In recent years, Brazil has demonstrated a new demographic pattern characterized by a reduction in both birth and mortality rates and a significant increase in the number of older adults. The purpose of the present study was to describe the frequency of alcohol intake in a representative sample community of older adults in the city of S?o Paulo, Brazil, followed over a six-year period. A prospective Saúde, Bem-Estar e Envelhecimento (SABE [Health, Wellbeing and Aging]) cohort study conducted in 2000 and 2006 in City of S?o Paulo, Brazil. 2,143 individuals aged 60 years or older selected through multi-stage sampling in the year 2000 (41.4% male and 58.6% women) and 1,115 individuals belonging to the follow-up cohort evaluated in 2006. The frequency of alcohol intake in the previous three months was obtained through self-reports of interviewees. The results demonstrate that in 2000, alcohol consumption was less than one day a week among 79.7% of the sample, one to three days a week among 13.0% and four or more days a week among 7.3%. In agreement with findings on other populations, consumption four or more days a week was more frequent among the male gender as well as those with greater schooling and income and good self-rated health (p<0.05). The longitudinal analysis demonstrated an increase in the frequency of alcohol consumption one to three times a week among the individuals in the 2006 follow-up study. In the present population-based sample, alcohol intake was low and the frequency of moderate alcohol consumption increased over the years. The present study can assist understanding the changes in alcohol intake among older adults throughout time and the ageing process.
References
[1]
Satariano WA (2006) Epidemiology of Aging: an ecological approach. Massachusetts: Jones and Bartlett Publishers. 424 p.
[2]
Mayerson M (1994) Pharmacokinetics in the elderly. Environ Health Perspect 102: 119–124.
[3]
Wu LT, Blazer DG (2011) Illicit and nonmedical drug use among older adults: a review. J Aging Health 23: 481–504.
[4]
Han B, Gfroerer JC, Colliver JD, Penne MA (2009) Substance use disorder among older adults in the United States in 2020. Addiction 104: 88–96.
[5]
Dufour M, Fuller RK (1995) Alcohol in the elderly. Annu Rev Med 46: 123–132.
[6]
Merrick EL, Horgan CM, Hodking D, Garnick DW, Houghton SF, et al. (2008) Unhealthy drinking patterns in older adults: prevalence associated characteristics. J Am Geriatr Soc 56: 214–223.
[7]
Lang I, Guralnik J, Wallace RB, Melzer D (2007) What level of alcohol consumption is hazardous for older people? Functioning and mortality in U.S. an English national cohorts. J Am Geriatr Soc 55: 49–57.
[8]
Moore AA, Karno MP, Grella CE (2009) Alcohol, Tobacco, and Nonmedical Drug Use in Older U.S. Adults: Data from the 2001/02 National epidemiologic Survey of Alcohol and Related Conditions. J Am Geriatr Soc 57: 2275–2281.
[9]
Kirchner JE, Zubritsky C, Cody M, Coakley E, Chen H, et al. (2007) Alcohol Consumption Among Older Adults in Primary Care. J Gen Intern Med 22: 92–97.
[10]
Bloomfield K, Grittner U, Rasmussen HB, Petersen HC (2008) Socio-demographic correlates of alcohol consumption in the Danish general population. Scand J Public Health 36: 580–588.
[11]
Branstrom R, Andreasson S (2008) Regional differences in alcohol consumption, alcohol addiction and drug use among Swedish adults. Scand J Public Health 36: 493–503.
[12]
McKee M, Pomerleau J, Robertson A, Pudule I, Grinberga D, et al. (2000) Alcohol consumption in the Baltic Republics. J Epidemiol Community Health 54: 361–366.
[13]
Falk DE, Yi H, Hiller-Sturmh?fel S (2006) An Epidemiologic Analysis of Co-Occurring Alcohol and Tobacco Use and Disorders Findings From the National Epidemiologic Survey on Alcohol and Related Conditions. Alcohol Res Health 29: 162–171.
[14]
Adams WL, Cox NS (1995) Epidemiology of Problem Drinking among Elderly People Inter. J. Addict 30: 1693–1716.
[15]
Soroccoa KH, Ferrellb SW (2006) Alcohol Use Among Older Adults. J Gen Psych 133: 453–467.
[16]
Oliveira JB, Santos JLF, Kerr-Corrêa F (2011) Alcohol screening instruments in elderly male: a population-based survey in metropolitan S?o Paulo, Brazil. Rev Bras Psiquiatr 33: 1–6.
[17]
Lima MCP, Sim?o MO, Oliveira JB, Cavariani MB, Tucci AM, et al. (2009) Alcohol use and falls among the elderly in Metropolitan S?o Paulo, Brazil. Cad Saúde Pública 25: 2603–2611.
[18]
Lebr?o ML, Laurenti R (2005) Saúde, bem-estar e envelhecimento: o estudo SABE no município de S?o Paulo. Rev Bras Epidemiol 8: 127–141.
[19]
Icaza MC, Albala C (1999) PROJETO SABE. Minimental State Examination (MMSE) del Studio de dementia en Chile: Análisis estadístico. OPAS: 1–18.
[20]
Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12: 189–98.
[21]
Rao JNK, Scott AJ (1987) On simple adjustment to chi-square test with sample survey data. Ann Stat 15: 385–397.
[22]
R Development Core Team (2011). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-900051-07-0, URL http://www.R-project.org/.
[23]
Laranjeira R (2007) I Levantamento Nacional sobre os padr?es de consumo de álcool na popula??o brasileira. Brasília: Secretaria Nacional Antidrogas.
[24]
Wu LT, Blazer DG (2009) The Epidemiology of Substance Use and Disorders Among Middle Aged and Elderly Community Adults: National Survey on Drug Use and Health (NSDUH). Am J Geriatr Psychiatry 17: 237–245.
[25]
Andrade LH, Wang YP, Andreoni S, Silveira CM, Alexandrino-Silva C, et al. (2012) Mental Disorders in Megacities: Findings from the S?o Paulo Megacity Mental Health Survey, Brazil. PLoS ONE 7: e31879.
[26]
Moos RH, Schutte K, Brennan P, Moos BS (2004) Ten-year patterns of alcohol consumption and drinking problems among older women and men. Addiction 99: 829–838.
[27]
Newson JT, Huguet N, McCarthy MJ (2012) Health behavior change following chronic illness in middle and later life. J Gerontol B Psychol Sci Soc Sci 67: 279–288.