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

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 ou...

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Autores principales: Silveira, Camila Magalhães, Siu, Erica Rosanna, Anthony, James C., Saito, Luis Paulo, de Andrade, Arthur Guerra, Kutschenko, Andressa, Viana, Maria Carmen, Wang, Yuan-Pang, Martins, Silvia S., Andrade, Laura Helena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182710/
https://www.ncbi.nlm.nih.gov/pubmed/25272008
http://dx.doi.org/10.1371/journal.pone.0108355
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author Silveira, Camila Magalhães
Siu, Erica Rosanna
Anthony, James C.
Saito, Luis Paulo
de Andrade, Arthur Guerra
Kutschenko, Andressa
Viana, Maria Carmen
Wang, Yuan-Pang
Martins, Silvia S.
Andrade, Laura Helena
author_facet Silveira, Camila Magalhães
Siu, Erica Rosanna
Anthony, James C.
Saito, Luis Paulo
de Andrade, Arthur Guerra
Kutschenko, Andressa
Viana, Maria Carmen
Wang, Yuan-Pang
Martins, Silvia S.
Andrade, Laura Helena
author_sort Silveira, Camila Magalhães
collection PubMed
description 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 São 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.
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spelling pubmed-41827102014-10-07 Drinking Patterns and Alcohol Use Disorders in São Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status Silveira, Camila Magalhães Siu, Erica Rosanna Anthony, James C. Saito, Luis Paulo de Andrade, Arthur Guerra Kutschenko, Andressa Viana, Maria Carmen Wang, Yuan-Pang Martins, Silvia S. Andrade, Laura Helena PLoS One Research Article 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 São 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. Public Library of Science 2014-10-01 /pmc/articles/PMC4182710/ /pubmed/25272008 http://dx.doi.org/10.1371/journal.pone.0108355 Text en © 2014 Silveira et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Silveira, Camila Magalhães
Siu, Erica Rosanna
Anthony, James C.
Saito, Luis Paulo
de Andrade, Arthur Guerra
Kutschenko, Andressa
Viana, Maria Carmen
Wang, Yuan-Pang
Martins, Silvia S.
Andrade, Laura Helena
Drinking Patterns and Alcohol Use Disorders in São Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status
title Drinking Patterns and Alcohol Use Disorders in São Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status
title_full Drinking Patterns and Alcohol Use Disorders in São Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status
title_fullStr Drinking Patterns and Alcohol Use Disorders in São Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status
title_full_unstemmed Drinking Patterns and Alcohol Use Disorders in São Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status
title_short Drinking Patterns and Alcohol Use Disorders in São Paulo, Brazil: The Role of Neighborhood Social Deprivation and Socioeconomic Status
title_sort drinking patterns and alcohol use disorders in são paulo, brazil: the role of neighborhood social deprivation and socioeconomic status
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182710/
https://www.ncbi.nlm.nih.gov/pubmed/25272008
http://dx.doi.org/10.1371/journal.pone.0108355
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