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

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

Open Access
|Jan 2021

Figures & Tables

Table 1

Participants characteristics of 4359 female CESCAS participants.

NIn line with guidelinesExcessive drinkers
Lifetime abstainersFormer drinkers< 1 unit/week1–7 units/week>7 units/weekBinge drinkers
% of participants435948.519.612.116.12.01.7
Age group
35–44 years100944.318.414.218.52.02.6
45–54 years124048.219.311.917.32.01.4
55–64 years118052.820.911.411.91.91.1
65–74 years93054.321.77.813.52.30.4
Country
Argentina240053.211.913.615.93.81.7
Chile102749.321.99.916.60.71.6
Uruguay93234.931.015.415.21.71.8
Obesity (BMI > 30)184552.418.712.013.81.41.6
Smoking status
Current smoking104235.018.814.923.93.73.7
Former smoking87839.622.613.120.42.02.3
Never smoking242458.718.810.410.51.20.4
Education level
Primary education202854.919.910.811.51.51.4
Secondary education159049.719.711.515.61.81.6
University73636.719.015.024.03.22.1
Low physical activity166150.319.711.515.01.81.8
Presence or history of disease
No history of disease262146.918.413.417.41.91.9
High CVD risk35854.323.57.910.51.52.4
Cardiovascular disease49049.025.210.211.32.02.3
Respiratory disease48946.820.310.918.82.90.4
Malignancy14047.022.39.618.02.20.9
Multimorbidity26164.617.17.98.01.41.0
Comorbidities
Diabetes64653.521.311.511.21.01.4
Hypertension195653.021.99.512.31.71.5
Dyslipidemia221949.921.311.314.51.91.1
Total cholesterol (mg/dl)201 ± 42201 ± 44203 ± 41203 ± 41206 ± 37199 ± 40
HDL cholesterol (mg/dl)48 ± 1248 ± 1349 ± 1251 ± 1352 ± 1450 ± 12
Median alcohol consumption in g/week0 [0, 0]0 [0, 0]0 [0, 0]28 [14, 46]124 [101, 155]41 [14, 83]

[i] Values represent percentages; absolute numbers; means ± standard deviations; medians [25–75 percentiles]. Abbreviations: BMI (body mass index), CESCAS (Centro de Excelencia en Salud Cardiovascular para el Cono Sur), CVD (cardiovascular disease), HDL (high-density cholesterol).

Table 2

Participant characteristics of 3161 male CESCAS participants.

NIn line with guidelinesExcessive drinkers
Lifetime abstainersFormer drinkers<1 unit/week1–14 units/week>14 units/weekBinge drinkers
% of participants316124.416.811.533.54.09.9
Age group
35–44 years70527.113.112.232.42.712.6
45–54 years83123.216.311.534.33.711.1
55–64 years93520.820.911.634.35.96.4
65–74 years69024.523.08.734.05.34.5
Country
Argentina240025.612.213.935.85.96.6
Chile102727.718.410.029.41.213.3
Uruguay93211.722.910.039.97.57.9
Obesity (BMI > 30)106723.616.412.034.63.59.9
Smoking status
Current smoking96018.112.812.035.65.815.7
Former smoking110319.022.212.533.74.68.0
Never smoking107635.415.410.231.11.76.3
Education level
Primary education138022.117.911.931.95.011.2
Secondary education120024.717.611.333.13.59.8
University57926.813.811.336.43.28.5
Low physical activity89228.717.511.231.33.87.5
Presence or history of disease:
No history of disease139825.714.612.034.23.010.4
High CVD risk85222.315.713.636.35.76.5
Cardiovascular disease45221.925.98.230.34.98.7
Respiratory disease29224.517.59.927.64.216.3
Malignancy5526.725.38.932.84.51.9
Multimorbidity11119.523.85.834.96.89.2
Comorbidities
Diabetes41423.123.512.230.03.47.7
Hypertension162521.417.711.134.55.59.9
Dyslipidemia209825.217.012.432.83.29.4
Total cholesterol (mg/dl)197 ± 39192 ± 44204 ± 42206 ± 42209 ± 45207 ± 38
HDL cholesterol (mg/dl)40 ± 1141 ± 1240 ± 943 ± 1148 ± 1846 ± 16
Median alcohol consumption in g/week0 [0, 0]0 [0, 0]0 [0, 0]51 [26, 86]264 [210, 331]83 [39, 160]

[i] Values represent percentages; absolute numbers; means ± standard deviations; medians [25–75 percentiles]. Abbreviations: BMI (body mass index), CESCAS (Centro de Excelencia en Salud Cardiovascular para el Cono Sur), CVD (cardiovascular disease), HDL (high-density cholesterol).

Table 3

Motivation for alcohol consumption cessation in 1263 former drinkers from the CESCAS cohort.

Quit Because of Health Reasons
YesNoTotal
Quit Because of A Health Worker’s AdviceAll (N = 1263)Yes11.6%0.5%12.1%
No11.0%76.9%87.9%
Total22.5%77.5%100%
Women (N = 731)Yes7.9%0.3%8.2%
No10.9%80.9%91.8%
Total18.8%81.2%100%
Men (N = 532)Yes16.3%0.9%17.2%
No11.1%71.7%82.8%
Total27.4%72.6%100%
gh-16-1-840-g1.png
Figure 1

Percentages of CESCAS participants that quit because of health reasons, per disease category, with proportions of them being additionally advised of not advised.

gh-16-1-840-g2.png
Figure 2

Percentages of CESCAS participants that quit because they were advised to do so, per disease category, with proportions of them that additionally quit because of health reasons.

Table 4

Determinants of alcohol consumption cessation because of a health worker’s advice and because of health reasons in 1263 former drinkers.

DeterminantBecause of advised to quit (Yes: N = 193) OR (95% CI)Because of health reasons (Yes: N = 348) OR (95%)
Demographic determinants
Male sex2.77 (1.79–4.30)1.85 (1.30–2.65)
Age1.02 (1.00–1.04)
Country (ref Argentina)
Chile0.53 (0.30–0.93)0.68 (0.431.06)
Uruguay0.83 (0.551.27)1.13 (0.791.61)
Education (ref low education)
Intermediate education1.89 (0.581.38)0.98 (0.671.42)
High education0.37 (0.18–0.79)0.57 (0.33–0.98)
Disease determinants
History of disease: (ref no history of disease)
High CVD risk1.34 (0.85–2.15)
Cardiovascular disease1.86 (1.182.93)
Respiratory disease1.35 (0.76–2.40)
Malignancy2.82 (1.047.63)
Multimorbidity0.90 (0.46–1.74)
Access to healthcare
Having a primary physician1.51 (0.96–2.38)1.30 (0.89–1.89)
Visits to a health professional (ref = 0–2/year)
2–12 per year1.95 (1.072.22)1.48 (1.012.14)
> 12 per year2.69 (1.03–4.05)2.61 (1.38–4.93)

[i] Abbreviations: CI (confidence interval), CVD (cardiovascular disease), OR (odds ratio).

Numbers in bold are associations that were found statistically significant (P < 0.05).

The presented odds ratios are the risk estimates from the multivariable regression analyses after backward selection was performed.

DOI: https://doi.org/10.5334/gh.840 | Journal eISSN: 2211-8179
Language: English
Submitted on: Jun 4, 2020
Accepted on: Nov 23, 2020
Published on: Jan 4, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Inge van de Luitgaarden, Pablo E. Gulayin, Laura Gutierrez, Matías Calandrelli, Nora Mores, Jacqueline Ponzo, Fernando Lanas, Ilse C. Schrieks, Diederick E. Grobbee, Joline W. J. Beulens, Vilma Irazola, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.