Fatores psicossociais associados ao uso problemático de álcool
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2025.222030Palavras-chave:
Alcoolismo, Análise Multivariada, Etanol, Impact PsicossocialResumo
Objetivo: identificar os fatores psicossociais associados aos diferentes padrões de consumo de álcool na população do sudeste brasileiro. Metodologia: realizou-se um estudo cuja coleta de dados foi feita a partir de um formulário digital contendo questões sociodemográficas, testes psicométricos e o Alcohol Use Disorders Identification Test. Para analisar as associações entre as variáveis, usou-se o método Partial Least Squares Discriminant Analysis e foram desenvolvidos quatro modelos: controle versus uso de risco, controle versus uso nocivo, controle versus possível dependência e controle versus uso problemático. Resultados: obteve-se uma amostra de 774 pessoas, das quais 296 (38%) faziam um uso problemático de álcool. Adicionalmente, observou-se a associação, com diferentes tipos de consumo de álcool, de vários fatores que englobaram cor/raça, idade, renda, escolaridade, forma de despejo de esgoto, experiência com rompimento amoroso, vitimização de violência e traços de personalidade. Conclusão: foram identificados diversos fatores psicossociais associados a diferentes tipos de consumo de álcool, sendo estes relevantes determinantes sociais em saúde. Entretanto, a partir de outras pesquisas, deve-se observar como esses fatores interagem com o consumo e entre si, para obter uma melhor caracterização das parcelas populacionais mais suscetíveis a padrões problemáticos de uso de álcool.
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Bastos FIPM, Vasconcellos MTL, De Boni RB, Reis NB, Coutinho CFS, organizators. 3rd National survey on drug use by the brazilian population [Internet]. Rio de Janeiro: FIOCRUZ; 2017 [cited 2024 Feb 12]. Available from: https://www.arca.fiocruz.br/handle/icict/34614
World Health Organization. Global status report on alcohol and health 2018 [Internet]. Geneva: WHO; 2018 [cited 2024 Feb 12]. Available from: https://www.who.int/publications/i/item/9789241565639
Jomar RT, Paixão LAR da, Abreu AMM. Alcohol use disorders identification test (audit) and its applicability in primary health care. Rev APS [Internet]. 2012 [cited 2024 Feb 12];15(1):113-7. Available from: https://periodicos.ufjf.br/index.php/aps/article/view/14950/7929
Saunders JB, Degenhardt L, Reed GM, Poznyak V. Alcohol Use Disorders in ICD-11: Past, Present, and Future. Alcohol Clin Exp Res. 2019;43(8):1617-31. https://doi.org/10.1111/acer.14128
Gutierrez A, Sher L. Alcohol and drug use among adolescents: An educational overview. Int J Adolesc Med Health. 2015;27(2):207-12. https://doi.org/10.1515/ijamh-2015-5013
Ani PN, Ngwu EK, Ani BU. Alcohol use disorders and associated factors among adults in rural communities in Enugu State, Nigeria: A cross-sectional survey. J Ethn Subst Abuse. 2022;21(3):1043-62. https://doi.org/10.1080/15332640.2020.1824841
Kim YY, Park HJ, Kim MS. Drinking trajectories and factors in koreans. Int J Environ Res Public Health. 2021;18(16);8890. https://doi.org/10.3390/ijerph18168890
Meller FO, Santos LP, Miranda VIA, Tomasi CD, Soratto J, Quadra MR, et al. Inequalities in risk behaviors for chronic noncommunicable diseases: Vigitel, 2019. Cad Saude Publica. 2022;38(6). https://doi.org/10.1590/0102-311XPT273520
Zhang T, Liu Z, Li G, Huang Y, Li Y, Geng H, et al. Correlates of transitions from alcohol use to disorder diagnosed by DSM-5 in China. BMC Psychiatry. 2021;21(1):1-10. https://doi.org/10.1186/s12888-021-03413-w
Santos LP, Lindemann IL, Motta JVS, Mintem G, Bender E, Gigante DP. Proposal of a short-form version of the Brazilian Food Insecurity Scale. Rev Saude Publica. 2014;48(5):783-9. https://doi.org/10.1590/S0034-8910.2014048005195
Carvalho VD, Teodoro MLM, Borges LO. Resilience Scale for Adults: Application among civil servants. Aval Psicol [Internet]. 2014 [cited 2024 Feb 12];13(2):287-95. Available from: https://www.redalyc.org/pdf/3350/335031819016.pdf
Sousa WPS. Adaptação transcultural da Multidimensional Scale of Perceived Social Support (MSPSS) para o português (Brasil) [thesis]. Natal: Universidade Federal do Rio Grande do Norte; 2019 [cited 2024 Feb 12]. Available from: https://repositorio.ufrn.br/jspui/bitstream/123456789/27722/1/Adapta%c3%a7%c3%a3otransculturalmultidimensional_Sousa_2019.pdf
Canfield M, Gilvarry C, Koller SH. Psychometric Proprities of the Substance Use Risk Profile Scale - Brazilian Version. Int J Ment Health Addict. 2015;13(2):204-14. https://doi.org/10.1007/s11469-014-9522-1
Bratchenko LA, Bratchenko IA, Lykina AA, Komarova MV, Artemyev DN, Myakinin OO, et al. Comparative study of multivariative analysis methods of blood Raman spectra classification. J Raman Spectrosc. 2020;51(2):279-92. https://doi.org/10.1002/jrs.5762
Jomar RT, Abreu AMM, Griep RH. Patterns of alcohol consumption and associated factors among adult users of primary health care services of Rio de Janeiro, Brazil. Cien Saude Colet. 2014;19(1):27-37. https://doi.org/10.1590/1413-81232014191.2009
Maciel MED, Soares J, Vargas D. Consumo problemático de álcool e variáveis associadas entre usuários de um serviço de atenção primária / Alcohol problematic consumption and associated variables among users of a primary care service. Rev Pesqui Cuid Fundam Online. 2021;13:1582-9. https://doi.org/10.9789/2175-5361.rpcfo.v13.10526
Machado IE, Monteiro MG, Malta DC, Lana FCF. Brazilian Health Survey (2013): relation between alcohol use and sociodemographic characteristics by sex in Brazil. Rev Bras Epidemiol. 2017;20(3):408-22. https://doi.org/10.1590/1980-5497201700030005
Alvanzo AAH, Storr CL, La Flair L, Green KM, Wagner FA, Crum RM. Race/ethnicity and sex differences in progression from drinking initiation to the development of alcohol dependence. Drug Alcohol Depend. 2011;118(2-3):375-82. https://doi.org/10.1016/j.drugalcdep.2011.04.024
Chartier KG, Scott DM, Wall TL, Covault J, Karriker-Jaffe KJ, Mills BA, et al. Framing ethnic variations in alcohol outcomes from biological pathways to neighborhood context. Alcohol Clin Exp Res. 2014;38(3):611-8. https://doi.org/10.1111/acer.12304
Reisdorfer E, Büchele F, Pires ROM, Boing AF. Prevalence and associated factors with alcohol use disorders among adults: a population-based study in southern Brazil. Rev Bras Epidemiol. 2012;15(3):582-94. https://doi.org/10.1590/S1415-790X2012000300012
Cardoso LGV, Melo APS, Cesar CC. Prevalence of moderate and excessive alcohol consumption and associated factors among residents of Quilombo Communities (hinterland settlements founded by people of African origin) of Vitória da Conquista, Bahia, Brazil. Cien Saude Colet. 2015;20(3):809-20. https://doi.org/10.1590/1413-81232015203.12702014
Sandoval GA, Monteiro MG, Campos KP, Shield K, Marinho F. Sociodemographics, lifestyle factors and health status indicators associated with alcohol consumption and related behaviours: a Brazilian population-based analysis. Public Health. 2020;178:49-61. https://doi.org/10.1016/j.puhe.2019.08.011
Laranjeira R, Pinsky I, Sanches M, Zaleski M, Caetano R. Alcohol use patterns among Brazilian adults. Rev Bras Psiquiatr. 2010;32(3):231-41. https://doi.org/10.1590/S1516-44462009005000012
Vargas D, Oliveira MAF, Araújo EC. Prevalence of alcohol addiction among users of primary healthcare services in Bebedouro, São Paulo State, Brazil. Cad Saude Publica. 2009;25(8):1711-20. https://doi.org/10.1590/S0102-311X2009000800007
Instituto Brasileiro de Geografia e Estatística. Pesquisa nacional de saneamento básico 2017: abastecimento de água e esgotamento sanitário [Internet]. Rio de Janeiro: IBGE; 2020 [cited 2024 Feb 12]. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101734.pdf
Macinko J, Mullachery P, Silver D, Jimenez G, Morais OL Neto. Patterns of alcohol consumption and related behaviors in Brazil: Evidence from the 2013 National Health Survey (PNS 2013). PLoS One. 2015;10(7):1-12. https://doi.org/10.1371/journal.pone.0134153
Ministério da Saúde (BR). Vigitel Brasil 2021: Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico [Internet]. Brasília: Ministério da Saúde; 2021 [cited 2024 Feb 12]. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/svsa/vigitel/vigitel-brasil-2021-estimativas-sobre-frequencia-e-distribuicao-sociodemografica-de-fatores-de-risco-e-protecao-para-doencas-cronicas
Benjet C, Mortier P, Kiekens G, Ebert DD, Auerbach RP, Kessler RC, et al. A risk algorithm that predicts alcohol use disorders among college students. Eur Child Adolesc Psychiatry. 2021;31:1-11. https://doi.org/10.1007/s00787-020-01712-3
Salvatore JE, Kendler KS, Dick DM. Romantic relationship status and alcohol use and problems across the first year of college. J Stud Alcohol Drugs. 2014;75(4):580-9. https://doi.org/10.15288/jsad.2014.75.580
Nascimento RB, Araujo ES Filho, Cerqueira GL, Carneiro DG, Carmo ESS. After the breakup: a narrative review. Rev Pubsaúde. 2021;7:1-17. https://doi.org/10.31533/pubsaude7.a233
Herman AM, Duka T. Facets of impulsivity and alcohol use: What role do emotions play? Neurosci Biobehav Rev. 2019;106:202-16. https://doi.org/10.1016/j.neubiorev.2018.08.011
Bastos FI, Bertoni N, Hacker MA. Drug and alcohol use: main findings of a national survey, Brazil 2005. Rev Saude Publica. 2008;42(suppl 1):109-17. https://doi.org/10.1590/S0034-89102008000800013
Madruga CS, Laranjeira R, Caetano R, Ribeiro W, Zaleski M, Pinsky I, et al. Early life exposure to violence and substance misuse in adulthood-The first Brazilian national survey. Addict Behav. 2011;36(3):251-5. https://doi.org/10.1016/j.addbeh.2010.10.011
Ally EZ, Laranjeira R, Viana MC, Pinsky I, Caetano R, Mitsuhiro S, et al. Intimate partner violence trends in Brazil: Data from two waves of the Brazilian National Alcohol and Drugs Survey. Rev Bras Psiquiatr. 2016;38(2):98-105. https://doi.org/10.1590/1516-4446-2015-1798
Abdalla RR, Massaro L, Miguel AQC, Laranjeira R, Caetano R, Madruga CS. Association between drug use and urban violence: Data from the II Brazilian National Alcohol and Drugs Survey (BNADS). Addict Behav Reports. 2018;7:8-13. https://doi.org/10.1016/j.abrep.2017.11.003
Skóra MN, Pattij T, Beroun A, Kogias G, Mielenz D, de Vries T, et al. Personality driven alcohol and drug abuse: New mechanisms revealed. Neurosci Biobehav Rev. 2020;116:64-73. https://doi.org/10.1016/j.neubiorev.2020.06.023
Iyer-Eimerbrink PA, Nurnberger JI Jr. Genetics of Alcoholism. Curr Psychiatry Rep. 2014;16(12):518. https://doi.org/10.1007/s11920-014-0518-0
Dick DM, Smith G, Olausson P, Mitchell SH, Leeman RF, O’Malley SS, et al. Understanding the construct of impulsivity and its relationship to alcohol use disorders. Addict Biol. 2010;15(2):217-26. https://doi.org/10.1111/j.1369-1600.2009.00190.x
Potenza MN, De Wit H. Control yourself: Alcohol and impulsivity. Alcohol Clin Exp Res. 2010;34(8):1303-5. https://doi.org/10.1111/j.1530-0277.2010.01214.x
DeMartini KS, Carey KB. The role of anxiety sensitivity and drinking motives in predicting alcohol use: A critical review. Clin Psychol Rev. 2011;31(1):169-77. https://doi.org/10.1016/j.cpr.2010.10.001
Edalati H, Conrod PJ. A review of personality-targeted interventions for prevention of substance misuse and related harm in community samples of adolescents. Front Psychiatry. 2019;9:1-9. https://doi.org/10.3389/fpsyt.2018.00770
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