Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2014-0039
Trends in Psychiatry and Psychotherapy
Original Article

Moderators of the association between discrimination and alcohol consumption: findings from a representative sample of Brazilian university students

Moderadores da associação entre padrão de consumo de álcool e discriminação: resultados de uma amostra representativa de universitários brasileiros

Isabela Zeni Coelho; João Luiz Bastos; Roger Keller Celeste

http://dx.doi.org/10.1590/2237-6089-2014-0039 Trends Psychiatry Psychother, vol.37, n2, p.72-81, 2015
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Abstract

Introduction: Few studies about discrimination and patterns of alcohol consumption among youth populations have been conducted outside the United States addressing different types of discriminatory experiences, in addition to racially motivated events. This study investigated moderators of the association between discrimination attributed to single and multiple reasons and patterns of alcohol consumption.Methods: This cross-sectional study enrolled a representative sample (n = 1,264) of undergraduate students from Florianópolis, southern Brazil, in 2013. Analyses included adjustment of associations for covariates in ordinal logistic regression models and the examination of effect modification by common mental disorders, year of study and age.Results: Discrimination was reported by 65.8% of the students, and alcohol consumption, by 80.0%. Over half of the students reported being discriminated against for two or more reasons. The odds of alcohol-related problems were higher among lastyear students that reported discrimination (odds ratio [OR] = 1.9, 95% confidence interval [95%CI] 1.0-3.4) or multiple reasons for being discriminated against (OR = 2.3, 95%CI 1.3- 4.3), when compared to first-year students that did not report discrimination. For the whole sample, there were no associations between discrimination, discrimination attributed to multiple reasons and patterns of alcohol consumption (OR = 1.0, 95%CI 0.8-1.4; and OR = 0.9, 95%CI 0.5-1.6).Conclusions: The effects of discrimination on the patterns of alcohol consumption are seen at a critical period in university life, specifically during the completion of undergraduate studies.

Keywords

Social discrimination, prejudice, students, alcohol-related disorders

Resumo

Introdução: Há uma escassez de estudos sobre discriminação e consumo de álcool conduzidos fora dos Estados Unidos com populações jovens e abordando outros tipos de discriminação, além da racial. Este estudo investigou a associação entre experiências de discriminação, suas motivações e consumo de álcool, conforme potenciais modificadores de efeito.Métodos: Realizou-se um estudo transversal com amostra representativa (n = 1.264) de graduandos de uma universidade pública de Florianópolis, sul do Brasil, em 2013. As associações foram ajustadas para covariáveis através de regressão logística ordinal, incluindo modificação de efeito por transtornos mentais comuns, ano de estudo e idade.Resultados: Entre os estudantes, 65,8% relataram ter sofrido discriminação, e 80,0 % referiram consumir álcool. Mais da metade dos estudantes indicou que suas experiências de discriminação foram motivadas por duas ou mais razões. A chance de apresentar problemas relacionados ao consumo de álcool foi maior entre os alunos do último ano da graduação, que referiram discriminação (odds ratio [OR] = 1,9, intervalo de confiança de 95% [IC95%] 1,0-3,4) ou múltiplas motivações para terem sido discriminados (OR = 2,3, IC95% 1,3-4,3), quando comparados com os calouros, que não relatam discriminação. Para o conjunto da amostra, não houve associação entre discriminação, suas motivações e o padrão de consumo de álcool (OR = 1,0, IC95% 0,8-1,4 e OR = 0,9, IC95% 0,5-1,6).Conclusões: Os efeitos da discriminação sobre o padrão de consumo de álcool se manifestam em um período crítico da vida universitária, especificamente durante a finalização dos estudos de graduação.

Palavras-chave

Discriminação social, preconceito, estudantes, desordens relacionadas ao consumo de álcool

References

Duckit J. Historical overview. The Sage handbook of pejudice, sereotyping and dscrimination. 2010:29-44.

Dovidio JF. Prejudice, stereotyping and discrimination: theoretical and empirical overview. The Sage handbook of prejudice, stereotyping and discrimination. 2010:3-28.

Martin JK, Tuch SA, Roman PM. Problem drinking patterns among African Americans: the impacts of reports of discrimination, perceptions of prejudice, and "risky" coping strategies. J Health Soc Behav. 2003;44:408-25.

Terrell F, Miller AR, Foster K, Watkins Jr CE. Racial discrimination-induced anger and alcohol use among black adolescents. Adolescence. 2006;41:485-92.

Williams DR, Mohammed SA. Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009;32:20-47.

Pascoe EA, Smart Richman L. Perceived discrimination and health: a meta-analytic review. Psychol Bull. 2009;135:531-54.

Okamoto J, Ritt-Olson A, Soto D, Baezconde-Garbanati L, Unger JB. Perceived discrimination and substance use among Latino adolescents. Am J Health Behav. 2009;33:718-27.

Bastos JL, Barros AJ, Celeste RK, Paradies Y, Faerstein E. Age, class and race discrimination: their interactions and associations with mental health among Brazilian university students. Cad Saude Publica. 2014;30:175-86.

Tran AG, Lee RM, Burgess DJ. Perceived discrimination and substance use in Hispanic/Latino, African-born Black, and Southeast Asian immigrants. Cultur Divers Ethnic Minor Psychol. 2010;16:226-36.

Yoo HC, Gee GC, Lowthrop CK, Robertson J. Self-reported racial discrimination and substance use among Asian Americans in Arizona. J Immigr Minor Health. 2009;12:683-90.

Bennett GG, Wolin KY, Robinson EL, Fowler S, Edwards CL. Perceived racial/ethnic harassment and tobacco use among African American young adults. Am J Public Health. 2005;95:238-40.

Borrell LN, Diez Roux AV, Jacobs Jr DR, Shea S, Jackson SA, Shrager S. Perceived racial/ethnic discrimination, smoking and alcohol consumption in the Multi-Ethnic Study of Atherosclerosis (MESA). Prev Med. 2010;51:307-12.

Gibbons FX, Gerrard M, Cleveland MJ, Wills TA, Brody G. Perceived discrimination and substance use in African American parents and their children: a panel study. J Pers Soc Psychol. 2004;86:517-29.

Chae DH, Takeuchi DT, Barbeau EM, Bennett GG, Lindsey JC, Stoddard AM. Alcohol disorders among Asian Americans: associations with unfair treatment, racial/ethnic discrimination, and ethnic identification (the national Latino and Asian Americans study, 2002-2003). J Epidemiol Community Health. 2008;62:973-9.

Gibbons FX, Etcheverry PE, Stock ML, Gerrard M, Weng CY, Kiviniemi M. Exploring the link between racial discrimination and substance use: what mediates? What buffers?. J Pers Soc Psychol. 2010;99:785-801.

Kulis S, Marsiglia FF, Nieri T. Perceived ethnic discrimination versus acculturation stress: influences on substance use among Latino youth in the Southwest. J Health Soc Behav. 2009;50:443-59.

Stock ML, Gibbons FX, Walsh LA, Gerrard M. Racial identification, racial discrimination, and substance use vulnerability among African American young adults. Pers Soc Psychol Bull. 2011;37:1349-61.

Whitbeck LB, Hoyt DR, McMorris BJ, Chen X, Stubben JD. Perceived discrimination and early substance abuse among American Indian children. J Health Soc Behav. 2001;42:405-24.

Goto JB, Couto PF, Bastos JL. Systematic review of epidemiological studies on interpersonal discrimination and mental health.. Cad Saude Publica. 2013;29:445-59.

Priest N, Paradies Y, Trenerry B, Truong M, Karlsen S, Kelly Y. A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Soc Sci Med. 2013;95:115-27.

Grollman EA. Multiple forms of perceived discrimination and health among adolescents and young adults. J Health Soc Behav. 2012;53:199-214.

Silva DA, Petroski EL. The simultaneous presence of health risk behaviors in freshman college students in Brazil. J Community Health. 2012;37:591-8.

Bastos JL, Faerstein E, Celeste RK, Barros AJ. Explicit discrimination and health: development and psychometric properties of an assessment instrument. Rev Saude Publica. 2012;46:269-78.

Babor T, Higgins-Biddle J, Saunders J, Monteiro M. The alcohol use disorders identification test: guidelines for use in primary care. 2001.

Barros AJ, Victora CG. [A nationwide wealth score based on the 2000 Brazilian demographic census]. Rev Saude Publica. 2005;39:523-9.

Mari JJ, Williams P. A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychol Med. 1985;15:651-9.

Hatzenbuehler ML, Corbin WR, Fromme K. Discrimination and alcohol-related problems among college students: a prospective examination of mediating effects. Drug Alcohol Depend. 2011;115:213-20.

Franca Cd, Colares V. [Comparative study of health behavior among college students at the start and end of their courses]. Rev Saude Publica. 2008;42:420-7.

Silva LV, Malbergier A, Stempliuk Vde A, de Andrade AG. [Factors associated with drug and alcohol use among university students]. Rev Saude Publica. 2006;40:280-8.

Bastos JL, Faerstein E. Discriminação e saúde: perspectivas e métodos. 2012.

Gonçalves H, Dumith SC, González DA, Menezes AM, Araujo CL, Hallal PC. [Self-reported discrimination by adolescents in a Brazilian birth cohort: prevalence and associations]. Rev Panam Salud Publica. 2012;31:204-10.

Macinko J, Mullachery P, Proietti FA, Lima-Costa MF. Who experiences discrimination in Brazil? Evidence from a large metropolitan region. Int J Equity Health. 2012;11:80.

Celeste RK, Goncalves LG, Faerstein E, Bastos JL. The role of potential mediators in racial inequalities in tooth loss: the Pro-Saude study. Community Dent Oral Epidemiol. 2013;41:509-16.

Perez DJ, Fortuna L, Alegria M. Prevalence and correlates of everyday discrimination among U.S. latinos. J Community Psychol. 2008;36:421-33.

Andrade AG, Duarte PCAV, Oliveira LG. I levantamento nacional sobre o uso de álcool, tabaco e outras drogas entre universitários das 27 capitais brasileiras. 2010.

Ramis TR, Mielke GI, Habeyche EC, Oliz MM, Azevedo MR, Hallal PC. [Smoking and alcohol consumption among university students: prevalence and associated factors]. Rev Bras Epidemiol. 2012;15:376-85.

Pedrosa AA, Camacho LA, Passos SR, Oliveira Rde V. Alcohol consumption by university students. Cad Saude Publica. 2011;27:1611-21.

Kracmarova L, Klusonova H, Petrelli F, Grappasonni I. Tobacco, alcohol and illegal substances: experiences and attitudes among Italian university students. Rev Assoc Med Bras. 2011;57:523-8.

Miskulin M, Petrovic G, Miskulin I, Puntaric D, Milas J, Dahl D. Prevalence and risk factors of alcohol abuse among university students from eastern Croatia: questionnaire study. Coll Antropol. 2010;34:1315-22.

Townsend SS, Major B, Sawyer PJ, Mendes WB. Can the absence of prejudice be more threatening than its presence? It depends on one's worldview. J Pers Soc Psychol. 2010;99:933-47.

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