Relations between Depression, Alcohol and Gender in the Metropolitan Region of São Paulo, Brazil

Abstract

As part of the GENACIS project, this paper sought to assess the prevalence of depression in an urban sample in the city of São Paulo, Brazil, as well as the association between depression and alcohol abuse according to gender. To achieve this, an epidemiological survey was conducted using a stratified probability sample, including 2,083 adults. CIDI SF was used to identify depression. The Rao Scott test and multivariate logistic regression were used for statistical analysis. The response rate was 74.9%. Females (58.3%) under 40 years of age (52%) were predominant. The prevalence of depression was 28.3% for women and 12.7% for men. Most men declared being drinkers (61.1%) in the last year. Depression was associated with an alcohol drinking pattern, mostly binge drinking, in addition to the occurrence of problems derived from alcohol use. Most women declared being abstainers (69.5%). Depression was associated with cohabiting with spouses with alcohol-related problems. Results reveal that the association between depression and alcohol consumption is distinct between genders.

Representational comparisons of health education for alcoholics: a study of AnCo-networks

“…The prevalence of females in this coexistence becomes a concern, as studies show that women have emotional disorders by socializing with people who have alcohol-related disorders [20], like the findings in this study.…”

Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis

“…Prevalence was significantly higher among women than in men. Lifetime prevalence of depressive symptoms was assessed in one study 54 and was higher than that observed in studies that measured point prevalence. The point estimate of self-reported depressive symptoms was lower than that measured by other tools.…”

“…30,35,47 Six national studies were included. [23][24][25][26][27][28][29][30] Nine studies were conducted in the Southeast region, 22,[31][32][33][43][44][45][50][51][52][53][54][55][56][57][58][59][60][61][62][63] eight in the South region, [31][32][33][34][35][36][37][38][39][40][41][42]46 two in the Northeast region [47][48][49] and one in the Mid-West region of Brazil. [31][32][33] Eight studies were conducted i...…”

“…35,47 Ten studies did not report participant losses. [23][24][25][26][27][28]30,35,45,48,49,53,62,63 To screen for the prevalence of depressive symptoms, nine studies considered self-reported depression, [23][24][25][26][27][28]30,34,46,47,53 and 11 used the following tools: 1) Adult Psychiatric Morbidity Questionnaire (Questioná rio de Morbidade Psiquiá trica de Adultos, QMPA) [31][32][33]48,49 ; 2) Beck Depression Inventory (BDI) 35,62,63 ; 3) Center for Epidemiologic Studies Depression Scale (CES-D) 29 ; 4) Composite International Diagnostic Interview ShortForm (CIDI SF) 54 ; 5) Edinburgh Postnatal Depression Scale (EPDS) 42 ; 6) Patient Health Questionnaire (PHQ-9) 40 ; and 7) Primary Care Evaluation of Mental Disorders (PRIME-MD). 45 The seven studies that screened for major depressive disorder used the following tools: the Composite International Diagnostic Interview (CIDI), 22,43,44,[50]…”

“…25,26,30,53 Due to the absence of raw data, three studies could not be included in the meta-analysis, [31][32][33] and five did not stratify results by sex, precluding their inclusion in the subgroup analysis. 25,26,30,40,46,54 …”