Risco cardiovascular de usuários de um centro de atenção psicossocial em álcool e drogas

Objective: To assess cardiovascular risk in users of an Alcohol and Drugs Psychosocial Care Center. Methods: A retrospective and analytical study was carried out at an Alcohol and Drugs Psychosocial Care Center in Sao Luis, Maranhao. The sample consisted of medical records of adult men served from 2015 to 2017. The medical records of individuals who used only alcohol were not included in the study. Socioeconomic, demographic, lifestyle, history of chemical dependence, and anthropometric information were collected. The data were analyzed in Stata® version 13.0 using Poisson regression. Results: Of the 122 medical records analyzed, 73.5% (n=89) were aged 20 to 39 years, 79.5% (n=97) were single and 49.2% (n=60) had either incomplete or complete primary education. Regarding nutritional status, 54.9% (n=67) of the individuals presented normal values and 18.0% (n=22) were at risk for cardiovascular diseases based on waist circumference and 17.2 % (n=21) were at cardiovascular risk based on waist-to-height ratio. In addition, 36.6% (n=41) and 41.8% (n=51) of the individuals remained at risk of cardiovascular disease based on waist-to-hip ratio and conicity index, respectively. Being aged 40-59 years (OR = 4.40, 95% CI: 1.52-12.75) and using cocaine (OR = 3.27, 95% CI: 1.15 - 9.27) were risk factors for cardiovascular diseases based on waist-to-height ratio. Conclusion: The study identified that chemically dependents were young adults at normal weight at risk for cardiovascular disease and waist-to-height ratio was significantly associated with age and cocaine use.