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

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