{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:00:51Z","timestamp":1790308851525,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Chronic pain and harmful alcohol use are prevalent and disabling conditions with shared neurobiological and social determinants, yet their relationship remains understudied in low\u2010 and middle\u2010income countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional data from 90,846 adults with complete data on the 2019 Brazilian National Health Survey were analysed. Chronic pain was categorised as back pain, rheumatism\/arthritis and repetitive strain injury\/work\u2010related musculoskeletal disorder. Alcohol use was assessed by consumption frequency (six categories), binge drinking and average daily intake. Weighted logistic regression models adjusted for sociodemographic and clinical variables were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A U\u2010shaped association was observed between alcohol consumption frequency and chronic pain: compared with regular\u2010high frequency drinkers (3\u20135\u2009days\/week, reference), higher odds of chronic pain were observed among near\u2010daily (odds ratio [OR]\u20091.73; 95% confidence interval [CI] 1.17\u20132.56), occasional (OR\u20091.61; 95% CI 1.20\u20132.15), infrequent (OR\u20091.42; 95% CI 1.11\u20131.82) and regular\u2010low (1\u20132\u2009days\/week; OR\u20091.28; 95% CI 1.03\u20131.60) drinkers. Binge drinking was independently associated with higher odds of chronic pain (OR\u20091.21; 95% CI 1.03\u20131.42). Female sex (OR\u20091.65; 95% CI 1.49\u20131.83) and depression (OR\u20092.67; CI 2.32\u20133.07) showed strong associations with chronic pain. Alcohol quantity (g\/day) was not significantly associated with chronic pain in sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Frequent alcohol use, binge drinking, female sex and depression were independently associated with chronic pain in this low\u2010 and middle\u2010income countries population. These associations highlight the importance of addressing behavioural and mental health patterns in pain management. Future longitudinal studies are needed to determine the directionality of these associations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70235","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:19:50Z","timestamp":1787120390000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Consumption Patterns and Chronic Pain: Findings From the 2019 Brazilian National Health Survey"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6195-3716","authenticated-orcid":false,"given":"Mariana Campello","family":"de Oliveira","sequence":"first","affiliation":[{"name":"Departamento de Psiquiatria Instituto Perdizes, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Departamento de Psiquiatria Faculdade de Medicina da Universidade de S\u00e3o Paulo  S\u00e3o Paulo 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