Depression and Alcohol Drinking Behavior: Association and Sex Differences Among Brazilian Adults.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Promotion Pub Date : 2025-06-22 DOI:10.1177/08901171251353330

Tcm Caldeira, Les Silva, P C Freitas, R M Claro, T M Sousa

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引用次数: 0

Abstract

PurposeTo evaluate the association of alcohol drinking behaviors with depression and sex differences among Brazilian adults.DesignCross-sectional study.SettingBrazilian National Health Survey of 2019.SubjectsPopulation-based sample of 88 531 Brazilian adults.MeasuresAlcohol drinking behaviors (heavy episodic drinking; alcohol-related impairment; alcohol-induced blackout), depression (Patient Health Questionnaire-9), and socioeconomic information (sex; age; education; income; geographic region; partner/spouse).AnalysisLogistic regression models for the association between alcohol drinking behaviors and depression in the total population, stratified by sex and with interaction effect between depression and sex. Models were adjusted by socioeconomic variables.ResultsHeavy episodic drinking was reported by 40.5% and associated with depression in the total population (Odds Ratio - OR1.31; 95%CI 1.14-1.51) and among women (OR1.30; 95%CI 1.10-1.54). Alcohol-related impairment was reported by 4.6% and associated with depression in the total population (OR2.47; 95%CI 1.88-3.23), among men (OR3.24; 95%CI 2.24-4.68) and women (OR1.85; 95%CI 1.27-2.70). Alcohol-induced blackout was reported by 9.7% and associated with depression in the total population (OR2.27; 95%CI 1.88-2.76), among men (OR2.39; 95%CI 1.82-3.12) and women (OR2.18; 95%CI 1.67-2.85). Men presented higher chance of alcohol-related impairment associated with depression than women (OR1.77; 95% CI 1.04-3.02).ConclusionSex differences in alcohol drinking behaviors associated with depression were observed. These results emphasize the need for gender-specific approaches to tackle issues on mental health and alcohol consumption.

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抑郁和饮酒行为：巴西成年人的关联和性别差异。

目的评价巴西成年人饮酒行为与抑郁症的关系及性别差异。DesignCross-sectional研究。设定2019年巴西全国健康调查。以人群为基础的88531名巴西成年人样本。饮酒行为(重度间歇性饮酒；与酒精有关的障碍;酒精引起的昏迷)、抑郁（患者健康问卷-9）和社会经济信息(性别；年龄;教育;收入;地理区域;合作伙伴/配偶)。分析：在总人口中，酒精饮酒行为与抑郁之间的关联的逻辑回归模型，按性别分层，以及抑郁与性别之间的相互作用。模型通过社会经济变量进行调整。结果40.5%的人报告重度间歇性饮酒并伴有抑郁症(优势比：OR1.31；95%CI 1.14-1.51)和女性(OR1.30；95%可信区间1.10 - -1.54)。在总人口中，与酒精相关的损害报告率为4.6%，并与抑郁症相关(OR2.47；95%CI 1.88-3.23)，男性(OR3.24；95%CI 2.24-4.68)和女性(OR1.85；95%可信区间1.27 - -2.70)。9.7%的人报告了酒精引起的昏厥，并且在总人口中与抑郁症相关(OR2.27；95%CI 1.88-2.76)，男性(OR2.39；95%CI 1.82-3.12)和女性(OR2.18；95%可信区间1.67 - -2.85)。男性出现与抑郁症相关的酒精相关损害的可能性高于女性(OR1.77；95% ci 1.04-3.02)。结论与抑郁症相关的饮酒行为存在性别差异。这些结果强调需要采取针对性别的方法来解决心理健康和酒精消费问题。

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来源期刊

American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

3.70%

发文量

184

期刊介绍： The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.