O artigo Risk Factors and Temporal Trends in Alcohol Dependence Severity Among Women Admitted to a Gender-Specific Outpatient Service in Brazil Across 23 Years foi publicado December 2024, International Journal of Mental Health and Addiction
International Journal of Mental Health and Addiction DOI: 10.1007/s11469-024-01428-4
Risk Factors and Temporal Trends in Alcohol Dependence
Severity Among Women Admitted to a Gender?Specific
Outpatient Service in Brazil Across 23 Years
Flavia Cardoso1 · Fábio Carezzato1 · Andreza Santos1 · Daniel Fatori1 ·
Gustavo Hochgraf2 · Gabriel Leal1 · Silvia Brasiliano1 · Pedro Bacchi1
Accepted: 27 November 2024
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024
Alcohol use disorders (AUDs) among women have been recognized as a growing chal-
lenge globally. Women have specificities related to past traumas, comorbidities, and co-
occurring substance disorders and face unique challenges to reach treatment. This study investigates risk factors and temporal trends in alcohol dependence severity among women admitted to a gender-specific outpatient center in Brazil. Two hundred twenty-five participants with AUD were included, spanning from 1999 to 2022. Sociodemographic, psychiatric comorbidities, substance use disorders, and sexual abuse data were collected.
come. Linear regressions were performed, protective factors were education (Unadjusted
? = ? 0.48, 95% CI = [? 0.85, ? 0.11], p < 0.05) and income (Unadjusted ? = ? 3.99, 95%
CI = [? 7.15, ? 0.82], p < 0.05). There was a consistent decrease in alcohol dependence
severity over the years (? = ? 0.25, 95% CI = [? 0.46, ? 0.04], p = 0.02). Findings highlight
the complex interplay between the rising prevalence of AUD in women and access to care, and underscore the importance of education and income Including formal educational modules or skills training in the recovery of the patients may change treatment outcomes.
Keywords Alcohol dependence · Women’s Health Services · Temporal trends ·
Sociodemographic factors · Educational level
Alcohol is the most commonly used recreational drug globally, with its history of use
running parallel to human civilization (Barnes, 2014; Vallee, 1997). The World Health
Organization (WHO) estimates that there are 2.3 billion current users worldwide, and there
has been a concerning global increase in alcohol use disorder (AUD) among women, now
* Caio Petrus Monteiro Figueiredo
cpetrus@usp.br
1 Department of Psychiatry, Institute of Psychiatry, Hospital das Clinicas, University of São Paulo,
São Paulo, Brazil
2 Mackenzie Presbyterian University, São Paulo, BrazilContent courtesy of Springer Nature, terms of use apply. Rights reserved.