Expectativas em relação aos efeitos do uso de álcool na região metropolitana de São Paulo: uma análise de gênero
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Data
2010-02-22
Autores
Cavariani, Mariana Braga [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
Investigar as expectativas em relação aos efeitos do uso de bebidas alcoólicas em uma amostra de homens e mulheres da Região Metropolitana de São Paulo e a associação destas com a ocorrência de beber com embriaguez. Foi realizado um inquérito epidemiológico transversal domiciliar de base populacional, com amostra probabilística estratificada por conglomerados. Foram entrevistadas 2.083 pessoas e, destas, as 876 que fizeram uso de álcool no último ano foram examinadas quanto às expectativas associadas a este consumo. Utilizou-se o questionário do estudo GENACIS (Gender, Alcohol and Culture: an International Study), que foi traduzido para aplicação no Brasil. Este instrumento é composto de 119 questões, divididas em 15 seções. As informações sobre uso de álcool permitiram estabelecer o uso típico diário em relação à frequência e quantidade, e também identificar episódios de beber com embriaguez, caracterizado pela ingestão de cindo ou mais drinques em um único dia. Beber com embriaguez foi considerada a variável dependente. Para identificação de fatores de risco livres de confusão, foram construídos modelos de regressão logística para cada um dos sexos separadamente. A taxa de resposta foi 74,5%. A maior parte dos sujeitos negou expectativas positivas em relação ao uso de álcool, tendo havido diferenças entre os gêneros. Quando comparados com as mulheres, os homens relataram mais frequentemente que o álcool facilitava “se abrir” com outras pessoas (p=0,04). A única expectativa que não se associou a beber com embriaguez, em ambos os gêneros, foi achar mais fácil falar com o(a) companheiro(a). Todas as demais se associaram significativamente a este padrão de uso de álcool, mesmo após o ajuste para idade, escolaridade e renda. Houve algumas diferenças entre homens e mulheres em relação às expectativas positivas com o uso de álcool,...
Aims: To investigate the expectations about the effects of alcohol drinking in men and women from São Paulo city (São Paulo state, Brazil), and to analyze their possible associations with heavy drinking. Methods: a private household survey was carried out with a representative urban sample of adults, stratified by clusters. Interviews with 2,083 individuals were carried out and those who drank in the previous year (N=876) were inquired about their expectations regarding alcohol use. The Gender, Alcohol and Culture International Study (GENACIS) questionnaire was used, after translation into Portuguese. This instrument has 119 questions divided into 15 sections, including information on alcohol use. It allowed to establish the daily frequency and amount of alcohol typically used by the individuals and to identify heavy drinking, which was defined as five or more drinks in a single day. The dependent variable was heavy drinking. Separate logistic regression models were used for each gender to identify risk factors, controlling for possible confounders. Results: The response rate was 74.5%. The majority of individuals denied positive expectations about drinking, but there were differences between genders. Men reported more frequently than women feeling at ease to talk to other people under alcohol effect (p=0.04). In both genders, the only expectation that was not associated with heavy drinking was considering easier to talk to the partner under the effect of alcohol. All other expectations showed significant associations with heavy drinking, even after adjusting for age, educational level and income. Conclusions: Some differences between males and females were found regarding positive expectations related to alcohol use, ... (Complete abstract click electronic access below)
Aims: To investigate the expectations about the effects of alcohol drinking in men and women from São Paulo city (São Paulo state, Brazil), and to analyze their possible associations with heavy drinking. Methods: a private household survey was carried out with a representative urban sample of adults, stratified by clusters. Interviews with 2,083 individuals were carried out and those who drank in the previous year (N=876) were inquired about their expectations regarding alcohol use. The Gender, Alcohol and Culture International Study (GENACIS) questionnaire was used, after translation into Portuguese. This instrument has 119 questions divided into 15 sections, including information on alcohol use. It allowed to establish the daily frequency and amount of alcohol typically used by the individuals and to identify heavy drinking, which was defined as five or more drinks in a single day. The dependent variable was heavy drinking. Separate logistic regression models were used for each gender to identify risk factors, controlling for possible confounders. Results: The response rate was 74.5%. The majority of individuals denied positive expectations about drinking, but there were differences between genders. Men reported more frequently than women feeling at ease to talk to other people under alcohol effect (p=0.04). In both genders, the only expectation that was not associated with heavy drinking was considering easier to talk to the partner under the effect of alcohol. All other expectations showed significant associations with heavy drinking, even after adjusting for age, educational level and income. Conclusions: Some differences between males and females were found regarding positive expectations related to alcohol use, ... (Complete abstract click electronic access below)
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Saúde pública, Alcool - Efeito fisiológico
Como citar
CAVARIANI, Mariana Braga. Expectativas em relação aos efeitos do uso de álcool na região metropolitana de São Paulo: uma análise de gênero. 2010. 103 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2010.