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Prevalence and circumstances of the standard for the use of alcohol under a gender perspective

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Author(s):
Ícaro Caresia Lopes
Total Authors: 1
Document type: Master's Dissertation
Press: Botucatu. 2017-02-20.
Institution: Universidade Estadual Paulista (Unesp). Faculdade de Medicina. Botucatu
Defense date:
Advisor: Florence Kerr Corrêa; Sumaia Inaty Smaira; Janaina Barbosa Oliveira
Abstract

Introduction: The problematic use of alcohol constitutes an important part of the chronic non-communicable diseases that kill the most in Brazil. Alcohol-related problems are not restricted exclusively to dependent individuals, but are associated with patterns of use considered to be "at-risk". Objectives: To estimate the prevalence and associated factors of alcohol use among men and women as well as socio-demographic characteristics, the prevalence of use patterns, the circumstances where they occur and the gender differences in relation to the AUDIT scores and the heavy episodic use of alcohol of the study population. Method: The data were collected through an epidemiological cross-sectional survey in a stratified and representative sample that totaled 1155 adults among 18 and 59 years of age. Data collection was done through the application of the GENACIS 2014 questionnaire in individual interviews in the households that were randomly selected. The results were compared by the usual tests of proportions, by means of binomial distribution or normal approximation. The bank was weighted for non-responses and in all analyzes it was set as a probability of occurrence of error of the first species the alpha value of 5%. Results: The response rate was 58.6% and the prevalence was 18.3% for abstinents in life, with 25.9% women and 9.1% men, among those who used alcohol in the last 12 months the total prevalence of the sample was 58.3%, 48.6% among women and 69.4% among men. Men were also the ones who drank the most in the last 12 months, in a higher number of doses on a typical day (p = 0.0002), consumed more doses per occasion (p = 0.0001), drank more frequently (P = 0.001) and had more episodes of episodic alcohol use (p = 0.0001). The AUDIT with score ≥8, indicating use of alcohol risk, was found in 18.0% of the women and 40.0% of the men. In the logistic regression analysis of the AUDIT ≥8, there were 1.61 times the odds of AUDIT ≥8 among those who called themselves non-whites, 3.10 more chances among those with incomplete upper and middle school education, and 6 , 43 more chances among those with complete superior or more; For women were protective factors to have children older than 18 years who live together and higher monthly family income (3 to 10 minimum wages). Final considerations: Identifying the prevalence of alcohol consumption, differences in the profile of use among men and women and associated factors are important steps in the development of new public health intervention policies or readjustment of those already existing, so that it is more efficient and effective the prevention of the problems caused by the harmful use of alcohol. (AU)

FAPESP's process: 15/09137-4 - Prevalence of alcoholism and associated factors: a gender analysis
Grantee:Ícaro Caresia Lopes
Support Opportunities: Scholarships in Brazil - Master