Patterns of alcohol use in an elderly sample enrolled in the Family Health Strategy program in the city of Porto Alegre, Brazil

Guidolin, Bruno Luiz; Silva Filho, Irênio Gomes da; Nogueira, Eduardo Lopes; Ribeiro Junior, Francisco Pascoal; Cataldo Neto, Alfredo

doi:10.1590/1413-81232015211.10032015

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Article • Ciênc. saúde colet. 21 (1) • Jan 2016 • https://doi.org/10.1590/1413-81232015211.10032015 copy

Patterns of alcohol use in an elderly sample enrolled in the Family Health Strategy program in the city of Porto Alegre, Brazil

Padrões do uso de álcool em uma amostra de idosos no município de Porto Alegre, Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This article aims to determine the pattern of alcohol use in the elderly and its associations with sociodemographic characteristics in an elderly sample of patients from the city of Porto Alegre, Rio Grande do Sul, Brazil. A cross-sectional study was conducted involving 557 seniors, aged 60 years or more, through application of the Mini International Neuropsychiatric Interview and a global assessment questionnaire for the elderly. The majority of the 557 senior citizens did not complete elementary school (58.3%), were white (65.1%), married (37.6%), had no caregiver (62.2%), were catholic (65.5%) and practicing their religion (68.6%), were retired (67.7%), and had a personal income of up to one minimum salary (56.1%). The study revealed 67 (12%) elderly people with a history of alcoholism, of which 17 (3.1%) had a diagnosis of current alcoholism, 50 (9%) had a history of alcohol dependence in the past and 16 (2.9%) had a current alcohol abuse problem. Men had a prevalence ratio of 11.6 times for a history of alcoholism in comparison to women. The results confirm that alcoholism is frequent in the population of Brazilian elderly, drawing attention to some socio-demographic characteristics that can make a difference in the early diagnosis of alcoholism.

Key words
Addiction; Alcohol; Elderly; Prevalence

			Alcoholic		Previous alcohol dependency		History of alcoholism		Alcohol abuse		No alcohol dependency
Variable		Population %	%	P^* * Pearson's chi-square test.	%	P^* * Pearson's chi-square test.	%	P^* * Pearson's chi-square test.	%	P^* * Pearson's chi-square test.	%	P^* * Pearson's chi-square test.
Gender				< 0.001		< 0.001		< 0.001		<0.001		< 0.001
	Male	36.3	8.4		19.8		28.2		6.4		71.8
	Female	63.7	0		2.8		2.8		0.8		97.2
Age group				0.149		0.611		0.752		0.511		0.752
	60-69 years	62.5	3.7		8.3		12.1		3.2		87.9
	70-79 years	29.4	2.4		10.4		12.8		0.6		87.2
	80 + years	8.1	0		8.9		8.9		8.9		91.1
Educational level				0.909		0.025		0.057		0.912		0.057
	Never studied or functionally illiterate	25.4	3.5		13.5		17		4.3		83
	Elementary school incomplete	58.3	2.2		8.3		10.5		1.9		89.5
	Elementary school complete	9.5	9.4		3.8		13.2		3.8		86.8
	High school complete	6.8	0		5.3		5.3		5.3		94.7
Race				0.921		0.071		0.240		0.135		0.240
	White	65.1	3.1		7.3		10.4		2		89.6
	Parda^ Multi-racial Brazilian of brown skin colour and mixed-race features, considering themselves to be “Parda”.	13.9	2.6		9.2		11.8		6.6		88.2
	Black	18.4	2		15.8		17.8		4		82.2
	Native Indian	2.6	7.1		7.1		14.3		0		85.7
Marital Status				0.029		0.186		0.006		0.383		0.006
	Married	37.6	5.3		11.5		16.8		1.9		83.2
	Separated	16.3	2.2		8.9		11.1		5.6		88.9
	Single	17.5	4.1		10.3		14.4		3.1		85.6
	Widowed	28.6	0		5.1		5.1		2.5		94.9
Currently living with partner				0.057		0.037		0.004		0.397		0.004
	No	52.1	1.7		6.6		8.3		3.5		91.7
	Yes	47.9	4.5		11.7		16.2		2.3		83.8
Currently live….				0.073		0.168		0.024		0.633		0.024
	Alone	19.6	2.8		9.2		11.9		4.6		88.1
	With partner only	20.9	1.7		11.2		12.9		1.7		87.1
	With partner & others	25.9	6.2		11.8		18.1		2.8		81.9
	With family but without a partner	33.5	1.6		5.4		7		2.7		93
Has caregiver?				0.831		0.006		0.023		0.038		0.023
	No	62.2	3.3		6		9.3		1.8		90.7
	Yes	37.8	3		12.9		15.8		5		84.2
Retired?				0.187		0.786		0.642		0.654		0.642
	No	32.3	4.6		8.6		13.2		3.4		86.8
	Yes	67.7	2.5		9.3		11.8		2.7		88.2
Religion				0.501		0.429		0.800		0.852		0.800
	Catholic	65.5	3.9		8.1		11.9		2.8		88.1
	Evangelist	20	1.8		10		11.8		2.7		88.2
	Other	11.8	1.5		9.2		10.8		3.1		89.2
	Agnostic/atheist	2.7	0		20		20		6.7		80
Practicing religion?				0.013		0.132		0.008		0.281		0.008
	No	31.4	5.8		11.1		17		4.1		83
	Yes	68.6	1.9		7.2		9.1		2.4		90.9
Personal income^* ***** Minimum salary (MS) - lowest legal employee monthly income in Brazil set by the government, R$ 678.00 at the time of survey.				0.942		0.306		0.388		0.112		0.388
	No personal income	8.4	4.5		9.1		13.6		2.3		86.4
	Up to 1 MS	56.1	2.7		10.2		12.9		1.7		87.1
	Up to 2 MS	28.7	4		10.6		14.6		6		85.4
	More than 2 MS	6.8	2.8		0		2.8		2.8		97.2
Household income^* ***** Minimum salary (MS) - lowest legal employee monthly income in Brazil set by the government, R$ 678.00 at the time of survey.				0.433		0.187		0.453		0.542		0.453
	Up to 1 MS	36.3	2.3		10.3		12.6		1.7		87.4
	Up to 3 MS	53.3	3.5		10.1		13.6		3.5		86.4
	More than 3 MS	10.4	4		2		6		2		94
Population total		557 (100)	3.1		9		12		2.9		88

Variable		PR adjusted (CI 95%)	P
Gender			< 0.001
	Male	11.6 (3.0-45.2)
	Female	1
Currently living with partner			0.016
	Yes	0.3 (0.1-0.8)
	No	1
Have caregiver			0.121
	Yes	2.2 (0.8-5.7)
	No	1
Practicing religion			0.983
	Yes	1.0 (0.4-2.5)
	No	1

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[1] Collaborations

BL Guidolin, IG Silva Filho and A Cataldo Neto participated conception, design, analysis and interpretation the results, writing and critical review article. EL Nogueira and FP Ribeiro Júnior participated analysis and interpretation of results and drafting of the manuscript.