiming to identify factors associated with it. Results: The prevalence of probability of common mental disorders among pregnant women was 57.1% and it was associated with marital status, gestational age, unplanned pregnancy and bleeding. Conclusion: The prevalence of pregnant women likely to have common mental disorders and the average Self-Reporting Questionnaire score estimated in this study were higher than those found in other studies with samples from the general population.

Resumen Objetivo: Estimar la prevalencia de probabilidad de trastorno mental común en mujeres embarazadas y los factores asociados. Métodos: Estudio trasversal, cuantitativo y descriptivo, realizado con 330 mujeres embarazadas que hacen parte en un Servicio de Atención a la Salud de la Mujer localizado en Brasil Central. Los datos fueron obtenidos por medio de un cuestionario con características sociodemográficas y historias familiares y personales. El Self-Reporting Questionnaire y la regresión de Poisson fueron aplicados en el monitoreo del trastorno mental común para verificar los factores asociados. Resultados: La prevalencia de probabilidad de trastorno mental común en mujeres embarazadas fue del 57,1%, y estuvo asociada con las variables estado civil, edad gestacional, gravidez planeada y sangramiento. Conclusión: La prevalencia de mujeres embarazadas susceptibles de trastornos mentales comunes y el puntaje promedio del Self-Reporting Questionnaire estimado en este estudio fueron superiores a los encontrados en otros estudios de las muestras de población general.

Abstract Objective: To estimate the prevalence of probability of common mental disorders in pregnant women and associated factors. Methods: A cross-sectional study with a quantitative and descriptive approach was performed with 330 pregnant women enrolled in a Women's Health Service located in Mid-West Brazil. Data were obtained through a questionnaire about socio-demographic characteristics and family or personal history. The Self-Reporting Questionnaire and Poisson regression were applied to screen for common mental disorders, aiming to identify factors associated with it. Results: The prevalence of probability of common mental disorders among pregnant women was 57.1% and it was associated with marital status, gestational age, unplanned pregnancy and bleeding. Conclusion: The prevalence of pregnant women likely to have common mental disorders and the average Self-Reporting Questionnaire score estimated in this study were higher than those found in other studies with samples from the general population.

Resumen Objetivo: Estimar la prevalencia de probabilidad de trastorno mental común en mujeres embarazadas y los factores asociados. Métodos: Estudio trasversal, cuantitativo y descriptivo, realizado con 330 mujeres embarazadas que hacen parte en un Servicio de Atención a la Salud de la Mujer localizado en Brasil Central. Los datos fueron obtenidos por medio de un cuestionario con características sociodemográficas y historias familiares y personales. El Self-Reporting Questionnaire y la regresión de Poisson fueron aplicados en el monitoreo del trastorno mental común para verificar los factores asociados. Resultados: La prevalencia de probabilidad de trastorno mental común en mujeres embarazadas fue del 57,1%, y estuvo asociada con las variables estado civil, edad gestacional, gravidez planeada y sangramiento. Conclusión: La prevalencia de mujeres embarazadas susceptibles de trastornos mentales comunes y el puntaje promedio del Self-Reporting Questionnaire estimado en este estudio fueron superiores a los encontrados en otros estudios de las muestras de población general.

Resumo Objetivo: Estimar a prevalência de probabilidade de transtorno mental comum em gestantes e os fatores associados. Métodos: Estudo transversal, quantitativo e descritivo com 330 gestantes cadastradas em um Serviço de Atenção à Saúde da Mulher localizado no Brasil Central. Os dados foram obtidos por meio de um questionário que abordou características sociodemográficas, antecedentes familiares e pessoais. No rastreamento de transtorno mental comum, aplicaram-se o Self-Reporting Questionnaire e a regressão de Poisson, para verificar os fatores associados a ele. Resultados: A prevalência de probabilidade do desfecho transtorno mental comum em gestantes foi de 57,1% e esteve associada com as variáveis estado civil, idade gestacional, gravidez planejada e sangramento. Conclusão: A prevalência de gestantes com probabilidade de transtorno mental comum e a média do escore do Self-Reporting Questionnaire estimados nesta pesquisa foram superiores às outras encontradas em estudos com amostras de população geral.

RESUMO OBJETIVO Investigar os padrões e fatores associados ao consumo de tabaco em residentes de um assentamento rural. MÉTODOS Estudo de corte transversal realizado entre setembro e novembro de 2014, com 172 residentes de assentamento rural, na região Centro-Oeste do Brasil. Foram analisadas como variáveis dependentes o consumo de tabaco alguma vez na vida; o consumo atual de tabaco; abuso de tabaco; e alto risco de dependência nicotínica, com as variáveis sociodemográficas associadas ao consumo de tabaco, com aplicação dos instrumentos Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) e Self-Reporting Questionnaire (SRQ-20). RESULTADOS As prevalências de uso de tabaco na vida, uso atual, abuso de tabaco e alto risco de dependência nicotínica foram de 62,2%, 20,9%, 59,8%, 10,3%, respectivamente. Idade mais elevada, escolaridade baixa, religião evangélica, consumo de maconha, consumo de hipnóticos ou sedativos, sexo masculino foram fatores associados aos padrões de consumo de tabaco nos assentados. CONCLUSÕES Verificaram-se elevadas prevalências nos padrões de consumo de tabaco, evidenciando a necessidade de políticas públicas de saúde de prevenção e controle do tabaco nessa população.

ABSTRACT OBJECTIVE Investigate patterns and factors associated with tobacco consumption among residents of a rural settlement. METHODS A cross-sectional study conducted between September and November 2014, with 172 residents of a rural settlement in the Midwest region of Brazil. We analyzed as dependent variables tobacco consumption at some point in life; current tobacco consumption; tobacco abuse; and the high risk of nicotine dependence, with sociodemographic variables associated with tobacco use, and we applied the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) and Self-Reporting Questionnaire (SRQ-20). RESULTS The prevalence of tobacco use in life, current use, tobacco abuse, and high risk of nicotine dependence were 62.2%, 20.9%, 59.8%, and 10.3%, respectively. Advanced age, low education level, evangelical religion, marijuana use, hypnotic or sedative consumption, and male gender were factors associated with smoking patterns in the settlers. CONCLUSIONS There was a high prevalence of smoking patterns, evidencing the need for public policies on tobacco prevention and control in this population.

RESUMO OBJETIVO Investigar os padrões e fatores associados ao consumo de tabaco em residentes de um assentamento rural. MÉTODOS Estudo de corte transversal realizado entre setembro e novembro de 2014, com 172 residentes de assentamento rural, na região Centro-Oeste do Brasil. Foram analisadas como variáveis dependentes o consumo de tabaco alguma vez na vida; o consumo atual de tabaco; abuso de tabaco; e alto risco de dependência nicotínica, com as variáveis sociodemográficas associadas ao consumo de tabaco, com aplicação dos instrumentos Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) e Self-Reporting Questionnaire (SRQ-20). RESULTADOS As prevalências de uso de tabaco na vida, uso atual, abuso de tabaco e alto risco de dependência nicotínica foram de 62,2%, 20,9%, 59,8%, 10,3%, respectivamente. Idade mais elevada, escolaridade baixa, religião evangélica, consumo de maconha, consumo de hipnóticos ou sedativos, sexo masculino foram fatores associados aos padrões de consumo de tabaco nos assentados. CONCLUSÕES Verificaram-se elevadas prevalências nos padrões de consumo de tabaco, evidenciando a necessidade de políticas públicas de saúde de prevenção e controle do tabaco nessa população.

ABSTRACT OBJECTIVE Investigate patterns and factors associated with tobacco consumption among residents of a rural settlement. METHODS A cross-sectional study conducted between September and November 2014, with 172 residents of a rural settlement in the Midwest region of Brazil. We analyzed as dependent variables tobacco consumption at some point in life; current tobacco consumption; tobacco abuse; and the high risk of nicotine dependence, with sociodemographic variables associated with tobacco use, and we applied the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) and Self-Reporting Questionnaire (SRQ-20). RESULTS The prevalence of tobacco use in life, current use, tobacco abuse, and high risk of nicotine dependence were 62.2%, 20.9%, 59.8%, and 10.3%, respectively. Advanced age, low education level, evangelical religion, marijuana use, hypnotic or sedative consumption, and male gender were factors associated with smoking patterns in the settlers. CONCLUSIONS There was a high prevalence of smoking patterns, evidencing the need for public policies on tobacco prevention and control in this population.