Adherence to Drinking Guidelines and Reasons for Alcohol Consumption Cessation in the Southern Cone of Latin America - Findings from the CESCAS Study.

Autor:	van de Luitgaarden IAT; Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, AR.; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, NL.; Julius Clinical, Zeist, NL., Gulayin PE; Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, AR.; Facultad de Ciencias Médicas, Universidad Nacional de la Plata, la Plata, AR., Gutierrez L; Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, AR., Calandrelli M; Sanatorio San Carlos, Bariloche, Río Negro, AR., Mores N; Municipalidad de Marcos Paz, Buenos Aires, AR., Ponzo J; Facultad de Medicina, Universidad de la República, Montevideo, UY., Lanas F; Universidad de La Frontera, CIGES, Temuco, CL., Schrieks IC; Julius Clinical, Zeist, NL., Grobbee DE; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, NL.; Julius Clinical, Zeist, NL., Beulens JWJ; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, NL.; Amsterdam University Medical Center, location VUmc, Amsterdam Cardiovascular Sciences research institute, Department of Epidemiology and Biostatistics, Amsterdam, NL., Irazola V; Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, AR.
Jazyk:	angličtina
Zdroj:	Global heart [Glob Heart] 2021 Jan 04; Vol. 16 (1), pp. 2. Date of Electronic Publication: 2021 Jan 04.
DOI:	10.5334/gh.840
Abstrakt:	Introduction: Alcohol consumption is a risk factor for morbidity and mortality globally. Consumption levels in Southern Latin America are among the highest in the world. Objectives: To describe consumption patterns and adherence to guidelines in the general adult population of Southern Latin America, as well as exploration of reasons for alcohol cessation and the advising role of the health worker in this decision. Methods: In 7,520 participants from the Centro de Excelencia en Salud Cardiovascular para el America del Sur (CESCAS) cohort, consumption patterns were described and the proportion excessive drinkers (i.e. >7 units/week for women and >14 for men or binge drinking: >4 (women) or >5 (men) units at a single occasion) was calculated. Former drinkers were asked if they had quit alcohol consumption on the advice of a health worker and/or because of health reasons. Furthermore, among former drinkers, multivariable logistic regression analysis was performed to assess which participant characteristics were independently associated with the chance of quitting consumption on a health worker's advice. Results: Mean age was 54.8 years (SD = 10.8), 42% was male. Current drinking was reported by 44.6%, excessive drinking by 8.5% of the population. In former drinkers, 23% had quit alcohol consumption because of health reasons, half of them had additionally quit on the advice of a health worker. The majority of former drinkers however had other, unknown, reasons. When alcohol cessation was based on a health worker's advice, sex, country of residence, educational status and frequency of visiting a physician were independent predictors. Conclusion: In this Southern American population-based sample, most participants adhered to the alcohol consumption guidelines. The advising role of the health worker in quitting alcohol consumption was only modest and the motivation for the majority of former drinkers remains unknown. A more detailed assessment of actual advice rates and exploration of additional reasons for alcohol cessation might be valuable for alcohol policy making. Competing Interests: The authors have no competing interests to declare. (Copyright: © 2021 The Author(s).)
Databáze:	MEDLINE
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