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巴西成年人饮酒与自述当前抑郁之间的关联。

The association between alcohol consumption and self-reported current depression among adults residing in Brazil.

机构信息

Department of Population Health, University of North Dakota: School of Medicine and Health Sciences, Grand Forks, ND 58202-9037, USA.

Department of Research, Inbox Produtora, Rua Major Solon, São Paulo 13024-091, Brazil.

出版信息

J Public Health (Oxf). 2021 Jun 7;43(2):e204-e212. doi: 10.1093/pubmed/fdaa220.

Abstract

BACKGROUND

The purpose of the current study was to investigate the association between binge and heavy drinking and self-reported current depression (SRCD) in a representative population-based sample of adults residing in Brazil.

METHODS

The sample for this study was based on the 2013 Brazilian National Health Survey. SRCD was accessed using the Patient Health Questionnaire (PHQ-8), a valid eight-item depression measure for population-based studies instrument. The association between binge/heavy drinking and SRCD was investigated using weighted and adjusted multivariable logistic regression models.

RESULTS

Out of the final study sample of 59 399 Brazilians, 47.2% were young adults, 34.6% were middle age adults and 52.4% were females. The prevalence of binge drinking was 13.8%, of heavy drinking was 3.2% and SRCD was 7.6%. There was a significant weighted and adjusted association between binge drinking and SRCD among young and middle age females (OR = 1.5, 95% CI:1.1-2.0 and OR = 0.6, 95% CI:0.4-0.8, respectively) and between heavy drinking and SRCD among young and middle age males (OR = 1.8, 95% CI:1.2-2.8 and OR = 2.5, 95% CI:1.5-4.1, respectively).

CONCLUSIONS

The possible protective factor of binge drinking for SRCD among middle-aged Brazilian females needs to be further investigated and understood. Longitudinal research is needed to provide further evidence of associations found in this study.

摘要

背景

本研究旨在调查巴西成年人代表性人群样本中, binge 和 heavy 饮酒与自我报告的当前抑郁(SRCD)之间的关联。

方法

本研究的样本基于 2013 年巴西国家健康调查。使用 PHQ-8 评估 SRCD,PHQ-8 是一种用于人群研究的有效八项抑郁测量工具。使用加权和调整后的多变量逻辑回归模型来研究 binge/heavy 饮酒与 SRCD 之间的关联。

结果

在最终的 59399 名巴西研究样本中,47.2%为年轻成年人,34.6%为中年成年人,52.4%为女性。 binge 饮酒的流行率为 13.8%,heavy 饮酒的流行率为 3.2%,SRCD 的流行率为 7.6%。在年轻和中年女性中, binge 饮酒与 SRCD 之间存在显著的加权和调整关联(OR=1.5,95%CI:1.1-2.0 和 OR=0.6,95%CI:0.4-0.8),在年轻和中年男性中, heavy 饮酒与 SRCD 之间存在显著的加权和调整关联(OR=1.8,95%CI:1.2-2.8 和 OR=2.5,95%CI:1.5-4.1)。

结论

需要进一步研究和理解 binge 饮酒对中年巴西女性 SRCD 的可能保护因素。需要进行纵向研究,以提供对本研究中发现的关联的进一步证据。

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