Prevalência e fatores sociodemográficos associados ao beber pesado no Brasil: análises transversais da Pesquisa Nacional de Saúde

Ribeiro, Lucas Sisinno; Damacena, Giseli Nogueira

doi:10.1590/1980-549720210042

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…The present findings are partially in line with a recent report pooling data from eight Finnish cohorts, 24 which found negative mediated interactive effects of alcohol intake on the association between income and alcohol‐attributable mortality. Interestingly, a negative proportion for differential exposure was noted in this study, and such a divergence from the present findings could be attributed—besides the fact that the outcomes are distinct—to different societal vulnerability factors and drinking patterns when comparing Finland and Brazil 42–44 . Another study detected a minimal attenuation in the effects of socioeconomic inequalities in alcohol‐related disorders after adjusting for the amount of alcohol use, using traditional mediation analysis in a Swedish cohort 26 .…”

Section: Discussioncontrasting

confidence: 95%

“…Interestingly, a negative proportion for differential exposure was noted in this study, and such a divergence from the present findings could be attributedbesides the fact that the outcomes are distinct-to different societal vulnerability factors and drinking patterns when comparing Finland and Brazil. [42][43][44] Another study detected a minimal attenuation in the effects of socioeconomic inequalities in alcohol-related disorders after adjusting for the amount of alcohol use, using traditional mediation analysis in a Swedish cohort. 26 In some sort, this finding is equivalent to a negative total indirect effect, similar to what we found, although we were able to disentangle the contribution of each component of the mediated and interactive effects.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

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The role of differential exposure and susceptibility to heavy drinking linking income inequalities and tooth loss: An investigation of the alcohol harm paradox using a four‐way decomposition analysis

Oliveira,

Sfreddo,

Ardenghi

et al. 2023

Comm Dent Oral Epid

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ObjectivesTo examine the extent to which the effect of income inequalities on tooth loss is attributable to differential exposure and susceptibility to heavy drinking in older Brazilian adults.MethodsWe conducted a secondary analysis using data from The Brazilian Longitudinal Study of Ageing (ELSI‐Brazil 2015–2016), a nationally representative sample of community‐dwelling people aged 50 years and over. Causal mediation analysis based on the counterfactual outcome framework decomposed the effect of income on tooth loss mediated by heavy drinking into four components (four‐way decomposition): controlled direct effect (neither mediation nor interaction), reference interaction (interaction only), mediated interaction (both mediation and interaction) and pure indirect effect (mediation only). Proportions of effect attributable to each component were calculated to estimate the differential exposure (the sum of the third and fourth components) and differential susceptibility (the sum of the second and third components) to heavy drinking.ResultsThe analytical sample comprised 8114 participants. After adjusting for covariates, 7.3% (95% CI: 3.8%; 10.9%) and −39.5% (95% CI: −75.8%; −3.3%) of the effects of income on tooth loss were attributable to differential exposure and susceptibility to heavy drinking, respectively, consistent with the alcohol harm paradox. When setting non‐functional dentition as outcome, only the effect of differential susceptibility remained (−81.7% [95% CI: −128.2%; −35.2%]).ConclusionOur findings suggest that individuals of low‐income groups appear to be more susceptible to the effects of heavy drinking on tooth loss.

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Section: Discussioncontrasting

confidence: 95%

Section: Comparison With Other Studiesmentioning

confidence: 99%

The role of differential exposure and susceptibility to heavy drinking linking income inequalities and tooth loss: An investigation of the alcohol harm paradox using a four‐way decomposition analysis

Oliveira,

Sfreddo,

Ardenghi

et al. 2023

Comm Dent Oral Epid

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“…A mulher que é vista socialmente como bebedora leve é negligenciada e tem suas necessidades negadas, ao invés de obter medidas de cuidado -principalmente porque elas estão alcançando padrões compulsivos de consumo de bebida alcoólica tal qual os homens, conforme apresenta estudo realizado em Recife. 2,16,17 Destaca-se também que, em comparação aos homens, o consumo das mulheres tende a diminuir a partir dos 35 anos e aumentar com o avanço dos níveis de escolaridade. Concernente a isso, a idade foi apresentada como fator associado ao uso de álcool entre mulheres rurais.…”

Section: Discussionunclassified

Fatores relacionados ao padrão de consumo de bebida alcoólica em mulheres rurais

Nascimento

Pires²,

Oliveira³

et al. 2022

REME Rev Min Enferm.

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Objetivo: investigar fatores relacionados ao padrão de consumo de bebida alcoólica em mulheres rurais. Método: estudo quantitativo de amostragem não probabilística por conveniência realizado com 259 mulheres de comunidade rural da Bahia na atenção primária à saúde. Utilizou-se formulário estruturado e o Alcohol Use Disorders Identification Test. Os dados foram analisados empregando estatísticas descritivas para estimar a contribuição independente de cada variável na probabilidade dos desfechos relacionados ao consumo de bebida alcoólica. Aplicou-se a análise de regressão logística pelo software R 4.0.2 for Windows, com variáveis em ordem decrescente de significância estatística. Resultados: amostra composta por mulheres de 30 a 49 anos, predominantemente pretas, com religião, com companheiro, ensino médio completo, atividade remunerada, renda familiar menor que um salário mínimo, residentes em casa própria ou cedida. Ter religião diminui em 0,15% a chance de consumir bebida alcoólica. Morar em habitação com até 3 residentes, “não ficar ferida porque bebeu” e ter religião aumentam, respectivamente, em 89,1, 21,7 e 8,43% as chances de se manter na zona de baixo risco. Não possuir religião aumenta em 97,4% as chances de beber moderadamente. Ficar ferida porque bebeu aumenta em 98,9% as chances de fazer consumo nocivo de bebida alcoólica. Não ter religião e ficar ferida porque bebeu aumentam em 99,7% as chances de fazer uso de bebida alcoólica com provável dependência. Conclusão: a religião evidenciou-se como fator de proteção para o maior consumo de bebida alcoólica. Por outro lado, ficar ferida ou ferir alguém porque bebeu, se caracterizou como fator de risco.

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Patterns of alcohol consumption in Brazilian adults

Plens

Valente

Mari

et al. 2022

Sci Rep

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In this study, we aimed to describe the patterns of alcohol consumption in Brazilian adults by sociodemographic characteristics and states according to sex. Cross-sectional study including 87,555 adults from the 2019 Brazilian National Health Survey who responded to a questionnaire on alcohol consumption and were classified as non-drinkers (0 g/day), light (1–12.5 g/day), moderate (12.6–49.9 g/day), and heavy drinkers (≥ 50 g/day). Of the Brazilian adults, 73.5% were non-drinkers. Among the drinkers, 14.8% were light drinkers. 82.6% of heavy drinkers were men. White participants drank more than non-white participants, except black women who were 38% more likely to be moderate drinkers than white women (ROR 1.38, 95% CI 1.09 to 1.76). Unmarried were more likely to be drinkers. Women over 55 and men over 65 years old were less likely to be drinkers. Compared to participants with none or incomplete primary education, both men and women with higher educational attainment were more likely to be light and moderate drinkers. The largest consumption of alcohol was found in Sergipe and Mato Grosso for men, and Mato Grosso do Sul and Bahia for women. Our findings may be useful to inform policies for reducing alcohol consumption in Brazil.

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Prevalência e fatores sociodemográficos associados ao beber pesado no Brasil: análises transversais da Pesquisa Nacional de Saúde

Cited by 5 publications

References 34 publications

The role of differential exposure and susceptibility to heavy drinking linking income inequalities and tooth loss: An investigation of the alcohol harm paradox using a four‐way decomposition analysis

The role of differential exposure and susceptibility to heavy drinking linking income inequalities and tooth loss: An investigation of the alcohol harm paradox using a four‐way decomposition analysis

Fatores relacionados ao padrão de consumo de bebida alcoólica em mulheres rurais

Patterns of alcohol consumption in Brazilian adults

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