The aim of this work was to evaluate the profile of military police officers regarding the use of psychoactive substances and the presence of Sexually Transmitted Infections (STI). Cross-sectional study carried out with military police officers in 2015 in the central-western, Brazil. The ASSIST (Alcohol, Smoking and Substance Involvement Screening Test) questionnaire was applied to investigate the use of psychoactive substances and serology was performed for syphilis, viral B and C hepatitis and HIV. Cronbach's alpha and Pearson Correlation Coefficient were employed. The ASSIST presented alpha coefficients of Cronbach almost perfect for tobacco (α=0.83) and substantial for the use of alcohol (α=0.70). Of 657 police officers, 78.5% consumed psychoactive substances at some point in their lives, with 76.7% alcohol, 28.5% tobacco, and 5.2% illegal psychoactive substances. A short intervention was required for 23.3% of police officers who used psychoactive substances, and 1.4% should be referred for treatment. Tobacco use was strongly associated with the use of more than one psychoactive substances in life (φ=0.9327), and the use of marijuana showed a moderate correlation with cocaine/crack (φ=0.5241). The prevalence of STI was 14.0%, being 7.6% for HBV, 6.8% syphilis, 0.5% HIV, and 0.3% HCV. HBV/syphilis and HBV/HIV co-infection were observed in 1.1% and 0.1%, respectively. There was no correlation between STI and use of psychoactive substances. The prevalence of HBV and syphilis was higher among police officers than in the general population. The ASSIST questionnaire was consistent when applied to this group and can be a significant tool for monitoring and decision making for timely intervention.
Resumo: A prevalência de diabetes mellitus (DM) na população mundial tem sofrido um aumento dramático. A hemoglobina glicada A1C é útil para o diagnóstico da DM, mas hemoglobinopatias podem interferir com o teste, e devem ser levadas em consideração. Investigar a prevalência de DM e hemoglobinopatias entre policiais militares no Estado de Goiás, Brasil. Entre agosto de 2014 e abril de 2015, policiais militares foram convidados a fornecer amostra de sangue para os testes de índices de glicemia, hemoglobina glicada e de investigação das variantes de hemoglobina. Os índices glicêmicos foram avaliados através da medição do nível de glicose em jejum com equipamento automatizado A15 do BioSystems®; para A1C utilizou-se equipamento flexor EL200 (ELITech®) e para hemoglobina foi realizada eletroforese em pH alcalino. As amostras com hemoglobina anormal foram confirmadas por Cromatografia Líquida de Alta Eficiência (HPLC). Também mediu-se a hemoglobina A2 por troca iônica, com kits BioSystems®. As análises estatísticas foram realizadas utilizando o programa GraphPad Prism Versão 5.4. O estudo incluiu 396 policiais, com idades entre 23 e 57 anos. DM foi detectado em 2,3% dos indivíduos com correlação positiva (r = 0,641; p =
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