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Prevalence and correlates of alcoholism in community-dwelling elderly living in Sao Paulo, Brazil
Author(s)Edson Shiguemi Hirata, Eduardo Yoshio Nakano, Jony Arrais Pinto Junior
Journal titleInternational Journal of Geriatric Psychiatry, vol 24, no 10, October 2009
Pagespp 1045-1053
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsAlcoholism ; Screening ; Older men ; Older women ; Living in the community ; Evaluation ; Brazil.
AnnotationA total of 1,563 individuals aged 60+, of both genders of three districts of different socioeconomic classes (high, medium and low) in the city of Sao Paulo (Brazil) were interviewed. The CAGE (an acronym taken from key words in the questions, Cut down, Annoyed, Guilty, Eye opener) screening test for alcoholism was applied and a structured interview was used to assess associated sociodemographic and clinical factors. The tests Mini Mental State Examination (MMSE), Fuld Object Memory Evaluation, the Informant Questionnaire on Cognitive Decline in the Elderly, and Bayer-Activities of Daily Living Scale were used for cognitive and functional assessment. Prevalence of alcoholism was 9.1%. Multivariate regression analysis showed that alcoholism was associated with male gender, mulatto ethnicity, smoking, and cognitive and functional impairment. In addition, the younger the individual and the lower the schooling level, the higher the risk for alcoholism. The results obtained in this study show that alcoholism is highly frequent in the community-dwelling elderly living in Sao Paulo, and that it is associated with socio-demographic and clinical risk factors similar to those reported in the literature. This suggests that alcoholism in the older people of a developing country shares the same basic characteristics seen in developed countries. These findings suggest that it is essential for health services and professionals to be prepared to meet this demand that will significantly grow in the next years, especially in developing countries, where the rates of population ageing are higher than those of developed countries. (KJ/RH).
Accession NumberCPA-100109208 A
ClassmarkETA: 3V: BC: BD: K4: 4C: 7W6

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