Risk of alcohol dependence: prevalence, related problems and socioeconomic factors

Abstract The present study evaluated the possible alcohol dependence and related problems among adolescents and determined possible associations with socioeconomic factors and gender. A cross-sectional study was conducted with a representative sample of 936 adolescents aged 15 to 19 years enrolled at public and private schools in the city of Belo Horizonte, Brazil. Data related to alcohol consumption and associated problems were collected using the Alcohol Use Disorder Identification Test (AUDIT). The Social Vulnerability Index (SVI), mother's schooling and type of school were used to assess socioeconomic factors. Statistical analysis involved the chi-square test (p < 0.05) and Poisson regression. The prevalence of possible dependence was 16.4%, 52.1% reported concern of a family member regarding the adolescent's alcohol consumption. Female adolescents were less likely to exhibit possible dependence in comparison to males. Participants with living in a low vulnerability area were more likely to consume alcohol in comparison to those living in underprivileged areas. The results of the present study demonstrate that possible dependence was significantly associated with the male gender and low social vulnerability.

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Alcohol intake among adolescent students and association with social capital and socioeconomic status

Ciência & Saúde Coletiva ◽

10.1590/1413-81232018233.05982016 ◽

2018 ◽

Vol 23 (3) ◽

pp. 741-750 ◽

Cited By ~ 2

Author(s):

Kelly Oliva Jorge ◽

Paula Cristina Pelli Paiva ◽

Efigênia Ferreira e Ferreira ◽

Miriam Pimenta do Vale ◽

Ichiro Kawachi ◽

...

Keyword(s):

Social Capital ◽

Socioeconomic Status ◽

Alcohol Consumption ◽

Binge Drinking ◽

Social Vulnerability ◽

Drinking Behavior ◽

Vulnerability Index ◽

Cross Sectional Study ◽

Social Vulnerability Index ◽

Cross Sectional

Abstract The aim was to evaluate the prevalence of alcohol consumption, binge drinking and their association with social capital and socioeconomic factors among Brazilian adolescents students. A cross-sectional study was carried out with a randomly selected representative sample of 936 adolescents aged 15 to 19 years. Information on alcohol consumption, social capital and socioeconomic status was collected using the Alcohol Use Disorders Identification Test, the Integrated Questionnaire for the Measurement of Social Capital and Social Vulnerability Index, respectively. The prevalence of alcohol consumption was 50.3% and binge drinking 36% the last year. Adolescents who reported believing that people in their community could help solve a collective problem (with the water supply) and those classified as having high social vulnerability had lower likelihood of binge drinking (PR = 0.776 [95%CI:0.620 to 0.971] and PR = 0.660 [95%CI:0.542 to 0.803], respectively). The prevalence of alcohol consumption and binge drinking the last year is high among participants. Those with higher socioeconomic status as well as lower perceptions of community capital social are more likely to display binge-drinking behavior.

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The prevalence of inhalant use and associated factors among adolescents in Belo Horizonte, Brazil

Ciência & Saúde Coletiva ◽

10.1590/1413-81232014193.07542013 ◽

2014 ◽

Vol 19 (3) ◽

pp. 881-890 ◽

Cited By ~ 5

Author(s):

Fernando Silva-Oliveira ◽

Kelly Oliva Jorge ◽

Efigênia Ferreira e Ferreira ◽

Míriam Pimenta Vale ◽

Ichiro Kawachi ◽

...

Keyword(s):

Socioeconomic Status ◽

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Marijuana Use ◽

Vulnerability Index ◽

Cross Sectional Study ◽

Social Vulnerability Index ◽

Cross Sectional ◽

Belo Horizonte

The scope of this study was to establish the prevalence of inhalant use among adolescents and its association with marijuana use, alcohol consumption, socioeconomic status and gender. A cross-sectional study was performed with a representative sample of 891 adolescents from public and private schools in the city of Belo Horizonte, Brazil. Data were collected using two self-administered questionnaires: the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and the Alcohol Use Disorders Identification Test (AUDIT C). The socioeconomic status was evaluated using the Social Vulnerability Index, mother's education level and type of school (public or private). The data were analyzed using the chi-square test (p < 0.05) and logistic regression analysis. The prevalence of inhalant use was 7.9%. No significant association was found between the use of inhalants and socioeconomic status after the logistic regression analysis. Inhalant use among adolescents was associated with marijuana use (OR: 4.61; 95% CI: 2.27 - 9.36) and with binge drinking (OR: 5.02; 95% CI: 2.57 - 9.81).

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Health and nutrition literacy in adults: Links with lifestyle factors and obesity

Mediterranean Journal of Nutrition and Metabolism ◽

10.3233/mnm-200471 ◽

2020 ◽

Vol 13 (4) ◽

pp. 361-370

Author(s):

Maria Michou ◽

Demosthenes B. Panagiotakos ◽

Christos Lionis ◽

Vassiliki Costarelli

Keyword(s):

Physical Activity ◽

Alcohol Consumption ◽

Linear Regression ◽

Smoking Status ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Lifestyle Factors ◽

Linear Regression Models ◽

Chi Square ◽

Cross Sectional

BACKGROUND: Low Health Literacy (HL) and Nutrition Literacy (NL) are associated with serious negative health outcomes. OBJECTIVES: The aim of this study was to investigate certain lifestyle factors and obesity, in relation to HL and NL. METHODS: This cross-sectional study was conducted in the urban area of the Attica region, in Greece. The sample consisted of 1281 individuals, aged ≥18 years. HL, NL sociodemographic characteristics and lifestyle factors (physical activity, smoking status, alcohol consumption,) were assessed. Mann-Whitney U, the Kruskall Wallis, Pearson chi-square tests and multiple linear regression models were used. RESULTS: Linear regression analysis has shown that smoking, alcohol consumption and physical activity, were associated with HL levels (–1.573 points for ex-smokers in comparison to smokers, p = 0.035, –1.349 points for alcohol consumers in comparison to non-consumers, p = 0.006 and 1.544 points for physically active individuals to non-active, p = 0.001). With respect to NL levels, it was also not associated with any of these factors. Obesity was not associated with HL and NL levels. CONCLUSIONS: Certain lifestyle factors, including physical activity, are predicting factors of HL levels, in Greek adults. The results contribute to the understanding of the relationship between lifestyle factors and HL and should be taken into account when HL policies are designed.

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Impact of Social Vulnerability on Access to Educational Programming Designed to Enhance Living Donation

Progress in Transplantation ◽

10.1177/15269248211046014 ◽

2021 ◽

pp. 152692482110460

Author(s):

Alexis J. Carter ◽

Rhiannon D. Reed ◽

A. Cozette Kale ◽

Haiyan Qu ◽

Vineeta Kumar ◽

...

Keyword(s):

Health Care ◽

Social Vulnerability ◽

Living Donor ◽

Research Question ◽

College Education ◽

Vulnerability Index ◽

Social Vulnerability Index ◽

Chi Square ◽

Control And Prevention ◽

Transplant Candidate

Introduction Transplant candidate participation in the Living Donor Navigator Program is associated with an increased likelihood of achieving living donor kidney transplantation; yet not every transplant candidate participates in navigator programming. Research Question We sought to assess interest and ability to participate in the Living Donor Navigator Program by the degree of social vulnerability. Design Eighty-two adult kidney-only candidates initiating evaluation at our center provided Likert-scaled responses to survey questions on interest and ability to participate in the Living Donor Navigator Program. Surveys were linked at the participant-level to the Centers for Disease Control and Prevention Social Vulnerability Index and county health rankings and overall social vulnerability and subthemes, individual barriers, telehealth capabilities/ knowledge, interest, and ability to participate were assessed utilizing nonparametric Wilcoxon ranks sums tests, chi-square, and Fisher's exact tests. Results Participants indicating distance as a barrier to participation in navigator programming lived approximately 82 miles farther from our center. Disinterested participants lived in areas with the highest social vulnerability, higher physical inactivity rates, lower college education rates, and higher uninsurance (lack of insurance) and unemployment rates. Similarly, participants without a computer, who never heard of telehealth, and who were not encouraged to participate in telehealth resided in areas of highest social vulnerability. Conclusion These data suggest geography combined with being from under-resourced areas with high social vulnerability was negatively associated with health care engagement. Geography and poverty may be surrogates for lower health literacy and fewer health care interactions.

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Social Vulnerability in Patients with Multimorbidity: A Cross-Sectional Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16071244 ◽

2019 ◽

Vol 16 (7) ◽

pp. 1244 ◽

Cited By ~ 5

Author(s):

Tu Nguyen ◽

Patrice Ngangue ◽

Tarek Bouhali ◽

Bridget Ryan ◽

Moira Stewart ◽

...

Keyword(s):

Cardiovascular Diseases ◽

Social Vulnerability ◽

Chronic Conditions ◽

Vulnerability Index ◽

Social Vulnerability Index ◽

Cross Sectional ◽

Term Care ◽

Cross Sectional Analysis ◽

The Social ◽

Sectional Analysis

Background: Social aspects play an important role in individual health and should be taken into consideration in the long-term care for people with multimorbidity. Purposes: To describe social vulnerability, to examine its correlation with the number of chronic conditions, and to investigate which chronic conditions were significantly associated with the most socially vulnerable state in patients with multimorbidity. Methods: Cross-sectional analysis from the baseline data of the Patient-Centred Innovations for Persons with Multimorbidity (PACEinMM) Study. Participants were patients attending primary healthcare settings in Quebec, Canada. A social vulnerability index was applied to identify social vulnerability level. The index value ranges from 0 to 1 (1 as the most vulnerable). Spearman’s rank correlation coefficient was calculated for the correlation between the social vulnerability index and the number of chronic conditions. Logistic regression was applied to investigate which chronic conditions were independently associated with the most socially vulnerable state. Results: There were 301 participants, mean age 61.0 ± 10.5, 53.2% female. The mean number of chronic health conditions was 5.01 ± 1.82, with the most common being hyperlipidemia (78.1%), hypertension (69.4%), and obesity (54.2%). The social vulnerability index had a median value of 0.13 (range 0.00–0.78). There was a positive correlation between the social vulnerability index and the number of chronic conditions (r = 0.24, p < 0.001). Obesity, depression/anxiety, and cardiovascular diseases were significantly associated with the most socially vulnerable patients with multimorbidity. Conclusions: There was a significant correlation between social vulnerability and the total number of chronic conditions, with depression/anxiety, obesity, and cardiovascular diseases being the most related to social vulnerability.

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THE ROLE OF MOOD STATES IN ALCOHOL CONSUMPTION, A STUDY WITH WORKERS

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2019-0094 ◽

2020 ◽

Vol 29 ◽

Author(s):

Letícia Yamawaka de Almeida ◽

Jaqueline Lemos de Oliveira ◽

Lilian Carla de Almeida ◽

Ana Carolina Guidorizzi Zanetti ◽

Sandra Cristina Pillon ◽

...

Keyword(s):

Alcohol Consumption ◽

Mood State ◽

Cross Sectional Study ◽

Mood States ◽

Alcoholic Beverages ◽

Chi Square ◽

Cross Sectional ◽

Harmful Alcohol ◽

Audit Score ◽

Mood Scale

ABSTRACT Objective: to identify factors related to harmful alcohol consumption, considering both sociodemographic characteristics and mood states. Method: a quantitative cross-sectional study, carried out with 395 non-teaching workers on a campus of a public university in the interior of the state of São Paulo, from July 2017 to June 2018. Information on the sociodemographic profile, mood state and alcohol use pattern were used. Pearson's Chi Square, Fischer Exact and Logistic Regression Tests were performed for data analysis, using the SPSS statistical program. Results: it was identified that 66% of workers had consumed alcoholic beverages in the last 12 months. Of these, 19% were classified in the range of harmful alcohol consumption. It is noteworthy that 35.2% (n=139) of workers mentioned the use in binge and 26.5% (n=105) consume alcohol two to four times a month. These variables were statistically associated with gender, religion and educational level. In addition, a negative correlation was identified between the AUDIT score and the “fatigue” factor of the mood scale. In the end, it was observed that male individuals and those with less education were more likely to consume alcohol in the harmful pattern. Conclusion: it is suggested the development of health promotion and disease prevention initiatives through health education actions and other psychosocial strategies for welcoming these workers.

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Multilevel analysis concerning the relationship between social vulnerability and the healthy use of leisure time in children and adolescents in Argentina: A national population-based study

F1000Research ◽

10.12688/f1000research.16273.1 ◽

2018 ◽

Vol 7 ◽

pp. 1619

Author(s):

Daniela Moyano ◽

Zarina Forclaz ◽

Raúl M. Chaparro ◽

Akram Hernández-Vásquez ◽

Nilda R. Perovic

Keyword(s):

Health Promotion ◽

Children And Adolescents ◽

Social Vulnerability ◽

Leisure Time ◽

Multilevel Models ◽

Household Survey ◽

Vulnerability Index ◽

Social Vulnerability Index ◽

Cross Sectional ◽

The Relationship

Background: Leisure time is a human right and has to be considered part of any health promotion initiative aimed at children and adolescents. The objective of this study was to analyze the relationship between social vulnerability and the healthy use of leisure time in children and adolescents in urban contexts of Argentina, in 2012. Methods: A cross-sectional and analytical study using data from the Module on Activities of Girls, Boys and Adolescents of the Annual Urban Household Survey was carried out. In this survey, a self-administered instrument was applied to 25,915 individuals aged from 5 to 17. A Social Vulnerability Index (SVI) was developed. Association was estimated by multilevel logistic regression. Results: Children and adolescents use most of their leisure time to carry out school activities (90.1%) with art activities having the lowest percentage (21.8%). In the multilevel models on the relationship between a high SVI and non-performance of socialization activities, the OR was 1.99 (p = 0.002, 95% CI: 1.28-3.12). The association between high SVI and non-use of ICT gave an OR of 14.17 (p ≤ 0.001, 95% CI: 5.13-39.17), and between high SVI and non-use of internet, an OR of 21.89 (p ≤ 0.001, 95% CI: 7.50-63.88). Conclusions: A high SVI negatively impacts on some healthy activities of leisure time for children and adolescents in Argentina. The SVI could be a useful tool to guide health promotion initiatives in this population.

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Physical violence and alcohol drinking consumption among teenagers

Journal of Human Growth and Development ◽

10.7322/jhgd.152172 ◽

2018 ◽

Vol 28 (3) ◽

pp. 273-277

Author(s):

Amanda Pacheco de Carvalho ◽

Carolina Da Franca ◽

Valdenice Aparecida de Menezes

Keyword(s):

Alcohol Consumption ◽

Maternal Education ◽

Physical Violence ◽

Cross Sectional Study ◽

Social Changes ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Adolescent Students ◽

Chi Square Test

Introduction: Adolescence is a period of transition, between childhood and adulthood marked by biological, psychological and social changes. These changes characterize the situations of vulnerability to which these individuals are exposed. Objective: The aim of this study was to examine the association between alcohol consumption and involvement in physical violence among adolescent students in the city of Olinda, Pernambuco, Brazil. Methods: This was a pilot, cross-sectional, study conducted with adolescents enrolled in high school. The Youth Risk Behavior Survey questionnaire was applied in the classroom and questions were taken from the modules on alcohol consumption, violence and socioeconomic data. Analysis of associations was performed using the Chi-square test, or Fisher’s exact test when the Chi-square parameters were not met. Results: Involvement in physical altercations was associated with male gender (p = 0.001), alcohol consumption in the last 30 days (p = 0.019), binge drinking (p = 0.022) and higher maternal education (p = 0.037). Conclusion: There was an association between the consumption of alcohol by adolescents and physical violence. These results are an indication of the vulnerability to which this population is exposed and is a warning of the need for further studies to investigate this issue.

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Abstract 16562: Association of County-Level Social Vulnerability Index and Cardiovascular Disease in the United States, 1999-2018

Circulation ◽

10.1161/circ.142.suppl_3.16562 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Quentin R Youmans ◽

Megan E McCabe ◽

Clyde W Yancy ◽

Lucia Petito ◽

Kiarri N Kershaw ◽

...

Keyword(s):

United States ◽

Cardiovascular Disease ◽

Social Vulnerability ◽

Cardiovascular Health ◽

Vulnerability Index ◽

The United States ◽

County Level ◽

Social Vulnerability Index ◽

Cross Sectional ◽

Cvd Mortality

Introduction: Social determinants of health are multi-dimensional and span various interrelated domains. In order to inform community-engaged clinical and policy efforts, we sought to examine the association between a national social vulnerability index (SVI) and age-adjusted mortality rate (AAMR) of CVD. Hypothesis: Higher county-level SVI or greater vulnerability will be associated with higher AAMR of CVD between 1999-2018 in the United States. Methods: In this serial, cross-sectional analysis, we queried CDC WONDER for age-adjusted mortality rates (AAMRs) per 100,000 population for cardiovascular disease (I00-78) at the county-level between 1999-2018. We quantified the association of county-level SVI and CVD AAMR using Spearman correlation coefficients and examined trends in CVD AAMR stratified by median SVI at the county-level. Finally, we performed geospatial county-level analysis stratified by combined median SVI and CVD AAMR (high/high, high/low, low/high, and low/low). Results: We included data from 2766 counties (representing 95% of counties in the US) with median SVI 0.53 (IQR 0.28, 0.76). Overall SVI and the household and socioeconomic subcomponents were strongly correlated with 2018 CVD AAMR (0.47, 0.50, and 0.56, respectively with p<0.001 for all). CVD mortality declined between 1999-2011 and was stagnant between 2011-2018 with similar patterns in high and low SVI counties (FIGURE). Counties with high SVI and CVD AAMR were clustered in the South and Midwest (n=977, 35%). Conclusion: County-level social vulnerability is associated with higher CVD mortality. High SVI and CVD AAMR coexist in more than 1 in 3 US counties and have persisted over the past 2 decades. Identifying counties that are disproportionately vulnerable may inform targeted and community-based strategies to equitably improve cardiovascular health across the country.

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Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0399 ◽

2022 ◽

Vol 75 (2) ◽

Author(s):

Caroline Ribeiro de Sousa ◽

Janaína Fonseca Victor Coutinho ◽

João Bastos Freire Neto ◽

Rachel Gabriel Bastos Barbosa ◽

Marília Braga Marques ◽

...

Keyword(s):

Physical Activity ◽

The Elderly ◽

Vulnerability Index ◽

Cross Sectional Study ◽

Stepwise Logistic Regression ◽

Multinomial Regression ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Regression Methods

ABSTRACT Objectives: to assess factors associated with vulnerability and fragility in the elderly. Methods: crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index - 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted. Results: 251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy. Conclusions: it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.

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