Educational inequalities and alcohol-related consequences in Brazil.
Aims This study aimed to test whether the alcohol harm paradox (AHP) is observed in Brazil by investigating (i) the association between educational attainment and alcohol-related consequences (ARC) and (ii) the contribution of average alcohol volume consumed (AVC), past-month heavy episodic drinking...
| Published in: | Alcohol & Alcoholism Vol. 59; no. 3; pp. 1 - 7 |
|---|---|
| Main Authors: | , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
May2024
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177375545&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177375545 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07350414 FA3 jtl: Alcohol & Alcoholism issn: 07350414 maglogo: N pubinfo: dt: May2024 vid: 59 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 177375545 177375545 177375545 10.1093/alcalc/agae030 177375545 ppf: 1 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Educational inequalities and alcohol-related consequences in Brazil. aug: au: Oliveira, Leandro Machado Demarco, Flávio Fernando Zanatta, Fabrício Batistin affil: Department of Stomatology, Postgraduate Program in Dentistry , Santa Maria, Rio Grande do Sul 97015-900, Brazil sug: subj: Alcohol Drinking Alcohol Abuse Complications Educational Status Smoking Body Mass Index Depression Healthcare Disparities Human Male Female Brazil Cross Sectional Studies Surveys Descriptive Statistics Odds Ratio Confidence Intervals Logistic Regression Socioeconomic Factors Funding Source Male Female ab: Aims This study aimed to test whether the alcohol harm paradox (AHP) is observed in Brazil by investigating (i) the association between educational attainment and alcohol-related consequences (ARC) and (ii) the contribution of average alcohol volume consumed (AVC), past-month heavy episodic drinking (HED), smoking, body mass index (BMI), and depression in accounting for the disparities in ARC. Methods We analysed data from the 2019 Brazilian National Health Survey, a nationally representative household survey. The composite ARC outcome was considered present when an individual reported a past-year episode of activity failure, amnesia, and concern by others due to alcohol consumption. Adjusted binary logistic regression models were fitted using a hierarchical approach to calculate the odds ratios (OR) and respective 95% confidence intervals (CI), and to assess the contribution of each set of variables in attenuating the educational differences in ARC. Results Those from the lowest educational strata (incomplete elementary school) exhibited higher odds of ARC than their counterparts (OR: 2.03; 95% CI: 1.73–2.37). Although smoking, BMI, and depression attenuated the educational gradient (i.e. reduced the difference between reference and riskier categories) in ARC by ~13%, the adjustment for AVC and HED amplified inequalities by 0.3% and 5.7%, respectively. Conclusion We found evidence of the AHP in Brazil. Educational inequalities in ARC were scarcely attenuated by behavioural factors, and a suppression effect was noted when adjusting for AVC and HED. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|