Analysis of gaps in alcohol policies in Brazil using the Pan American Health Organization's Alcohol Policy Scoring

Oliveira, Camila Wanderley Lopes de; Mendes, Camila Vieira; Kiepper, André; Monteiro, Maristela; Wagner, Gabriela Arantes; Sanchez, Zila M.

doi:10.1016/j.drugpo.2021.103322

Cited by 6 publications

(6 citation statements)

References 33 publications

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“…The highest average alcohol consumption in men was found in Sergipe and Mato Grosso, while women from Mato Grosso do Sul and Bahia had the highest average consumption of alcohol. A recent study showed differences in alcohol policies across states in Brazil, and despite the autonomy to complement federal laws, the states have not yet addressed the most important gaps in alcohol regulation policies 36 . The main gaps include pricing policies, physical availability of alcohol, and comprehensive marketing regulation 36 .…”

Section: Discussionmentioning

confidence: 99%

“…A recent study showed differences in alcohol policies across states in Brazil, and despite the autonomy to complement federal laws, the states have not yet addressed the most important gaps in alcohol regulation policies 36 . The main gaps include pricing policies, physical availability of alcohol, and comprehensive marketing regulation 36 . Some states such as Mato Grosso do Sul have not effectively complemented these policies, even though they can legally do so 36 which is in agreement with our study that shows that Mato Grosso do Sul has one of the highest average amounts of alcohol consumed among both men and women.…”

Section: Discussionmentioning

confidence: 99%

“…The main gaps include pricing policies, physical availability of alcohol, and comprehensive marketing regulation 36 . Some states such as Mato Grosso do Sul have not effectively complemented these policies, even though they can legally do so 36 which is in agreement with our study that shows that Mato Grosso do Sul has one of the highest average amounts of alcohol consumed among both men and women. Amazonas, in turn, had medium levels of alcohol policies (as the rest of Brazil) according to 2021 data from Oliveira et al 36 and showed lower levels of consumption in our findings.…”

Section: Discussionmentioning

confidence: 99%

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Patterns of alcohol consumption in Brazilian adults

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Mari

et al. 2022

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In this study, we aimed to describe the patterns of alcohol consumption in Brazilian adults by sociodemographic characteristics and states according to sex. Cross-sectional study including 87,555 adults from the 2019 Brazilian National Health Survey who responded to a questionnaire on alcohol consumption and were classified as non-drinkers (0 g/day), light (1–12.5 g/day), moderate (12.6–49.9 g/day), and heavy drinkers (≥ 50 g/day). Of the Brazilian adults, 73.5% were non-drinkers. Among the drinkers, 14.8% were light drinkers. 82.6% of heavy drinkers were men. White participants drank more than non-white participants, except black women who were 38% more likely to be moderate drinkers than white women (ROR 1.38, 95% CI 1.09 to 1.76). Unmarried were more likely to be drinkers. Women over 55 and men over 65 years old were less likely to be drinkers. Compared to participants with none or incomplete primary education, both men and women with higher educational attainment were more likely to be light and moderate drinkers. The largest consumption of alcohol was found in Sergipe and Mato Grosso for men, and Mato Grosso do Sul and Bahia for women. Our findings may be useful to inform policies for reducing alcohol consumption in Brazil.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Patterns of alcohol consumption in Brazilian adults

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Valente

Mari

et al. 2022

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“…It is known that alcohol marketing influences both alcohol consumption and binge drinking in young people [67,68]. Perhaps, the differences in screen time exposure can be explained by stricter regulation of tobacco product marketing in Brazil [69], compared to alcoholic beverage advertising regulations [70]. As a consequence of smoking control policies [69], there was decreases in the prevalence of smoking over the last few years in Brazil, both in the adult [71] and adolescent [64] populations.…”

Section: Discussionmentioning

confidence: 99%

Weight misperception and substance use: Brazilian Study of Cardiovascular Risks in Adolescents (ERICA)

et al. 2022

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Background Adolescence is a crucial period for body image formation. Weight misperception is the discrepancy between individuals’ body weight perception and their actual nutritional status. Both weight concerns and substance use are common among adolescents, and there is evidence of an associations between these two variables. Thus, the aim of this study was to assess the association between weight misperception and substance use (smoking and alcohol) in a national sample of normal weight Brazilian adolescents. Methods Data were obtained from the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, multicenter, national, school-based survey, carried out in 124 municipalities with more than 100,000 inhabitants from Brazil. The sample included adolescents aged 12–17 years, classified as normal weight by nutritional status evaluation. The following measures were collected: weight underestimation and overestimation (exposure); having tried cigarette smoking, current smoking, current alcohol consumption, binge drinking and current smoking and alcohol consumption(outcomes); macro-region, sex, type of school, and excessive screen time (confounders). The frequency of variables was calculated with 95% confidence intervals (CI). Poisson regression models were used to estimate prevalence ratios (PR). Results In total, data from 53,447 adolescents were analyzed. Weight misperception was present in a third of the adolescents, with similar prevalence of weight underestimation and overestimation. In adolescents aged 12–14 years, weight underestimation and overestimation were associated with having tried cigarette smoking (PR: 1.18 and 1.43, respectively), current alcohol consumption (PR: 1.33 for both weight misperception categories), and binge drinking (PR: 1.96 and 2.01, respectively). Weight underestimation was associated with both having tried cigarette smoking and current alcohol consumption in boys (PR: 1.14 and 1.16, respectively) and girls (PR: 1.32 and 1.15, respectively). In girls, weight overestimation was associated with all substance use variables (PR between 1.19 and 1.41). Conclusions Our results showed an association between weight misperception and having tried cigarette smoking, alcohol consumption, and binge drinking in younger adolescents. In addition, weight overestimation was associated with all substance use indicators in girls. Based on our findings, interventions aimed to improve weight perception in normal weight adolescents may contribute to the reduction of substance use in this population.

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“…Alcohol policies have evolved in Brazil in the last 20 years, although many gaps persist 12,13 . For instance, in 2010, a new legislation on drinking and driving was approved, in which the legal amount of alcohol blood concentration allowed for driving was decreased to zero and the random breath tests to be performed were increased 14 .…”

Section: Introductionmentioning

confidence: 99%

Would the Brazilian population support the alcohol policies recommended by the World Health Organization?

et al. 2022

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OBJECTIVE To evaluate the support of the Brazilian population to the alcohol-policies proposed by the World Health Organization to decrease alcohol harm (specifically: to decrease alcohol availability and advertising, and to increase pricing). In addition, we evaluated the factors associated with being against those policies. METHODS Data from 16,273 Brazilians, aged 12–65 years, interviewed in the 3rd Brazilian Household Survey on Substance Use (BHSU-3) were analyzed. The BHSU-3 is a nationwide, probability survey conducted in 2015. Individuals were asked if they would be against, neutral, or in favor of seven alcohol policies grouped as: 1) Strengthen restrictions on alcohol availability; 2) Enforce bans or restrictions on alcohol advertising, sponsorship, and promotion; and 3) Raise prices on alcohol through excise taxes and pricing. Generalized linear models were fitted to evaluate factors associated with being against each one of those policies and against all of policies. RESULTS Overall, 28% of the Brazilians supported all the above mentioned policies, whereas 16% were against them. The highest rate of approval refers to restricting advertising (53%), the lowest refers to increasing prices (40%). Factors associated with being against all policies were: being male (AOR = 1.1; 95%CI: 1.0–1.3), not having a religion (AOR = 1.4; 95%CI: 1.1–1.8), being catholic (AOR = 1.3; 95%CI: 1.1–1.5), and alcohol dependence (AOR = 1.6; 95%CI: 1.1–2.4). CONCLUSIONS The Brazilian government could count on the support of most of the population to restrict alcohol advertising. This information is essential to tackle the lobby of the alcohol industry and its clever marketing strategy.

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Analysis of gaps in alcohol policies in Brazil using the Pan American Health Organization's Alcohol Policy Scoring

Cited by 6 publications

References 33 publications

Patterns of alcohol consumption in Brazilian adults

Patterns of alcohol consumption in Brazilian adults

Weight misperception and substance use: Brazilian Study of Cardiovascular Risks in Adolescents (ERICA)

Would the Brazilian population support the alcohol policies recommended by the World Health Organization?

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