Learning objectives:

1. Discuss predictors of alcohol and tobacco use among people with hypertension and diabetes from primary care units in Sao Paulo and Peru.
2.  

Abstract:

We aimed to examine the predictors of alcohol and tobacco use as secondary data analyses using data from a community cluster randomized trial in São Paulo, Brazil, and an individually randomized trial in Lima, Peru. Twenty primary care units in São Paulo and seven ambulatory treatment clinics in Lima. A total of 880 people with depressive symptoms (Patient Health Questionnaire-9 (PHQ-9) score ≥10) were recruited in São Paulo and 432 in Lima. Using multiple regression analysis, we used both the AUDIT-C score and the dichotomous variable smoker yes/no as dependent variables. We explored the effects of severity of depression, suicidal ideation, race/color, age, gender, income, and comorbidity – diabetes/hypertension. Trial registration number NCT02846662 (São Paulo – Brazil – SP), NCT03026426 (Lima, Peru – LI). Funded by the National Institute of Mental Health – USA (Grant U19 MH 098780).