Abstract
The objective was to measure the Quality of Life (QoL) of the patients treated in Primary Health Care in the city of Rio de Janeiro and its own association with CMD, alcohol consumption and socio-demographic aspects. This is a cross-sectional study involving 624 patients in 2012/2013, using: General Health Questionnaire, Hospital Anxiety and Depression Scale, Screening for Somatoform Symptoms, Alcohol Use Disorder Identification Test e World Health Organization Quality of Life Instrument (bref version). There were conducted a bivariate analysis and a multiple linear regressions for each domain of QOL. The QoL score for the domains, physical, psychological, social relationships and environment were: 61,2; 62,6; 66 and 50,9. In multivariate analysis, the QOL was negatively associated to the CMD, especially in the psychological domain (β = -15,75; p-value = 0,00), and the dependence on physical (β = -5,38; p-value = 0,05). There was a positive and significant association of the QoL with the risk consumption (β = 5,77) and the harmful consumption (β = 6,15) in the environment domain, and with the first in the psychological domain (β = 7,08). CMD and alcohol dependence are associated with the loss of QOL, but other patterns of consumption, even being harmful are associated with higher QOL.
Highlights
Alcohol abuse is a major public health problem and is associated with increased rates of mortality and morbidity due to its potential to cause disease and relationship with loss of quality of life (QoL)[1]
The results show that being a woman decreased the QoL score by around eight points in all domains (p < 0.05), while being over 39 years reduced the score by 3.5 points in the physical (p = 0.027) and social relationships domains (p = 0.012)
In the psychological and environmental domains, QoL was lower among patients with a partner and those with a per capita income of less than or equal to half a minimum salary (p < 0.05), respectively
Summary
Alcohol abuse is a major public health problem and is associated with increased rates of mortality and morbidity due to its potential to cause disease and relationship with loss of quality of life (QoL)[1]. In 2008, alcohol abuse/dependence was the second, third, and sixth leading cause of Disability Adjusted Life Years or DALYs - years of life lost due to premature mortality and due to disability – among Brazilian men aged between 15-29, 30-44, and 45-59 years, respectively[2]. The second National Alcohol and Drugs Survey conducted in 2012 showed that the prevalence of the harmful use of alcohol and alcohol dependence was 16% and 6.8%, respectively[3], while a multicentric study conducted in the same year reported that alcohol abuse (9.8%) and alcohol dependence (3.3%) were the second and third most prevalent lifetime disorders, respectively[4]. Mental disorders (MDs) account for a significant portion of the burden of morbidity and mortality among the Brazilian and global population, especially in recent decades. A multicentric study conducted in 2012 reported that major depression (16.8%) and anxiety disorders (28.1%) were the most frequent lifetime disorders and group of disorders among participants[4]
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