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Correlates of lifetime alcohol abuse and dependence among older community residents in Brazil

Published online by Cambridge University Press:  02 January 2018

Gerda G. Fillenbaum ,
Sergio Luís Blay ,
Sergio Baxter Andreoli  and
Fabio Leite Gastal
Gerda G. Fillenbaum
Affiliation:
Center for the Study of Aging and Human Development, Duke University Medical Center, and Geriatric Research, Education and Clinical Center, Veterans Administration Medical Center, Durham, NC, USA, email [email protected]
Sergio Luís Blay
Affiliation:
Department of Psychiatry, Federal University of São Paulo, Brazil (Escola Paulista de Medicina - UNIFESP)
Sergio Baxter Andreoli
Affiliation:
Department of Psychiatry, Federal University of São Paulo, Brazil (Escola Paulista de Medicina - UNIFESP)
Fabio Leite Gastal
Affiliation:
Medical University of Minas Gerais/UFMG, Brazil
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Misinterpretation in major surveys of alcohol use disorder as described by DSM-IV (Hasin et al, 2007) has raised serious questions regarding the extent of alcohol use disorder, and the relationship between alcohol abuse and alcohol dependence. While the adverse social, physical and mental effects of alcohol misuse are well known (Council on Scientific Affairs, 1996), there is little information on the determinants of alcohol abuse (societal impact) and alcohol dependence (physiological impact). We therefore examined their separate and combined associations with demographic, social and health characteristics in a representative community-resident sample aged 60 years and over. We hypothesised that, while for each of the three groups (those with alcohol abuse, those with alcohol dependence, and those with both) there would be associated demographic characteristics, abuse would be more closely associated with social characteristics, dependence with health characteristics, and the combined presence of abuse and dependence with both social and health characteristics.

Type
Original Papers
Information
International Psychiatry , Volume 6 , Issue 2 , April 2009 , pp. 40 - 44
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2009

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