Use of alcohol associated with mental disorders in adult men
DOI:
https://doi.org/10.5712/rbmfc17(44)2510Keywords:
Alcohol, Adult, Primary Health Care, Depression, AnxietyAbstract
Introduction: From the point of view of public health, the adult male population is vulnerable to alcohol use and its consequences. Early detection and the search for associated factors are necessary, and the Family Health Units are important places for this approach. Objective: This study aimed to identify the use of alcohol in adult men and to verify its association with socioeconomic and demographic factors and mental disorders (major depressive episode and generalized anxiety disorder). Methods: A cross-sectional analytical study was carried out on adults aged 20 to 59 years in the city of Piracicaba, Brazil, registered in Family Health Units in the year 2018. After descriptive analyses, variables with p<0.20 in simple analyses were studied in multiple negative binomial regression models. According to the final model, the adjusted ratios of means were estimated with 95% confidence intervals. Results: There was a high prevalence of alcohol consumption (26.9%) in the study population. Alcohol Use Disorders Identification Test (AUDIT) score increased with age (ratios of means – RoM=1.02; confidence interval – 95%CI 0.99–1.03). Concerning religion, Protestants and Evangelicals had an average AUDIT score lower than other religions (RoM=1.78; 95%CI 1.14–2.79). People with mental disorders have an average AUDIT score higher than those without disorders (RoM=2.30; 95%CI 1.28–4.11). Conclusions: The authors conclude that alcohol in the adult male population is prevalent, with consumption increasing with age; religion has a protective effect, and people with depression and anxiety are more likely to use it. Taking this into consideration, it is worth highlighting the importance of Family Health Units in the development of strategies to monitor the risk conditions of its population as well as the discussion and approach of interventions.
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World Health Organization. Global status report on alcohol and health 2018. Genebra: World Health Organization; 2018. Disponível em: https://www.who.int/publications/i/item/9789241565639
World Health Organization. Global status report on alcohol and health 2014. Geneva: World Health Organization; 2014. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/112736/9789240692763_eng.pdf
Laranjeira R, Pinsky I, Sanches M, Zaleski M, Caetano R. Padrão de uso de álcool em brasileiros adultos. Rev Bras Psiquiatr 2010;32(3):231-41. https://doi.org/10.1590/S1516-44462009005000012 DOI: https://doi.org/10.1590/S1516-44462009005000012
I Levantamento domiciliar sobre uso de drogas psicotrópicas no Brasil: estudo envolvendo as 107 maiores cidades do país: 2001. São Paulo: CEBRID – Centro Brasileiro de Informações Sobre Drogas Psicotrópicas: UNIFESP – Universidade Federal de São Paulo; 2002. Disponível em: https://www.cebrid.com.br/wp-content/uploads/2012/10/I-Levantamento-Domiciliar-sobre-o-Uso-de-Drogas-Psicotr%C3%B3picas-no-Brasil-2001.pdf
II Levantamento domiciliar sobre o uso de drogas psicotrópicas no Brasil: estudo envolvendo as 108 maiores cidades do país: 2005. São Paulo: CEBRID – Centro Brasileiro de Informações Sobre Drogas Psicotrópicas: UNIFESP – Universidade Federal de São Paulo; 2006. Disponível em: https://www.cebrid.com.br/wp-content/uploads/2014/10/II-Levantamento-Domiciliar-sobre-o-Uso-de-Drogas-Psicotr%C3%B3picas-no-Brasil.pdf
I Levantamento nacional sobre os padrões de consumo de álcool na população brasileira. Brasília: Secretaria Nacional Antidrogas; 2007. Disponível em: https://www2.senado.leg.br/bdsf/bitstream/handle/id/93283/CARTILHA%20%c3%81LCOOL.PDF?sequence=5&isAllowed=y
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis. Vigitel Brasil 2018: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2018. Brasília: Ministério da Saúde; 2019. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/publicacoes-svs/vigitel/vigitel-brasil-2018.pdf/view DOI: https://doi.org/10.5123/S1679-49742017000400003
Zaleski M, Laranjeira RR, Marques ACPR, Ratto L, Romano M, Alves HNP, et al. Diretrizes da Associação Brasileira de Estudos do Álcool e outras Drogas (ABEAD) para o diagnóstico e tratamento de comorbidades psiquiátricas e dependência de álcool e outras substâncias. Rev Bras Psiquiatr 2006;28(2):142-8. https://doi.org/10.1590/S1516-44462006000200013 DOI: https://doi.org/10.1590/S1516-44462006000200013
Meneghim MC, Kozlowski FC, Pereira AC, Ambrosano GMB, Meneghim ZMAP. Classificação socioeconômica e sua discussão em relação à prevalência de cárie e fluorose dentária. Ciênc Saúde Coletiva 2007;12(2):523-9. https://doi.org/10.1590/S1413-81232007000200028 DOI: https://doi.org/10.1590/S1413-81232007000200028
Jomar RT, Paixão LAR, Abreu AMM. Alcohol use disorders identification test (AUDIT) e sua aplicabilidade na atenção primária à saúde. Rev APS 2012;15(1):113-7.
Barbor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT: the alcohol use disorders identification test. Guidelines for use in primary care. 2nd edition. Geneva: World Health Organization (WHO). Department of Mental Health and Substance Dependence, 2001. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/67205/WHO_MSD_MSB_01.6a-eng.pdf?sequence=1&isAllowed=y
Lima CT, Freire ACC, Silva APB, Teixiera RM, Farrel M, Prince M. Concurrent and construct validity of audit in an urban brazilian sample. Alcohol Alcohol 2005;40(6):584-9. https://doi.org/10.1093/alcalc/agh202 DOI: https://doi.org/10.1093/alcalc/agh202
Babor TF, Robaina K. The alcohol use disorders identification test (AUDIT): a review of graded severity algorithms and national adaptations. IJADR 2016;5(2):17-24. http://doi.org/10.7895/ijadr.v5i2.222 DOI: https://doi.org/10.7895/ijadr.v5i2.222
Lecrubier Y, Weiller E, Hergueta T, Amorim P, Bonora LI, Lépine JP, et al. M.I.N.I. Mini International Neuropsychiatric Interview. Tampa: University of South Florida; 2002. Disponível em: http://www.cosemssp.org.br/downloads/Cursos/Saude-Mental-DSM-07-03.pdf
Magnabosco MB, Formigoni MLOS, Ronzani TM. Avaliação dos padrões de uso de álcool em usuários de Atenção Primária à Saúde de Juiz de Fora e Rio Pomba (MG). Rev Bras Epdemiol 2007;10(4):637-47. https://doi.org/10.1590/S1415-790X2007000400021 DOI: https://doi.org/10.1590/S1415-790X2007000400021
Santos MN, Marques AC. Condições de saúde, estilo de vida e características de trabalho de professores de uma cidade do sul do Brasil. Ciênc Saúde Coletiva 2013;18(3):837-46. https://doi.org/10.1590/S1413-81232013000300029 DOI: https://doi.org/10.1590/S1413-81232013000300029
Vargas D, Bittencourt MN, Barroso LP. Padrões de consumo de álcool de usuários de serviços de atenção primária à saúde de um município brasileiro. Ciênc Saúde Coletiva 2014;19(1):17-25. https://doi.org/10.1590/1413-81232014191.1972 DOI: https://doi.org/10.1590/1413-81232014191.1972
Jomar RT, Abreu AMM, Griep RH. Padrões de consumo de álcool e fatores associados entre adultos usuários de serviço de atenção básica do Rio de Janeiro, RJ, Brasil. Ciênc Saúde Coletiva 2014;19(1):27-37. https://doi.org/10.1590/1413-81232014191.2009 DOI: https://doi.org/10.1590/1413-81232014191.2009
Ferreira LN, Bispo Junior JP, Sales ZN, Casotti CA, Braga Junior ACR. Prevalência e fatores associados ao consumo abusivo e à dependência de álcool. Ciênc Saúde Coletiva 2013;18(11):3409-18. https://doi.org/10.1590/S1413-81232013001100030 DOI: https://doi.org/10.1590/S1413-81232013001100030
Jomar RT, Fonseca VAO, Abreu AMM, Griep RH. Perfil do consumo de álcool de usuários de uma unidade de Atenção Primária à Saúde. J Bras Psiquiatr 2015;64(1):55-62. https://doi.org/10.1590/0047-2085000000057 DOI: https://doi.org/10.1590/0047-2085000000057
Freitas ICM, Moraes SA. Dependência de álcool e fatores associados em adultos residentes em Ribeirão Preto, São Paulo, Brasil, 2006: Projeto OBEDIARP. Cad Saúde Pública 2011;27(10):2021-31. https://doi.org/10.1590/S0102-311X2011001000015 DOI: https://doi.org/10.1590/S0102-311X2011001000015
Amato TC, Silveira PS, Oliveira JS, Ronzani TM. Uso de bebida alcoólica, religião e outras características sociodemográficas em pacientes da atenção primária à saúde – Juiz de Fora, MG, Brasil – 2006. Rev Eletrônica Saúde Mental Álcool Drog 2008;4(2). DOI: https://doi.org/10.11606/issn.1806-6976.v4i2p01-17
Paulus DJ, Gallagher MW, Rogers AH, Viana AG, Garza M, Valdivieso J, et al. Emotion dysregulation as a mechanism linking anxiety and hazardous drinking among Latinos in primary care. Am J Addict 2017;26(6):615-22. https://doi.org/10.1111/ajad.12574 DOI: https://doi.org/10.1111/ajad.12574
Levola J, Pitkänen T, Kampman O, Aalto M. The association of alcohol use and quality of life in depressed and non-depressed individuals: a cross-sectional general population study. Qual Life Res 2018;27(5):1217-26. https://doi.org/10.1007/s11136-017-1741-z DOI: https://doi.org/10.1007/s11136-017-1741-z
Lee YY, Wang P, Abdin E, Chang S, Shafie S, Sambasivam R, et al. Prevalence of binge drinking and its association with mental health conditions and quality of life in Singapore. Addict Behav 2020;100:106114. https://doi.org/10.1016/j.addbeh.2019.106114 DOI: https://doi.org/10.1016/j.addbeh.2019.106114
Mäkelä P, Raitasalo K, Wahlbeck K. Mental health and alcohol use: a cross-sectional study of the Finnish general population. Eur J Public Health 2015;25(2):225-31. https://doi.org/10.1093/eurpub/cku133 DOI: https://doi.org/10.1093/eurpub/cku133
Bellos S, Skapinakis P, Rai D, Zitko P, Araya R, Lewis G, et al. Longitudinal association between different levels of alcohol consumption and a new onset of depression and generalized anxiety disorder: results from an international study in primary care. Psychiatry Res 2016;243:30-4. https://doi.org/10.1016/j.psychres.2016.05.049 DOI: https://doi.org/10.1016/j.psychres.2016.05.049
Boden JM, Fergusson DM. Alcohol and depression. Addiction 2011;106(5):906-14. https://doi.org/10.1111/j.1360-0443.2010.03351.x DOI: https://doi.org/10.1111/j.1360-0443.2010.03351.x
Loose T, Acier D. Drinking motives and alcohol consumption behaviors among young French people. Addict Behav 2017;72:120-5. https://doi.org/10.1016/j.addbeh.2017.04.009 DOI: https://doi.org/10.1016/j.addbeh.2017.04.009
Bravo AJ, Pilatti A, Pearson MR, Mezquita L, Ibáñez MI, Ortet G. Depressive symptoms, ruminative thinking, drinking motives, and alcohol outcomes: a multiple mediation model among college students in three countries Addict Behav 2018;76:319-27. https://doi.org/10.1016/j.addbeh.2017.08.028 DOI: https://doi.org/10.1016/j.addbeh.2017.08.028
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