Old Age Research Group (PROTER), Institute of Psychiatry, Faculty of Medicine, University of São Paulo, Brazil.
Int J Geriatr Psychiatry. 2009 Oct;24(10):1045-53. doi: 10.1002/gps.2224.
To assess the prevalence of alcoholism in elderly living in the city of São Paulo (Brazil) and investigate associated risk factors.
A total of 1,563 individuals aged 60 years or older, of both genders of three districts of different socioeconomic classes (high, medium and low) in the city of São Paulo (Brazil) were interviewed. The CAGE screening test for alcoholism was applied and a structured interview was used to assess associated sociodemographic and clinical factors. The tests Mini Mental State Examination, Fuld Object Memory Evaluation, The Informant Questionnaire on Cognitive Decline in the Elderly and Bayer-Activities of Daily Living Scale were used for cognitive and functional assessment.
Prevalence of alcoholism was 9.1%. Multivariate regression analysis showed that alcoholism was associated with male gender, 'mulatto' ethnicity, smoking, and cognitive and functional impairment. In addition, the younger the individual and the lower the schooling level, the higher the risk for alcoholism.
The results obtained in this study show that alcoholism is highly frequent in the community-dwelling elderly living in São Paulo, and that it is associated with socio-demographic and clinical risk factors similar to those reported in the literature. This suggests that alcoholism in the elderly of a developing country shares the same basic characteristics seen in developed countries. These findings suggest that it is essential for health services and professional to be prepared to meet this demand that will significantly grow in the next years, especially in developing countries, where the rates of population aging are higher than those of developed countries.
评估居住在巴西圣保罗市的老年人酗酒的患病率，并调查相关的危险因素。
对来自巴西圣保罗市三个不同社会经济阶层（高、中、低）的三个区的 1563 名 60 岁或以上的、男女两性的个体进行了访谈。采用酒精中毒 CAGE 筛查试验和结构化访谈来评估相关的社会人口学和临床因素。采用简易精神状态检查、Fuld 物体记忆测验、老年认知障碍家属问卷和 Bayer 日常生活活动量表对认知和功能进行评估。
酗酒的患病率为 9.1%。多变量回归分析显示，酗酒与男性、“黑白混血”种族、吸烟以及认知和功能损害有关。此外，个体年龄越小、受教育程度越低，酗酒的风险越高。
本研究结果表明，在巴西圣保罗市的社区居住的老年人中，酗酒非常普遍，且与社会人口学和临床危险因素相关，这与文献中的报告相似。这表明，发展中国家老年人的酗酒具有与发达国家相同的基本特征。这些发现表明，卫生服务和专业人员必须做好准备，以满足未来几年这一需求的显著增长，尤其是在发展中国家，那里的人口老龄化率高于发达国家。
