A population-based study on binge drinking among elderly Brazilian men: evidence from the Belo Horizonte and Bambuí health surveys

Prais, Hugo Alejandro Cano; Filho, Antônio Ignácio de Loyola; Firmo, Josélia O. A.; Lima‐Costa, Maria Fernanda; Uchôa, Elizabeth

doi:10.1590/s1516-44462008005000008

Cited by 8 publications

(17 citation statements)

References 18 publications

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“…In a recent general population survey Laranjeira et al 10 reported that 10% of the elderly had five or more drinks per sitting. Although the percentage of heavy drinkers among men is lower that the one found by Prais et al 9 , this figure is far from irrelevant. In our study, as well as in Laranjeira et al's 10 , the elderly reported drinking more often at home than in bars.…”

Section: Discussionmentioning

confidence: 55%

“…Brazilian general population surveys have targeted younger people, and therefore the small number of older people in the samples reduces the statistical power of analyses related to them. In Brazil, with regional samples, authors have estimated the prevalence of harmful drinking among elderly people to be between 4.3%, in both genders 8 , and 27%, just among men 9 . In a cross-sectional analysis of nationally representative data, Laranjeira et al 10 observed about a ten per cent prevalence of harmful drinking in Brazil.…”

Section: Introductionmentioning

confidence: 99%

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Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil

et al. 2009

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The objectives of this study are to identify the pattern of alcohol use among the elderly and to analyze its association with falls. A populationbased survey was conducted in a sample of Metropolitan São Paulo, Brazil, using IntroductionRecently, the number of people aged over 60 has markedly increased in many parts of the world, particularly in low-and middle-income countries 1 . In Brazil, it is estimated that by the year 2050 almost 20% of the population will be over 65 years of age 2 , with a significant impact on financing the national health system 3 .Although alcohol consumption is usually lower among the elderly when compared to younger subjects, its negative consequences can be higher, due to age-related physiological changes. The elderly have increased body fat and a reduction of the body non-fat mass and water, as well as a decrease in hepatic metabolism 4 . As a consequence, alcohol blood levels increase and the elderly start to undergo adverse consequences of alcohol ingestion even without increasing consumption 4 . Another important problem is related to the fact that a considerable proportion of the elderly population is under some form of medication with potential interactions with alcohol. Paskulin & Viana 5 studied elderly people in Porto Alegre, Rio Grande do Sul State, Brazil, and observed that only 23% of the sample did not use any medication. The differences between young adults and the elderly are so marked that it has been suggested that the latter should drink no more than only one drink per day, if there are no absolute contraindications due to the presence of some disease or use of medication 6 . In spi-ARTIGO ARTICLE

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Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil

et al. 2009

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“…Such networks can benefit health, as they foster trust, self-esteem, and cooperation [44]. Social groups can also influence health through health-related behaviours such as physical activity, binge drinking, functional capacity, cost-related medication non-adherence, and access to and use of medical care [18-21,29,45]. However, the positive effect of social networks on health appears to be more relevant for men than women since similar gender difference was found in other studies where social network size was associated with SRH only in men [3,8].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, older adults who participate in community activities are more likely to be physically active [20]. Those receiving more visits from their children or relatives in the previous month were less prone to binge drinking in one study [21]. Associations between low social interaction and poor perceived health, including health-related quality of life and self-rated health (SRH), have also been demonstrated [3-8,22-24].…”

Section: Introductionmentioning

confidence: 99%

Gender differences in the association of perceived social support and social network with self-rated health status among older adults: a population-based study in Brazil

Caetano¹,

2013

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BackgroundOlder adults are more likely to live alone, because they may have been predeceased by their spouse and friends. Social interaction could also be reduced in this age group due by limited mobility caused by chronic conditions. Therefore, aging is frequently accompanied by reduced social support, which might affect health status. Little is known about the role of gender in the relationship between social support and health in older adults. Hence, the present study tests the hypothesis that gender differences exist in the relationship between perceived social support, social network, and self-rated health (SRH) among older adults.MethodsA cross-sectional study using two-stage probabilistic sampling recruited 3,649 individuals aged 60 years and above. Data were collected during the national influenza vaccination campaign in Rio de Janeiro, Brazil, in 2006. Individual interviews collected information on SRH, perceived social support, social network, and other covariates. Multivariate logistic regression analyses using nested models were conducted separately for males and females. Independent variables were organised into six blocks: (1) perceived social support and social network, (2) age group, (3) socioeconomic characteristics, (4) health-related behaviours, (5) use of health care services, (6) functional status measures and somatic health problems.ResultsOlder men who did not participate in group activities were more likely to report poor SRH compared to those who did, (OR = 1.63; 95% CI = 1.16–2.30). Low perceived social support predicted the probability of poor SRH in women (OR = 1.64; 95% CI = 1.16–2.34). Poor SRH was associated with low age, low income, not working, poor functional capacity, and depression in both men and women. More somatic health problems were associated with poor SRH in women.ConclusionsThe association between social interactions and SRH varies between genders. Low social network involvement is associated with poor SRH in older men, whereas low perceived social support is associated with poor SRH in older women. The hypothesis that the relationship of perceived social support and social networks to SRH differs according to gender has been confirmed.

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“…Authors using regional samples in Brazil have estimated the prevalence of harmful drinking in the elderly as between 4.3% for both genders 7 and 27% for men alone. 8 Cross-sectional analyses of nationally representative data showed that, in those over 60 years of age, 10.4% reported drinking three or more drinks per occasion and 2.9% were alcohol dependents. 9 Harmful alcohol use and dependence in older people are often not detected in the medical practice.…”

Section: Introductionmentioning

confidence: 99%