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1. Assessment of dependence and anxiety among benzodiazepine users in a provincial municipality in Rio Grande do Sul, Brazil.

Author

Schallemberger JB and Colet Cde F

Subjects
Adult, Brazil epidemiology, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Qualitative Research, Self Report, Severity of Illness Index, Time Factors, Anxiety epidemiology, Benzodiazepines therapeutic use, Substance-Related Disorders epidemiology
Abstract

Introduction: Benzodiazepines are among the most prescribed drugs for anxiety and one of the most used drug classes in the world and have a high potential for addiction. The objective of this study was to assess levels of dependence and anxiety among users of these drugs in the public health system., Methods: This was a cross-sectional, descriptive and quantitative study. Benzodiazepine users treated on the public health system were selected. Anxiety levels were assessed with the Hamilton Anxiety Scale and dependency with the Benzodiazepine Dependence Self-Report Questionnaire., Results: Benzodiazepine use was higher among women and in older age groups. Duration of benzodiazepine use was greater than 1 year for all respondents. The dependence assessment indicated that more than half of users were dependent on taking benzodiazepines and most had a severe degree of anxiety., Conclusion: This study found evidence of prolonged and inappropriate use of benzodiazepines. It is necessary to educate users about the risks of these drugs and to develop strategies to rationalize use of these drugs by working with prescribers and dispensers.

Published
2016
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2. Association between food insecurity and fall-related injury among adults aged ≥65 years in low- and middle-income countries: The role of mental health conditions

Author

Jae Il Shin, Igor Grabovac, Louis Jacob, Lee Smith, Guillermo F. López-Sánchez, Yvonne Barnett, Pinar Soysal, Hans Oh, Nicola Veronese, Ai Koyanagi, Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil (UVSQ Santé), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, This paper uses data from WHO's Study on Global Ageing and Adult Health (SAGE). SAGE is supported by the U.S. National Institute on Aging through Interagency Agreements OGHA 04034785 , YA1323-08-CN-0020 , Y1-AG-1005-01 and through research grants R01-AG034479 and R21-AG034263 ., SOYSAL, PINAR, Smith, L., Shin, J.I., López-Sánchez, G.F., Veronese, N., Soysal, P., Oh, H., Grabovac, I., Barnett, Y., Jacob, L., and Koyanagi, A.

Subjects
Male, Aging, Health (social science), Low- and middle-income countries, Psychological intervention, Logistic regression, Food Supply, Odds, 03 medical and health sciences, Older adults, 0302 clinical medicine, Fall-related injury, Environmental health, Prevalence, Humans, Medicine, 030212 general & internal medicine, Developing Countries, Depression (differential diagnoses), Aged, 2. Zero hunger, 030214 geriatrics, Food insecurity, business.industry, [SDV.MHEP.GEG]Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology, Confounding, Cognition, MESH: Accidental Falls, Aged, Cross-Sectional Studies, Developing Countries, Female, Food Insecurity, Food Supply, Humans, Male, Mental Health, Prevalence, Mental health, 3. Good health, Cross-Sectional Studies, Mental Health, Low- and middle-income countrie, Anxiety, Accidental Falls, Female, Geriatrics and Gerontology, medicine.symptom, business, Gerontology, The role of mental health conditions.-, Archives of gerontology and geriatrics, cilt.96, ss.104438, 2021 [Smith L., Shin J. I. , López-Sánchez G. F. , Veronese N., Soysal P., Oh H., Grabovac I., Barnett Y., Jacob L., Koyanagi A., -Association between food insecurity and fall-related injury among adults aged ≥65 years in low- and middle-income countries]
Abstract

Purpose:\ud \ud We investigated the association between food insecurity and fall-related injury among older adults from six low- and middle-income countries (LMICs), and the extent to which this association is mediated by mental health.\ud \ud Methods:\ud \ud Cross-sectional, community-based, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Past 12-month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression analysis and mediation analysis were conducted to assess associations.\ud \ud Results:\ud \ud Data on 14,585 adults aged ≥65 years [mean (SD) age 72.5 (11.5) years; 54.9% females] were analyzed. After adjustment for potential confounders, severe food insecurity (versus no food insecurity) was associated with 1.95 (95%CI = 1.11–3.41) times higher odds for fall-related injury. Moderate food insecurity was not significantly associated with fall-related injury (OR = 1.34; 95%CI = 0.81–2.25). The mediation analysis showed that 37.3%, 21.8%, 17.7%, and 14.0% of the association between severe food insecurity and fall-related injury was explained by anxiety, sleep problems, depression, and cognition, respectively.\ud \ud Conclusion:\ud \ud Severe food insecurity was associated with higher odds for injurious falls among older adults in LMICs, and a large proportion of this association may be explained by mental health complications. Interventions to improve mental health among those who are food insecure and a strong focus on societal and government efforts to reduce food insecurity may contribute to a decrease in injurious falls.

Published
2021