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Sociodemographic Correlates of Transitions from Alcohol Use to Disorders and Remission in the Sao Paulo Megacity Mental Health Survey, Brazil

SILVEIRA, Camila Magalhaes ; VIANA, Maria Carmen ; SIU, Erica Rosanna ; DE ANDRADE, Arthur Guerra ; ANTHONY, James C ; ANDRADE, Laura Helena

Alcohol and alcoholism (Oxford), 2011-05, Vol.46 (3), p.324-332 [Periódico revisado por pares]

Oxford: Oxford University Press

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Título:
Sociodemographic Correlates of Transitions from Alcohol Use to Disorders and Remission in the Sao Paulo Megacity Mental Health Survey, Brazil
Autor: SILVEIRA, Camila Magalhaes ; VIANA, Maria Carmen ; SIU, Erica Rosanna ; DE ANDRADE, Arthur Guerra ; ANTHONY, James C ; ANDRADE, Laura Helena
Assuntos: Addictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Alcohol consumption ; Alcohol Drinking - epidemiology ; Alcohol Drinking - metabolism ; Alcohol-Related Disorders - diagnosis ; Alcohol-Related Disorders - epidemiology ; Alcohol-Related Disorders - metabolism ; Alcoholism ; Alcoholism and acute alcohol poisoning ; Biological and medical sciences ; Brazil - epidemiology ; Brazilian people ; Cities ; Demography ; Disease Progression ; Epidemiology ; Female ; Health Surveys ; Humans ; Interview, Psychological ; Male ; Medical sciences ; Mental health ; Middle Aged ; Population Dynamics ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Remission ; Remission, Spontaneous ; Sociodemographic aspects ; Sociodemographic data ; Socioeconomic Factors ; Substance-Related Disorders - diagnosis ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - metabolism ; Time Factors ; Toxicology ; Young Adult
É parte de: Alcohol and alcoholism (Oxford), 2011-05, Vol.46 (3), p.324-332
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: To evaluate sociodemographic correlates associated with transitions from alcohol use to disorders and remission in a Brazilian population. Data are from a probabilistic, multi-stage clustered sample of adult household residents in the São Paulo Metropolitan Area. Alcohol use, regular use (at least 12 drinks/year), DSM-IV abuse and dependence and remission from alcohol use disorders (AUDs) were assessed with the World Mental Health version of the Composite International Diagnostic Interview. Age of onset (AOO) distributions of the cumulative lifetime probability of each alcohol use stage were prepared with data obtained from 5037 subjects. Correlates of transitions were obtained from a subsample of 2942 respondents, whose time-dependent sociodemographic data were available. Lifetime prevalences were 85.8% for alcohol use, 56.2% for regular use, 10.6% for abuse and 3.6% for dependence; 73.4 and 58.8% of respondents with lifetime abuse and dependence, respectively, had remitted. The number of sociodemographic correlates decreased from alcohol use to disorders. All transitions across alcohol use stages up to abuse were consistently associated with male gender, younger cohorts and lower education. Importantly, low education was a correlate for developing AUD and not remitting from dependence. Early AOO of first alcohol use was associated with the transition of regular use to abuse. The present study demonstrates that specific correlates differently contribute throughout alcohol use trajectory in a Brazilian population. It also reinforces the need of preventive programs focused on early initiation of alcohol use and high-risk individuals, in order to minimize the progression to dependence and improve remission from AUD.
Editor: Oxford: Oxford University Press
Idioma: Inglês

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Sociodemographic Correlates of Transitions from Alcohol Use to Disorders and Remission in the Sao Paulo Megacity Mental Health Survey, Brazil

SILVEIRA, Camila Magalhaes ; VIANA, Maria Carmen ; SIU, Erica Rosanna ; DE ANDRADE, Arthur Guerra ; ANTHONY, James C ; ANDRADE, Laura Helena

Oxford: Oxford University Press

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