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Drinking patterns and use disorders in São Paulo, Brazil: the role neighborhood social deprivation and socioeconomic status

Grant number: 14/50815-3
Support type:Regular Research Grants - Publications - Scientific article
Duration: March 01, 2015 - August 31, 2015
Field of knowledge:Health Sciences - Medicine - Psychiatry
Principal Investigator:Camila Magalhães Silveira
Grantee:Camila Magalhães Silveira
Home Institution: Instituto de Psiquiatria Doutor Antonio Carlos Pacheco e Silva (IPq). Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil

Abstract

We investigation influences of socioeconomic on drinking outcomes such as alcohol use disorders (AUD) in a Brazilian population, attending to male-female variations. A multi-stage area probability sample of adult household residents in the São Paulo Metropolitan Area was assessed using the WHO Composite International Diagnostic Interview (n=5,037). Estimation focused on prevalence and correlates of past-year alcohol disturbances [heavy drinking of lower frequency (HOLF), heavy drinking of higher frequency (HDHF), abuse, dependence, and DMS-5 AUD] among regular users (RU); odds ratio (OR) were obtained. Higher area-level neighborhood social deprivation (NSD) showed excess odds for most alcohol disturbances analyzed. Prevalence estimates for HDLF and HDHF among RU were 9% and 20%, respectively, with excess odds in higher NSO areas; schooling (inverse association) and low income were associated with male HDLF. The only individual-level association with female HDLF involved employment status. Prevalence estimates for abuse, dependence, and DSM-5 AUD among RU were 8%, 4%, and 8%, respectively, with excess odds of: dependence in higher NSD areas for males; abuse and AUD for females. Among RU, AUD was associated with unemployment, and low education with dependence and AUD. Regular alcohol users with alcohol-related disturbances are more likely to be found where area-level neighborhood characteristics reflect social disadvantage. (AU)