| Full text | |
| Author(s): Show less - |
Castaldelli-Maia, Joao Mauricio
[1, 2, 3]
;
Silveira, Camila M.
[1, 2]
;
Siu, Erica R.
[1]
;
Wang, Yuan-Pang
[1]
;
Milhoranca, Igor A.
[1]
;
Alexandrino-Silva, Clovis
[1]
;
Borges, Guilherme
[4, 5]
;
Viana, Maria C.
[6, 7]
;
Andrade, Arthur G.
[2, 3]
;
Andrade, Laura H.
[1]
;
Martins, Silvia S.
[8]
Total Authors: 11
|
| Affiliation: | [1] Univ Sao Paulo, Sch Med, Dept & Inst Psychiat, Sect Psychiat Epidemiol LIM 23, BR-05403 Sao Paulo - Brazil
[2] Univ Sao Paulo, Sch Med, Dept & Inst Psychiat, Interdisciplinary Grp Studies Alcohol & Drugs, BR-05403 Sao Paulo - Brazil
[3] Fundacao ABC, Sch Med, Dept Neurosci, BR-09060 Santo Andre, SP - Brazil
[4] Natl Inst Psychiat, Mexico City 14370, DF - Mexico
[5] Metropolitan Autonomous Univ, Mexico City 14370, DF - Mexico
[6] Univ Fed Espirito Santo, Dept Social Med, BR-29040 Vitoria, ES - Brazil
[7] Univ Fed Espirito Santo, Postgrad Program Publ Hlth, BR-29040 Vitoria, ES - Brazil
[8] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY 10032 - USA
Total Affiliations: 8
|
| Document type: | Journal article |
| Source: | DRUG AND ALCOHOL DEPENDENCE; v. 136, p. 92-99, MAR 1 2014. |
| Web of Science Citations: | 10 |
| Abstract | |
Background: We aimed to identify different categorical phenotypes based upon the DSM-V criteria of alcohol use disorders (AUD) among alcohol users who had at least one drink per week in the past year (n = 948). Methods: Data are from the Sao Paulo Megacity Mental Health Survey collected in 2005-2007, as part of the World Mental Health Survey Initiative. A latent class analysis of the 11 DSM-5-AUD criteria was performed using Mplus, taking into account complex survey design features. Weighted logistic regression models were used to examine demographic correlates of the DSM-5-AUD latent classes. Results: The best latent-class model was a three-class model. We found a ``non-symptomatic class{''} (69.7%), a ``use in larger amounts class{''} (23.2%), defined by high probability (>70%) of the ``use in larger amounts{''} criterion only, and a ``high-moderate symptomatic class{''} (7.1%), defined by high-moderate probability of all the 11 AUD criteria. Compared to those in the non-symptomatic class, individuals in the ``high-moderate symptomatic class{''} were more likely to have been married, have lower educational attainment and to be unemployed or in non-regular/informal employment. Those on the ``use in larger amounts class{''} were more likely to have been married or never married. Conclusion: The two symptomatic classes clearly represented the dimensionality of the new proposed AUD criteria, and could be more specifically targeted by different prevention or treatment strategies. DSM-5-AUD has the advantage of shedding light on risky drinkers included in the ``use in larger amounts class{''}, allowing for preventive interventions, which will reach a large number of individuals. (C) 2013 Elsevier Ireland Ltd. All rights reserved. (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 |