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Hazardous alcohol use among female heads-of-household in rural Mozambique.
Wainberg, Milton; Oquendo, Maria A; Peratikos, Meridith Blevins; Gonzalez-Calvo, Lazaro; Pinsky, Ilana; Duarte, Cristiane S; Yu, Qiongru; Green, Ann F; Martinho, Samuel; Moon, Troy D; Audet, Carolyn M.
Afiliación
  • Wainberg M; Columbia University, Department of Psychiatry, New York, NY, USA.
  • Oquendo MA; University of Pennsylvania, Department of Psychiatry, Philadelphia, PA, USA.
  • Peratikos MB; Vanderbilt University Medical Center, Department of Biostatistics, Nashville, TN, USA.
  • Gonzalez-Calvo L; Friends in Global Health, Maputo, Mozambique; Vanderbilt University Medical Center, Department of Pediatrics, Nashville, TN, USA.
  • Pinsky I; Columbia University, Department of Psychiatry, New York, NY, USA.
  • Duarte CS; Columbia University, Department of Psychiatry, New York, NY, USA.
  • Yu Q; Vanderbilt University, Peabody Research Institute, Nashville, TN, USA.
  • Green AF; Vanderbilt University Medical Center, Vanderbilt Institute for Global Health, Nashville, TN, USA.
  • Martinho S; Friends in Global Health, Maputo, Mozambique.
  • Moon TD; Vanderbilt University Medical Center, Department of Pediatrics, Nashville, TN, USA; Vanderbilt University Medical Center, Vanderbilt Institute for Global Health, Nashville, TN, USA.
  • Audet CM; Vanderbilt University Medical Center, Vanderbilt Institute for Global Health, Nashville, TN, USA; Vanderbilt University Medical Center, Department of Health Policy, Nashville, TN, USA. Electronic address: carolyn.m.audet@vanderbilt.edu.
Alcohol ; 73: 37-44, 2018 12.
Article en En | MEDLINE | ID: mdl-30261452
Hazardous drinking places individuals at risk for adverse health events, resulting in a major public health burden globally. Patterns of alcohol consumption among women in Africa remain poorly understood. We aimed to describe alcohol consumption in a representative sample of female heads-of-household in Mozambique. A 2014 population-based cross-sectional study of 3892 heads-of-household was conducted in Zambézia Province. Data on alcohol use were collected using the Alcohol Use Disorders Identification Test (AUDIT). Sociodemographic characteristics were summarized by alcohol use. A multivariable proportional odds model adjusted for age, education, Portuguese fluency, marital status, income, social support, depression, food insecurity, currently pregnant, and child mortality was used for the ordinal AUDIT scale as outcomes with robust covariance to account for clustering of respondents. The overall prevalence of current alcohol consumption among female heads-of-household was 15%. The mean PHQ-8 score was 2.7 (SD 4.7). The prevalence of women considered "hazardous drinkers" (score >4) was 8%. In bivariate analyses, depression, marital status, currently being pregnant, food insecurity, and death of a child were associated with higher risk of hazardous drinking. After adjusting for multiple characteristics, depression (aOR: 2.20 [1.28, 3.76] p = 0.004), death of a child (aOR: 2.44 [1.46, 4.07] p = 0.001), and being currently pregnant (aOR: 1.83 [0.99, 3.39] p = 0.002) were associated with hazardous drinking behavior. Being single (aOR: 0.48 [0.29, 0.80], p = 0.017) and food insecure (aOR: 0.96 [0.92, 1.00], p = 0.050) showed a protective effect on hazardous drinking behavior. The percentage of female heads-of-household in north-central Mozambique that regularly drink alcohol was lower than expected. This may be due to the unique characteristics of female heads-of-household and the extreme poverty pervasive in Zambézia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alcoholismo Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Alcohol Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alcoholismo Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Alcohol Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos