Autor(es)

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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: PLoS One; v. 9, n. 10 OCT 1 2014.
• Citações Web of Science: 12

Resumo

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)

• Processo FAPESP: 11/50517-4 - Identificacao dos diferentes subgrupos de usuarios de alcool e fatores associados na regiao metropolitana de sao paulo:diferencas entre generos,dados sociodemograficos e comorbidades psiquiatricas.
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 03/00204-3 - Estudo epidemiologico dos transtornos psiquiatricos na regiao metropolitana de sao paulo: prevalencias, fatores de risco e sobrecarga social e economica.
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático