Table 3. Total sample: Estimated odds ratios (OR) linking alcohol outcomes with Neighborhood Social Deprivation and other suspected determinants.
Characteristics | Past-yearusea | Regularuseb | Heavydrinking oflowerfrequency (HDLF)c | Heavy drinkingof higherfrequency(HDHF)c | Abused | Dependencee | DSM-5AUDf |
AOR(95% CI) | AOR(95% CI) | AOR(95% CI) | AOR(95% CI) | AOR(95% CI) | AOR(95% CI) | AOR(95% CI) | |
Sex | |||||||
Men | 3.5 (2.9–4.2)‡ | 2.5 (1.9–3.4)‡ | 1.3 (0.6–2.5) | 1.6 (1.1–2.5)* | 1.7 (0.8–3.6) | 1.6 (0.7–3.6) | 1.5 (0.8–2.8) |
Women | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
Age, years | |||||||
18–34 | 2.0 (1.6–2.6)‡ | 0.7 (0.5–1.1) | 7.3 (2.7–19.9)† | 5.9 (2.1–17.0)† | 7.0 (2.4–20.0)† | 2.0 (0.5–9.0) | 2.3 (0.7–7.0) |
35–54 | 1.7 (1.2–2.3)† | 0.8 (0.5–1.2) | 2.5 (0.8–7.1) | 4.1 (1.4–12.7)* | 6.8 (2.6–17.7)‡ | 1.9 (0.4–8.7) | 2.8 (0.9–9.1) |
55+ | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
Marital status | |||||||
Previously married | 1.4 (1.1–1.8)† | 1.1 (0.7–1.8) | 1.1 (0.5–2.5) | 1.1 (0.8–1.5) | 1.0 (0.5–2.2) | 1.2 (0.5–3.1) | 1.0 (0.5–2.0) |
Never married | 0.9 (0.7–1.1) | 0.9 (0.6–1.2) | 1.3 (0.7–2.4) | 1.2 (0.8–1.8) | 1.3 (0.7–2.5) | 1.2 (0.4–3.3) | 1.9 (1.0–3.4)* |
Married/cohabiting | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
Education | |||||||
Low | 0.8 (0.6–1.0) | 0.9 (0.7–1.3) | 0.4 (0.2–0.8)† | 1.4 (0.7–2.6) | 1.3 (0.7–2.5) | 3.0 (1.2–7.5)* | 2.2 (1.0–5.0)* |
Low-average | 1.0 (0.8–1.2) | 1.0 (0.7–1.3) | 0.5 (0.2–1.0) | 1.1 (0.6–1.9) | 1.1 (0.5–2.4) | 1.1 (0.3–3.3) | 1.6 (0.8–3.3) |
High-average+High | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
Income | |||||||
Low | 0.6 (0.4–0.9)† | 0.8 (0.5–1.0) | 1.8 (0.8–3.9) | 0.9 (0.5–1.5) | 1.0 (0.5–2.0) | 0.9 (0.2–4.0) | 0.9 (0.4–2.3) |
Low-average | 0.6 (0.5–0.8)† | 0.8 (0.6–1.0) | 1.1 (0.6–1.9) | 0.8 (0.5–1.2) | 0.9 (0.5–1.7) | 1.8 (0.6–5.5) | 0.9 (0.3–2.2) |
High-average | 0.8 (0.6–1.0)* | 0.5 (0.4–0.7)‡ | 1.2 (0.6–2.4) | 0.8 (0.5–1.4) | 0.6 (0.3–1.2) | 1.0 (0.2–4.0) | 0.5 (0.2–1.2) |
High | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
Employment status | |||||||
Working (including student) | 1.3 (1.1–1.5)‡ | 1.6 (1.2–2.1)† | 1.8 (0.7–4.5) | 0.8 (0.4–1.7) | 0.9 (0.3–3.0) | 0.9 (0.3–2.6) | 1.3 (0.4–3.8) |
Unemployed | 1.3 (1.0–1.8)* | 2.2 (1.4–3.5)† | 1.7 (0.4–6.5) | 1.8 (0.7–4.5) | 2.5 (1.0–6.8) | 3.5 (0.7–16.2) | 3.5 (1.1–11.3)* |
Retired and homemaker | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
Neighborhood Social Deprivation level | |||||||
No+Low | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
Medium-low+Medium | 0.8 (0.7–0.9)† | 1.1 (0.8–1.4) | 2.0 (1.1–3.8)* | 2.1 (1.4–3.1)† | 0.9 (0.4–2.1) | 1.7 (0.8–3.9) | 1.1 (0.5–2.2) |
High+Very-high | 0.7 (0.5–1.0) | 1.0 (0.6–1.5) | 2.1 (1.1–3.8)* | 1.7 (1.2–2.3)† | 1.6 (0.7–3.6) | 1.5 (0.7–3.4) | 1.3 (0.7–2.7) |
Data from the São Paulo Megacity Mental Health Survey (SPMHS), Brazil, 2005–2007 (n = 5037).
Reference categories: a) non-past year users; b) non-regular users; c) non-heavy drinkers; d) regular users who did not fulfill criteria for abuse; e) regular users who did not fulfill criteria for dependence; f) regular users who did not fulfill criteria for DSM-5 AUD.
AOR, adjusted odds-ratio; CI, confidence interval.
All OR were adjusted for sex and age.
*p<0.05;
p<0.01;
p<0.001.