{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T17:12:05Z","timestamp":1772471525923,"version":"3.50.1"},"reference-count":41,"publisher":"Ordem dos Medicos","issue":"3","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: The aim of this study was to estimate the association between childhood and adolescence circumstances and alcohol consumption in Portuguese adults aged 50 and over, particularly focusing on socioeconomic conditions, physical abuse, family and social integration during childhood and adolescence, and alcohol consumption in adulthood.Methods: We conducted an observational, cross-sectional, and analytical epidemiological study using self-reported data collected face-to-face through computer-assisted interviews in waves 7 (2017) and 9 (2022) of the Survey of Health, Ageing, and Retirement in Europe in Portugal. Participants included all Portuguese individuals who responded to the \u201cChildhood and Adolescence Circumstances\u201d module (wave 7) and \u201cBehavioural Risks\u201d module (wave 9). Associations were assessed using chi-squared or Student\u2019s t-tests. Odds ratios (OR) with 95% confidence intervals (95% CI) were estimated through binary and multinomial logistic regressions models.Results: A total of 903 participants were included; 378 (41.9%) were male and 770 (85.3%) were over 65 years old. Higher-risk drinking was identified in 220 participants (50,0%).The optimized binary logistic regression model for the current drinkers revealed significant positive associations between higher-risk alcohol consumption and male sex (OR = 6.444; 95% CI 4.329 \u2013 11.111; \u03c1 &lt; 0.001), and having been a victim of physical abuse in childhood and adolescence (OR 2.063; 95% CI 1.119 \u2013 3.803; \u03c1 = 0.020). Living in a house with better conditions (OR = 0.767; CI 0.608 \u2013 0.968; \u03c1 = 0.025) revealed a significant negative association with higher-risk alcohol consumption. The optimized multinomial logistic regression model considering the non and current drinkers supported that being male (low-risk OR = 2.312; 95% CI: 1.567 \u2013 0.3409; \u03c1 &lt; 0.001 higher-risk OR = 15.682; 95% CI: 10.041 \u2013 24.491; \u03c1 &lt; 0.001) and physical abuse in the childhood and adolescence (higher-risk OR = 2.049; 95% CI: 1.200 \u2013 3.497; \u03c1 = 0.008) were risk factors for higher-risk alcohol consumption.Conclusion: Physical abuse in childhood was associated with higher-risk alcohol consumption, while living in better housing conditions during these periods showed a protective association. Being male was strongly associated with both low- and higher-risk drinking patterns. Further studies, especially longitudinal ones, are needed to clarify the role of early-life circumstances in alcohol consumption.<\/jats:p>","DOI":"10.20344\/amp.24100","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T16:59:51Z","timestamp":1769619591000},"page":"178-190","source":"Crossref","is-referenced-by-count":0,"title":["Childhood Circumstances and Alcohol Consumption in Portuguese People Aged 50 and Over: An Analysis of the \u201cSurvey of Health, Ageing and Retirement in Europe\u201d Project"],"prefix":"10.20344","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1397-9480","authenticated-orcid":false,"given":"Carolina","family":"Martins Machado","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0074-7732","authenticated-orcid":false,"given":"Pedro","family":"Aguiar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"12131","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-45009-0_37"},{"key":"12132","doi-asserted-by":"publisher","DOI":"10.3389\/fepid.2024.1385064"},{"key":"12133","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-food-032519-051827"},{"key":"12134","doi-asserted-by":"publisher","DOI":"10.1172\/JCI176345"},{"key":"12135","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agac013"},{"key":"12136","unstructured":"World Health Organization. Global status report on alcohol and health 2018. Geneva: WHO; 2018."},{"key":"12137","doi-asserted-by":"publisher","DOI":"10.1177\/15598276251350863"},{"key":"12138","unstructured":"World Health Organization. Global status report on alcohol and health and treatment of substance use disorders. Geneva: WHO; 2024."},{"key":"12139","unstructured":"Organisation for Economic Co-operation and Development. Health policy studies. Preventing harmful alcohol use. Paris: OECD Publishing; 2021."},{"key":"12140","unstructured":"Organisation for Economic Co-operation and Development. EU country cancer profile: Portugal 2023. Paris: OECD Publishing; 2023."},{"key":"12141","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19138103"},{"key":"12142","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v36.1.04"},{"key":"12143","doi-asserted-by":"publisher","DOI":"10.1111\/add.12438"},{"key":"12144","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dav030"},{"key":"12145","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v38.1.05"},{"key":"12146","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108713"},{"key":"12147","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.12.136"},{"key":"12148","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2025.107302"},{"key":"12149","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2018.08.006"},{"key":"12150","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1352824"},{"key":"12151","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v38.1.11"},{"key":"12152","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.05.027"},{"key":"12153","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt088"},{"key":"12154","unstructured":"Bergmann M, Wagner M, B\u00f6rsch-Supan A. SHARE wave 9 methodology: from the SHARE Corona Survey 2 to the SHARE main wave 9 interview. Munich: SHARE-ERIC; 2024."},{"key":"12155","unstructured":"SHARE-ERIC. Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 7. Release Version: 9.0.0. Deposited 2024. doi: 10.6103\/SHARE.w7.900."},{"key":"12156","unstructured":"SHARE-ERIC. Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 9. Release Version: 9.0.0. Deposited 2024. doi: 10.6103\/SHARE.w9.900."},{"key":"12157","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.23.425"},{"key":"12158","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2012.03854.x"},{"key":"12159","unstructured":"Instituto Nacional de Estat\u00edstica. Inqu\u00e9rito Nacional de Sa\u00fade 2019: Documento metodol\u00f3gico. Instituto Nacional de Estat\u00edstica; 2020. [cited 2025 May 21] Available from: https:\/\/smi.ine.pt\/UploadFile\/Download\/2431."},{"key":"12160","unstructured":"Balsa C, Vital C, Urbano C. V inqu\u00e9rito nacional ao consumo de subst\u00e2ncias psicoativas na popula\u00e7\u00e3o geral, Portugal 2022. Lisboa: Centro Interdisciplinar de Ci\u00eancias Sociais FCSH\/UNL; 2022."},{"key":"12161","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.2.04"},{"key":"12162","unstructured":"Loring B. Alcohol and inequities: guidance for addressing inequities in alcohol-related harm. 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