Drinking Patterns and Alcohol Use Disorders in Sao... - BV FAPESP
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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Drinking Patterns and Alcohol Use Disorders in Sao Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status

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Author(s):
Silveira, Camila Magalhaes [1, 2] ; Siu, Erica Rosanna [1] ; Anthony, James C. [3] ; Saito, Luis Paulo [1] ; de Andrade, Arthur Guerra [2] ; Kutschenko, Andressa [1] ; Viana, Maria Carmen [1] ; Wang, Yuan-Pang [1] ; Martins, Silvia S. [4] ; Andrade, Laura Helena [1]
Total Authors: 10
Affiliation:
[1] Univ Sao Paulo, Sch Med, Inst Psychiat, Sect Psychiat Epidemiol LIM 23, Sao Paulo - Brazil
[2] Univ Sao Paulo, Sch Med, Dept & Inst Psychiat, Program Interdisciplinary Grp Studies Alcohol & D, Sao Paulo - Brazil
[3] Michigan State Univ, Dept Epidemiol & Stat, E Lansing, MI 48824 - USA
[4] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY - USA
Total Affiliations: 4
Document type: Journal article
Source: PLoS One; v. 9, n. 10 OCT 1 2014.
Web of Science Citations: 12
Abstract

Background: Research conducted in high-income countries has investigated influences of socioeconomic inequalities on drinking outcomes such as alcohol use disorders (AUD), however, associations between area-level neighborhood social deprivation (NSD) and individual socioeconomic status with these outcomes have not been explored in Brazil. Thus, we investigated the role of these factors on drink-related outcomes in a Brazilian population, attending to male-female variations. Methods: A multi-stage area probability sample of adult household residents in the Sao Paulo Metropolitan Area was assessed using the WHO Composite International Diagnostic Interview (WMH-CIDI) (n = 5,037). Estimation focused on prevalence and correlates of past-year alcohol disturbances {[}heavy drinking of lower frequency (HDLF), heavy drinking of higher frequency (HDHF), abuse, dependence, and DMS-5 AUD] among regular users (RU); odds ratio (OR) were obtained. Results: Higher NSD, measured as an area-level variable with individual level variables held constant, showed an 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 NSD 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. Conclusions: Regular alcohol users with alcohol-related disturbances are more likely to be found where area-level neighborhood characteristics reflect social disadvantage. Although we cannot draw inferences about causal influence, the associations are strong enough to warrant future longitudinal alcohol studies to explore causal mechanisms related to the heterogeneous patterns of association and male-female variations observed herein. Hopefully, these findings may help guide future directions for public health. (AU)

FAPESP's process: 11/50517-4 - Identification of subgroups of alcohol users and related factors in the São Paulo Metropolitan Area: gender differences, sociodemographic characteristics and psychiatric comorbidities
Grantee:Laura Helena Silveira Guerra de Andrade
Support Opportunities: Regular Research Grants
FAPESP's process: 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden
Grantee:Laura Helena Silveira Guerra de Andrade
Support Opportunities: Research Projects - Thematic Grants