Trend in mortality from mental and behavioral disorders due to alcohol use in Brazil, 2010-2021

Morais, Wygor Bruno e Silva; Nascimento, Fernando Ferraz do; Penha, Jardeliny Corrêa da; Andrade, Jesusmar Ximenes; Mascarenhas, Márcio Dênis Medeiros; Rodrigues, Malvina Thais Pacheco

doi:10.1590/S2237-96222024V33E20231483.en

Acessibilidade / Reportar erro

Brasil

Epidemiologia e Serviços de Saúde

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 33 • 2024 • https://doi.org/10.1590/S2237-96222024V33E20231483.en copy

Trend in mortality from mental and behavioral disorders due to alcohol use in Brazil, 2010-2021

Tendencias de mortalidad por trastornos mentales y comportamentales relacionados con el consumo de alcohol en Brasil: 2010-2021

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To analyze the trend in mortality from mental and behavioral disorders due to alcohol use in Brazil, 2010-2021.

Methods:

This was an time series study using Mortality Information System data. Annual percentage change (APC) and 95% confidence intervals (95% CI) were calculated using Prais-Winsten linear regression.

Results:

Mortality showed a stationary trend for Brazil as a whole (APC = 0.6; 95%CI -4.2;3.0), a falling trend in individuals aged 20-29 years in the South (APC = -7.4; 95%CI -10.0;-4.3) and Northeast (APC = -3.4; 95%CI -6.4;-0.4) regions, in people aged 30-39 in the Midwest region (APC = -3,8; 95%CI -7.4;-0.1) and 40-49 in the South (APC = -2.1; 95%CI -3.8;-0.4), North (APC = -3.1; 95%CI -5.7;-0.5) and Midwest (APC = -2.9; 95%CI -5.5;-0.3) regions.

Conclusion:

Mortality from mental and behavioral disorders due to alcohol use showed a stationary trend nationally and a falling trend in some age groups regionally.

Keywords:
Alcohol-Related Disorders; Mortality; Alcoholism; Time Series Studies; Adult Health; Mental Health

Study contributions

Main results

The mortality coefficient was highest in the 50-59 year age group. Mortality showed a stationary trend in Brazil as a whole, falling in individuals aged 20-29 (South; Northeast), 30-39 (Midwest) and 40-49 (North; Midwest; South).

Implications for services

Mental and behavioral disorders due to alcohol use affect Brazilians at different stages of life, and it is essential to raise the population’s awareness as to reducing consumption of alcoholic beverages.

Perspectives

The need exists to target actions to promote health and prevent mortality related to alcohol use, with emphasis on the 50-59 age group.

Variable	North		Northeast		Midwest		South		Southeast		Brazil
Variable	N (2,056)	%	N (21,120)	%	N (5,244)	%	N (9,183)	%	N (22,910)	%	N (60,513)	%
Sex
Male	1,858	90.4	19,260	91.2	4,705	89.7	8,437	92	20,263	88.5	54,523	90.0
Female	198	9.6	1,860	8.8	539	10.3	746	8.0	2,647	11.5	5,990	10.0
Race/skin color
White	217	10.5	2,691	12.7	1,180	22.5	6,481	70.5	8,408	37.0	18,977	31.4
Mixed race	1,540	75.0	14,660	69.5	3,241	62.0	1,675	18.0	9,333	40.7	30,449	50.3
Black	194	9.5	2,477	11.7	616	11.5	772	8.5	4,044	17.5	8,103	13.3
Asian and Indigenous	41	2.0	108	0.5	107	2.0	69	1.0	70	0.3	395	0.7
Unknown	64	3. 0	1,184	5.6	100	2.0	186	2.0	1,055	4.5	2,589	4.3
Age group (years)
20-29	122	6.0	1,129	5.3	206	4.0	215	2.0	656	3.0	2,328	3.8
30-39	438	21.5	4,585	21.7	1,078	20.5	1,318	14.5	3,852	17.0	11,271	18.6
40-49	731	35.5	7,767	36.8	1,999	38.0	3,301	36.0	8,519	37.0	22,317	37.0
50-59	765	37.0	7,640	36.2	1,961	37.5	4,349	47.5	9,888	43.0	24,603	40.6

Variables	Mean coeffcient	APC^a (%)	95%CI^b	p-value^c	Interpretation^d
Region
Brazil	41.4	0.6	(-4.2;3.0)	0.694	Stationary
North	18.2	-1.7	(-3.7;0.4)	0.111	Stationary
Northeast	56.9	-0.8	(-4.2;2.7)	0.606	Stationary
Southeast	38.3	0.8	(-4.7;3.3)	0.670	Stationary
South	45.5	0.1	(-3.7;4.2)	0.928	Stationary
Midwest	48.3	-0.9	(-3.8;1.9)	0.474	Stationary
Male sex
Brazil	76.5	-0.6	(3.2;-4.2)	0.728	Stationary
North	32.8	2.0	(-4.0;0.0)	0.060	Stationary
Northeast	107.6	0.7	(-4.3;3.0)	0.682	Stationary
Southeast	69.4	-0.6	(-4.7;3.3)	0.741	Stationary
South	85.0	-0.0	(-3.6;3.8)	0.995	Stationary
Midwest	87.8	-0.9	(-4.0;2.2)	0.517	Stationary
Female sex
Brazil	7.7	-1.7	(-4.2;0.9)	0.173	Stationary
North	3.4	1.2	(-2.0;4.6)	0.435	Stationary
Northeast	9.6	-1.8	(-3.9;0.3)	0.095	Stationary
Southeast	8.6	-2.4	(-4.9;0.1)	0.061	Stationary
South	7.3	-1.8	(-5.7;2.3)	0.335	Stationary
Midwest	9.8	-1.8	(-4.8;1.2)	0.205	Stationary

Age group (years)	Mean coefficient	APC^a (%)	95%CI^b	p-value^c	Interpretation^d
Brazil
20-29	5.5	-4.2	(-7.8;-0.2)	0.038	Falling
30-39	27.7	-2.7	(-6.8;1.7)	0.199	Stationary
40-49	65.6	-2.5	(-5.5;0.6)	0.103	Stationary
50-59	91.5	0.5	(-3.1;4.2)	0.762	Stationary
North
20-29	3.1	-4.5	(-11.0;2.4)	0.174	Stationary
30-39	13.2	-3.1	(-8.1;2.2)	0.222	Stationary
40-49	30.1	-3.1	(-5.7;-0.5)	0.025	Falling
50-59	46.6	0.8	(-2.7;1.0)	0.332	Stationary
Northeast
20-29	9.5	-3.4	(-6.4;-0.4)	0.031	Falling
30-39	43.5	-2.4	(-6.3;1.7)	0.227	Stationary
40-49	92.5	-2.7	(-5.8;0.5)	0.091	Stationary
50-59	121.3	0.1	(-3.2;3.7)	0.916	Stationary
Southeast
20-29	3.9	-5.8	(-11.0;0.7)	0.077	Stationary
30-39	23.1	-3.2	(-7.3;1.0)	0.122	Stationary
40-49	59.5	-2.3	(-6.1;1.5)	0.209	Stationary
50-59	82.8	0.1	(-3.5;3.8)	0.957	Stationary
South
20-29	3.7	-7.4	(-10.0;-4.3)	<0.001	Falling
30-39	24.4	-3.2	(-7.8;1.5)	0.160	Stationary
40-49	68.1	-2.1	(-3.8;-0.4)	0.021	Falling
50-59	103.1	1.3	(-3.1;5.9)	0.527	Stationary
Midwest
20-29	6.3	-5.0	(-11.0;1.4)	0.114	Stationary
30-39	34.3	-3.8	(-7.4;-0.1)	0.048	Falling
40-49	77.8	-2.9	(-5.5;-0.3)	0.029	Falling
50-59	103.2	0.6	(-2.2;3.6)	0.631	Stationary

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence:
Wygor Bruno e Silva Morais.
E-mail:
wygorleao@hotmail.com