This study aimed to evaluate factors associated with use and alcohol abuse among the 1115 individuals from a rural community with coverage of the Family Health Strategy in Rio de Janeiro, Brazil. In this survey was descriptive analysis and multiple linear regression analysis. The mean score of consumption, measured by the AUDIT, was 3.8 (range 1–20, SD ±6.08). Multiple regression analysis showed that the factors that best explained the variability of alcohol consumption were sex (p=<0.001), age (p=0.113), family income (p=0.052), education (p=0.382), and State Civil (p=0.974), with a coefficient of determination equal to 0.399. In another analysis, excluding the variable marital status, the variables associated with alcohol consumption were sex (p=<0.001), age (p=0.113), family income (p=0.05) and education (p=0.380) with the coefficient of determination equals 0.419. The results identified issues to be considered in developing measures to protect health, with emphasis on controlling alcohol use and harm reduction.
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