Prevention and Intervention of Alcohol Dependence to the Elderly in Primary Health Care: An Integrative Literature Review
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Abstract
Introduction: Brazil has experienced a rapid demographic transition process, bringing with it new challenges to public health, among them, alcohol dependence among the elderly. Objective: to analyze the literary evidence on prevention and intervention actions for the elderly dependent on alcohol in Primary Health Care (PHC). Method: Integrative Literature Review carried out in 2020 in the LILACS, BDEnf, CUMED, IBECS, MedLine, SciELO, SCOPUS and Web of Science databases, based on the following descriptors: “Elderly”, “Alcohol”, “Alcoholism”, “Disorders Related to Alcohol Use” and “Primary Health Care”. Inclusion criteria were: original articles available online in full, in English, Portuguese and Spanish, and exclusion articles for bibliographic review, theses, dissertations and expert opinion. A total of 1159 articles were identified, after exclusion due to duplication, application of exclusion criteria and qualitative analysis, six articles remained. Results: From the analysis of the data obtained, three categories were structured: Need for screening for alcohol consumption in elderly patients in PHC, Efficiency of Brief Intervention for in elderly patients in PHC and Barriers for implementing screening for alcohol consumption. alcohol and Brief Intervention. Conclusions: the application of strategies to cope with alcohol consumption to elderly patients in Primary Health Care has proven cost benefit, but they are not widely implemented, with more barriers than facilitators for their implementation. In this context, it is necessary to carry out studies aimed at evaluating the effectiveness of screening for alcohol consumption and Brief Intervention in the elderly due to the scarcity of studies nationwide.
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