Prevalence and Patterns of Alcohol Misuse in a Community-Dwelling Elderly Sample in Brazil

Abstract

Objective: The aim of this study was to estimate prevalence and patterns of lifetime alcohol misuse. Method: This was a cross-sectional study of a representative sample of 1,078 individuals aged 60 or more. Structured interview included sociodemographic, lifestyle, health data, and the five alcohol misuse screening questions of the Self-Reporting Questionnaire. Results: Prevalence of misuse was 6.5%. Men, aged 60 to 69, low educational level, separated/divorced, and tobacco smoking were independently associated with lifetime alcohol misuse. Odds ratios show increasing association with levels of alcohol misuse groups in males, low-educated, and tobacco users. Persons aged 60 to 69, 4 to 7 education years, and non-White ethnicity were significantly associated with the major alcohol misuse score. Discussion: Younger elderly were more exposed to alcohol than previous cohorts. Thus, problems with alcohol in old age will possibly increase as they grow older. The results of this study call attention to a field of lacking evidence in alcohol-related problems of older persons.

Keywords

alcohol elderly epidemiology geriatrics Brazil

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References

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Balsa

A. I.

Homer

J. F.

Fleming

M. F.

French

M. T.

(2008). Alcohol consumption and health among elders. The Gerontologist, 48, 622-636.

Barros

M. B. A.

Botega

N. J.

Dalgalarrondo

Manín-León

Oliveira

H. B.

(2007). Prevalence of alcohol abuse and associated factors in a population-based study. Revista de Saude Publica, 41, 502-504.

Berks

McCormick

(2008). Screening for alcohol misuse in elderly primary care patients: A systematic literature review. International Psychogeriatrics, 20, 1090-1103.

Blay

S. L.

Fillenbaum

G. G.

Andreoli

S. B.

Gastal

F. L.

(2009). Correlates of lifetime alcohol misuse among older community residents in Brazil. International Psychogeriatrics, 21, 384-391.

Blazer

D. G.

L. T.

(2009). The epidemiology of at-risk and binge drinking among middle-aged and elderly community adults: National survey on drug use and health. American Journal of Psychiatry, 166, 1162-1169.

Camarano

A. A.

Kanso

(2009). Instituto de Pesquisa Econômica Aplicada - IPEA. Perspectivas de crescimento para a população brasileira: Velhos e novos resultados. Texto para discussão número, 1426, 33. Retrieved from www.ipea.gov.br/sites/000/2/publicacoes/tds/td_1426.pdf

Caspers

K. M.

Yucuis

McKirgan

L. M.

Spinks

Arndt

(2009). Lifetime substance misuse and 5-year incidence rates of emergent health problems among middle-aged adults. Journal of Addictive Disorders, 28, 320-331.

Castro-Costa

Ferri

C. P.

Lima-Costa

M. F.

Zaleski

Pinsky

Caetano

Laranjeira

(2008). Alcohol consumption in late-life–The first Brazilian National Alcohol Survey (BNAS). Addictive Behavior, 33, 1598-1601.

10.

Galduróz

J. C. F.

Carlini

E. A.

(2007). Use of alcohol among the inhabitants of the 107 largest cities in Brazil—2001. Brazilian Journal of Medical and Biological Research, 40, 367-375.

11.

Gfroerer

Perme

Pemberton

Folsom

(2003). Substance abuse treatment need among older adults in 2020: The impact of the aging baby-boom cohort. Drug and Alcohol Dependence, 69, 127-135.

12.

Gomes

Nogueira

E. L.

Engroff

Ely

L. S.

Schwanke

C. H. A.

DeCarli

G. A.

Resende

T. L.

(2013). The multidimensional study of the elderly in the family health strategy in Porto Alegre, Brazil (EMI-SUS). Pan American Journal of Aging Research, 1, 20-24.

13.

Gonçalves

D. M.

Stein

A. T.

Kapczinski

(2008). Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: Um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR. Cadernos de Saude Publica, 24, 380-390.

14.

Hasin

D. S.

Stinson

F. S.

Ogburn

Grant

B. F.

(2007). Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry, 64, 830-842.

15.

Humeniuk

Ali

Barbor

T. F.

Farrell

Formigoni

M. L.

Jittiwutikarn

. . .Simon

(2008). Validation of the alcohol, smoking and substance involvement screening test (ASSIST). Addiction, 103, 1039-1047.

16.

Institute of Geography and Statistics. (2010). Pesquisa Nacional por Amostra de Domicílios (PNAD): Primeiras Análises: Tendências Demográficas de 2010. [National Research by Household Sample (PNAD): First Analysis : Demographic Trends 2010] Retrieved from http://www.ipea.gov.br/portal/images/stories/PDFs/comunicado/101013_comunicadoipea64.pdf

17.

Johnson

(2000). Alcohol problems in old age: A review of recent epidemiological research. International journal of geriatric psychiatry, 15, 575-581.

18.

Kessler

R. C.

Berglund

Demler

Jin

Merikangas

K. R.

Walters

E. E.

(2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602.

19.

Kim

J. W.

Lee

D. Y.

Lee

B. C.

Jung

M. H.

Kim

Choi

Y.S.

Choi

(2012). Alcohol and cognition in the elderly: a review. Psychiatry Investigation, 9, 8-16.

20.

Kirchner

J. E.

Zubritsky

Cody

Coakley

Chen

Ware

J. H.

. . . Levkoff

(2007). Alcohol consumption among older adults in primary care. Journal of General Internal Medicine, 22, 92-97.

21.

Koenig

H. G.

George

L. K.

Scheneider

(1994). Mental health care for older adults in the year 2020: A dangerous and avoided topic. The Gerontologist, 34, 674-679.

22.

Laranjeira

Pinsky

Sanches

Zaleski

Caetano

(2010). Alcohol use patterns among Brazilian adults. Revista Brasileira de Psiquiatria, 32, 231-241.

23.

Lima

M. C. P.

Simão

M. O.

Oliveira

J. B.

Cavariani

M. B.

Tucci

A. M.

Kerr-Correa

(2009). Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil. Cadernos de Saude Publica, 25, 2603-2611.

24.

Mendoza-Sassi

R. A.

Béria

J. U.

(2003). Prevalence of alcohol use disorders and associated factors: A population-based study using AUDIT in southern Brazil. Addiction, 98, 799-804.

25.

Mirand

A. L.

Welte

(1996). Alcohol consumption among the elderly in a general population, Erie County, New York. American Journal of Public Health, 86, 978-984.

26.

Moore

A. A.

Gould

Reuben

D. B.

Greendale

G. A.

Carter

M. K.

Zhou

Karlamangla

(2005). Longitudinal patterns and predictors of alcohol consumption in the United States. American Journal of Public Health, 95, 458-465.

27.

Morin

Wiktorsson

Marlow

Olesen

P. J.

Skoog

Waern

(2013). Alcohol use disorder in elderly: A comparison study. American Journal of Geriatric Psychiatry, 21, 196-203.

28.

Moos

R. H.

Schutte

Brennan

Moos

B. S.

(2004). Ten-year patterns of alcohol consumption and drinking problems among older women and men. Addiction, 99, 829-838.

29.

Nogueira

E. L.

Moretti

P. F.

Ribeiro

F. J. P.

Jr. Diefenthaeler

E. C.

Cataldo Neto

Engroff

. . . Gomes

(2013). The mental health research protocol of the multidimensional study of the elderly in the family health strategy in Porto Alegre, Brazil (EMI-SUS). Pan American Journal of Aging Research.

30.

Oslin

D. W.

Mavandadi

(2009). Alcohol and drug problems. In Blazer

D. G.

Steffens

D. C.

(Eds.), Textbook of geriatric psychiatry. Arlington, VA: The American Psychiatric Publishing.

31.

Oslin

D. W.

Pettinati

Volpicelli

J. R.

(2002). Alcoholism treatment adherence: Older age predicts better adherence and drinking outcomes. American Journal of Geriatric Psychiatry, 10, 740-747.

32.

Patterson

T. L.

Jeste

D. V.

(1999). The potential impact of the baby-boom generation on substance abuse among elderly persons. Psychiatric Services, 50, 1184-1188.

33.

Prais

H. A. C.

Loyola Filho

A. I.

Firmo

J. O. A.

Lima-Costa

M. F.

Uchoa

(2008). A population-based study on binge drinking among elderly Brazilian men: Evidence from the Belo Horizonte and Bambuí health surveys. Revista Brasileira de Psiquiatria, 30, 118-123.

34.

Rehm

Mathers

(2009). Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet, 373, 2223-2233.

35.

Reisdorfer

Buchele

Pires

R. O. M.

Boing

A. F.

(2012). Prevalence and associated factors with alcohol use disorders among adults: A population-based study in southern Brazil. Revista Brasileira de Epidemiologia, 15, 582-594.

36.

Satre

D. D.

Mertens

Arean

P. A.

Weisner

(2004). Five-year alcohol and drug treatment outcomes of older adults versus middle-aged and younger adults in a managed care program. Addiction, 99, 1286-1297.

37.

Subramanian

S. V.

Huijts

Avedano

(2010). Self-reported health assessments in the 2002 World Health Survey: How do they correlate with education? Bulletin of the World Health Organization, 88, 131-138.

38.

World Health Organization. (2004). Global status report on alcohol 2004 (Region of the Americas-Brazil). Geneva, Switzerland: Author

39.

World Health Organization. (2007). World Health Organization’s expert committee on problems related to alcohol consumption (WHO Technical Report Series: Second report). Geneva, Switzerland: Author.

40.

World Health Organization. (2008). The Effectiveness of a brief intervention for illicit drugs linked to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in primary health care settings: A technical report of phase III findings of the WHO assist randomized controlled trial. Geneva, Switzerland: Author.

41.

World Health Organization. (2009). The global burden of disease 2004 update. Geneva, Switzerland: Author.