Correlates of lifetime alcohol misuse among older community residents in Brazil

Correlates of lifetime alcohol misuse among older community residents in Brazil

Author Blay, Sergio Luis Autor UNIFESP Google Scholar
Fillenbaum, Gerda G. Google Scholar
Andreoli, Sergio Baxter Autor UNIFESP Google Scholar
Gastal, Fabio Leite Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Duke Univ
Vet Adm Med Ctr
Universidade Federal de Minas Gerais (UFMG)
Abstract Background: Little is known about the sociodemographic correlates and health effects associated with lifetime alcohol misuse in community dwelling elderly people in Brazil.Method: Data were obtained from a representative sample of 6961 residents aged 60+ in the state of Rio Grande do Sul, Brazil. the structured interview included a five-item lifetime alcohol use questionnaire addressing abuse and dependence, and questions regarding sociodemographic characteristics, lifestyle and social support, and health conditions.Results: in the interview, 10.6% respondents (25.3% men, 2.9% women) endorsed at least one lifetime alcohol misuse question. Controlled analyses comparing a gradient of alcohol misuse (none, one or more than one item endorsed), found that men, people aged 60-69 (compared to older persons) and tobacco users were more likely to endorse alcohol misuse items. Persons reporting lower income and who were of non-white race/ethnicity did not differ from their comparison groups with respect to endorsing one item, but they were more likely to endorse two or more items. Endorsing more than one item was associated with impaired activities of daily living, the presence of respiratory problems and psychiatric disorders, but was protective against vascular conditions.Conclusions: Major lifetime alcohol misuse (defined as endorsing more than one of five items reflecting alcohol abuse or dependence) is more common in certain sociodemographic groups (men, younger elderly) lower income, non-whites). With the exception of vascular conditions, it is associated with smoking, poorer functional status, respiratory problems, and psychiatric disorder. Endorsing only one item has a reduced association, significant only for male gender, smoking, and psychiatric disorder.
Keywords prevalence
lifetime alcohol use
health conditions
Language English
Sponsor Conselho Estadual do Idoso
Secretaria do Trabalho
Cidadania e Assistencia Social
Governo do Estado do Rio Grande do Sul
National Institute on Aging
Grant number National Institute on Aging: 1P30 AG02871601
Date 2009-04-01
Published in International Psychogeriatrics. New York: Cambridge Univ Press, v. 21, n. 2, p. 384-391, 2009.
ISSN 1041-6102 (Sherpa/Romeo, impact factor)
Publisher Cambridge Univ Press
Extent 384-391
Access rights Closed access
Type Article
Web of Science ID WOS:000264911000022

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