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