{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:52:05Z","timestamp":1772232725739,"version":"3.50.1"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Objective: to identify the prevalence of alcohol consumption patterns among Primary Health Care users and the association between risky, harmful, and probable dependence consumption patterns with sociodemographic, clinical, and behavioral characteristics.  Method: cross-sectional study conducted with a sample of 2,178 participants who responded to the Alcohol Use Disorders Identification Test in primary health care services in the city of S\u00e3o Paulo. Descriptive and multiple inferential statistical analysis was performed using a hierarchical Poisson regression model with a significance level of 5%.  Results: of the total number of participants, 18.9% met the criteria for harmful alcohol consumption. Determinants for risky and harmful alcohol consumption were male gender (PR = 1.89; 95% CI 1.57\u20132.28; p &lt; 0.001), black race\/color (PR = 1.65; 95% CI 1.30 - 2.10; p &lt; 0.001), and income \u2265 10 minimum wages (PR = 1.78; 95% CI 1.07 - 2.99; p = 0.028). For probable dependence, lower educational level (PR = 13.70; 95% CI 1.56\u2013117.63; p = 0.017) and reporting a diagnosis of depression (PR = 2.72; 95% CI 1.37\u20135.41; p = 0.005) were determinants.  Conclusion: the prevalence of alcohol use disorders among users of primary health care services in S\u00e3o Paulo was higher than that observed in previous studies, suggesting that this segment of the population seeks health care at these services, highlighting the potential for screening and early diagnosis of the population.<\/jats:p>","DOI":"10.1590\/1518-8345.7763.4686","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:04:31Z","timestamp":1761577471000},"source":"Crossref","is-referenced-by-count":0,"title":["Risk factors for harmful alcohol consumption: a multilevel analysis"],"prefix":"10.1590","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0692-6360","authenticated-orcid":false,"given":"J\u00e9ssica Lima de Oliveira Pinheiro","family":"Gaia","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Scholarship holder at the Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4178-9656","authenticated-orcid":false,"given":"Ana Vit\u00f3ria Corr\u00eaa","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Scholarship holder at the Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4405-5199","authenticated-orcid":false,"given":"Sheila Ramos de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Instituto de Psiquiatria da USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3699-0280","authenticated-orcid":false,"given":"Jaqueline Lemos de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5578-8753","authenticated-orcid":false,"given":"Caroline Figueira","family":"Pereira","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3140-8394","authenticated-orcid":false,"given":"Divane de","family":"Vargas","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"\u00c1lcool e a sa\u00fade dos brasileiros: panorama 2022","author":"Andrade A. 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D.","year":"2021","journal-title":"Cien Saude Colet"}],"container-title":["Revista Latino-Americana de Enfermagem"],"original-title":["Fatores de risco para o consumo prejudicial de \u00e1lcool: an\u00e1lise multin\u00edvel"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-11692025000100364&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:04:36Z","timestamp":1761577476000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692025000100364&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":38,"alternative-id":["S0104-11692025000100364"],"URL":"https:\/\/doi.org\/10.1590\/1518-8345.7763.4686","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1518-8345.7763.4687","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.7763.4685","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.7763.4685","asserted-by":"object"},{"id-type":"doi","id":"10.1590\/1518-8345.7763.4687","asserted-by":"object"}]},"ISSN":["1518-8345"],"issn-type":[{"value":"1518-8345","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e4686"}}