Culture of masculinity, alcohol consumption and risk to cancer: an international survey
DOI:
https://doi.org/10.33448/rsd-v12i6.42217Keywords:
Alcohol drinking; Community survey; Culture; Latino; Cancer; Masculinity.Abstract
Objective: To understand the underlying cultural effects of masculinity on alcohol consumption and the associated risk for cancer. Method: An exploratory online survey. Data was collected (2018-2019) from 176 men living in 9 countries who responded to an online survey in English, French, Italian, Portuguese, or Spanish. Socio-demographic data and responses to close-ended questions were compiled as descriptive statistics. Responses to the open-ended questions were analyzed using thematic analysis with the pre-established themes: alcohol consumption and its acceptance for men in respondents’ ethno-cultural groups; and thoughts about scientific evidence concerning the consumption of alcohol in high concentration and heightened risk of cancer. Results: Most respondents were under 30 years of age (33.7%). Results across the linguistic sub-samples indicate that among 10 statements, alcohol consumption is part of most students’ life (18.8%), it facilitates acceptance in social groups (16.9%), and it is not repressed at social gatherings (16.6%). Construction (27.5%) was the top among professions in which alcohol consumption is most common. Among situational factors related to alcohol consumption, respondents chose stress (18.1%), unemployment or unstable job (18.0%), and financial trouble (17.9%). Perceptions of acceptance of alcohol consumption are influenced by traditional masculinity-related values, beliefs, and behaviors and the acknowledged lack of cancer literacy were revealed as conditions promoting a risk for cancer. Conclusion- Alcohol consumption is normalized to a certain extent among men of different ages and backgrounds. Evidence informs policymakers and health promoters as they develop legislation and programming to limit unhealthy behavior related to alcohol consumption.
References
American Cancer Society. (2016). Known and probably human carcinogens. www.cancer.org
Bordo, S. (1989). The body and the reproduction of femininity: A feminist appropriation of Foucault. In M. Alison & S. B. Jaggar (Eds.). Gender/body/knowledge: Feminist reconstructions of being and knowing. (pp. 13-33). New Brunswick: Rutgers University Press.
Butler, J. (1990). Gender trouble: Feminism and the subversion of identity. New York: Routledge.
Carrigan, T., Connell, R., & Lee, J. (1985). Towards a new sociology of masculinity. Theory and Society, 14(5), 551–604. 10.1007/BF00160017
Connell, R. (1995). Masculinities. Berkeley: University of California Press.
Costa, R. G. (2002). Mediando oposições: Sobre as críticas aos estudos de masculinidades [Mediating oppositions: On criticism of masculinity studies]. In H. B. D. Almeida, R. G. Costa, M. Ramírez-Gálvez M, & E. R. Souza (Eds.). Gênero em matizes [Genre in hues]. (pp. 213–243). Bragança Paulista: Editora da Universidade São Francisco.
Delker, E., Brown, Q., & Hasin, D. S. (2016). Alcohol consumption in demographic subpopulations: An epidemiologic overview. Alcohol Research: Current
Reviews, 38(1), 7–15. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872616/
DiBello, A. M., Hatch, M. R., Miller, M. B., Mastroleo, N. R., & Carey, K. B. (2022). Attitude toward heavy drinking as a key longitudinal predictor of alcohol consumption and problems. Alcoholism, Clinical and Experimental Research, 10.1111/acer.14800. https://doi.org/10.1111/acer.14800. Online ahead of print.
Dumbili, E. W. (2022). Doing gender, doing alcohol: The paradox of gendered drinking practices among young Nigerians. Social Science & Medicine, 311,
https://doi.org/10.1016/j.socscimed.2022.115349
Durand, G. (2012). L’imagination symbolique [The symbolic imagination]. Presses Universitaires de France.
Flood, M., Gardiner, J. K., Pease, B., & Pringle, K. (2007). (Eds.) International encyclopedia of men and masculinities. Routledge.
Gough B. (2013). The psychology of men's health: Maximizing masculine capital. Health Psychology, 32(1), 1-4. 10.1037/a0030424
Government of Canada. Social determinants of health and health inequalities. https://www.canada.ca/en/public-health/services/health-promotion/population-health/what-determines-health.html
Grigsby, T. J., Forster M., Meca A., Zamboanga, B. L., Schwartz, S. J, & Unger, J. B. (2018). Cultural stressors, identity development, and substance use attitudes among Hispanic immigrant adolescents. Journal of Community Psychology, 46, 117-132. 10.1002/jcop.21920
Grove, S., Burns, N., & Gray, J. R. (2013). The practice of nursing research: Appraisal, synthesis and generation of evidence. (7th ed.) Elsevier Saunders.
Gruber, S. & Szołtysek, M. (2016). The patriarchy index: A comparative study of power relations across historical Europe. The History of the Family, 21(2), 133-174. https://doi.org/10.1080/1081602X.2014.1001769
Gualtieri, C. (2018). Migration and the contemporary Mediterranean. Shifting cultures in the twenty-first century Italy and beyond. Peter Lang.
Hamilton, N., & Bhatti, T. (1996). Population health promotion: An integrated model of population health and health promotion. Ottawa: Health Canada, Health Promotion and Development Division. https://www.canada.ca/en/public-health/services/health-promotion/population-health/population-health-promotion-integrated-model-population-health-health-promotion.html
Hearn, J. (2015). Men of the world: Genders, globalizations, transnational times. Sage.
Hearn, J., & Kolga, V. (2006). Health. In: J. Hearn & K. Pringle (Eds). European perspectives on men and masculinities. National and transnational approaches. (pp. 170-183). Palgrave Macmillan.
Hopkins, N., Proctor, C., Muilenburg, J. L., & Kershaw, T. (2022). “It’s easier to go to the beer store than ask for help”: A qualitative exploration of barriers to
health care in rural farming communities. Journal of Rural Mental Health. Advance online publication. https://doi.org/10.1037/rmh0000224
Jani, B. D., McQueenie, R., Nicholl, B. I., Field, R., Hanlon. P., Gallacher, K. I... Lewsey, J. (2021). Association between patterns of alcohol consumption (beverage type, frequency and consumption with food) and risk of adverse health outcomes: A prospective cohort study. BMC Medicine, 19(1), 8. https://doi.org/10.1186/s12916-020-01878-2
Katzner, K. & Miller, K. (2002). The languages of the world. (3rd. ed.). Routledge.
Kimmel, M. (1987). Changing men: New directions in research on men and masculinities. Sage.
Kinzler, K., & Vanden Heuvel, J. (2016). Do children in France have a healthier relationship with alcohol? Retrieved from http://well.blogs.nytimes.com
Kleinbaum, D. G., Kupper, L. L. & Muller, K. E. (1988). Applied regression analysis and other multivariable methods. (2nd ed.). Boston, MA: PWS Kent.
Ko, H., Chang, Y., Kim, H.-N., Kang, J.-H., Shin, H., Sung, E., & Ryu, S. (2021). Low-level alcohol consumption and cancer mortality. Scientific Reports, 11(1), 4585. 10.1038/s41598-021-84181-1
LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice. Elsevier.
Luna-Cortes, G. & Aristizabal Cuellar, J. A. (2022). Effect of masculine eating and drinking beliefs on male consumers’ concern with healthy eating and binge drinking, European Journal of Marketing, 56(11), 3078-3106. https://doi.org/10.1108/EJM-07-2021-0513
Macinko, J., Mullachery, P., Silver, D., Jimenez, G., & Neto, O. L. M. (2015). Patterns of alcohol consumption and related behaviours in Brazil: Evidence from the 2013 National Health Survey (RNS 2013). PLOS ONE, 10(7), 1-12. https://doi.org/10.1371/journal.pone.0134153
McPherson, K., & Wakefield, P. (2015). The perfect colonizer: Understanding alcoholism and its treatments in Native America through humanistic inquiry. Journal of Student Research, 4(1), 174-179. https://doi.org/10.47611/jsr.v4i1.226
May, N., Elliot, J., & Crabb, S. (2017). ‘Everything causes cancer’: How Australians respond to the message that alcohol causes cancer. Critical Public Health, 27(4), 419-429. https://doi.org/10.1080/09581596.2016.1235260
Paillé, P., & Mucchielli, A. (2018). L‘analyse qualitative en sciences humaines et sociales (4ème éd.) Armand Colin.
Pedhazur, E. J., & Schmelkin, L. P. (1991). Measurement, design, and analysis: An integrated approach. Psychology Press. https://doi.org/10.4324/9780203726389
Ramšak, M. (2022). Masculinity and Practices of Drinking. In: Social Impact of Wine Marketing. (pp. 55-58). Contributions to Management Science. Springer. https://doi.org/10.1007/978-3-030-89224-1_9
Rehm, J., & Shield, K. D. (2021). Alcohol use and cancer in the European Union. European Addiction Research, 27(1), 1-8. 10.1159/000507017
Rezende, L. F. M., Lee, D. H., Louzada, M. L. C., Song, M., Giovannucci, E., & Eluf-Neto, J. (2019). Proportion of cancer cases and deaths attributable to lifestyle risk factors in Brazil. Cancer Epidemiology, 59, 148–157. 10.1016/j.canep.2019.01.021
Rezende, L. F. M., Murata, E., Giannichi, B., Tomita, L. Y., Wagner, G. A., Sanchez, Z. M., & Ferrari, G. (2020). Cancer cases and deaths attributable to lifestyle risk factors in Chile. BMC Cancer, 20(1), 693. https://doi.org/10.1186/s12885-020-07187-4
Rinaldi, C., van Schalkwyk, M. C., Egan, M., & Petticrew, M. (2021). A framing analysis of consultation submissions on the WHO Global Strategy to Reduce the Harmful Use of Alcohol: Values and interests. International Journal of Health Policy and Management. 10.34172/ijhpm.2021.68. Online ahead of print.
Romo, L. K., Dinsmore, D. R., & Watterson, T. C. (2016). “Coming out” as an alcoholic: How former problem drinkers negotiate disclosure of their nondrinking identity. Health Communications, 31(3), 336- 345. 10.1080/10410236.2014.954090
Roy, P., Tremblay, G., Robertson, S., & Houle, J. (2017). “Do it All by Myself”: A salutogenic approach of masculine health practice among farming men coping with stress. American Journal of Men’s Health, 11(5), 1536–1546. doi:10.1177/1557988315619677
Scott, J. (1989). Gender and the politics of history. New York, NY: Columbia University Press.
Smith, A. B., King, M., Butow, P., & Olver, I. (2013). A comparison of data quality and practicality of online versus postal questionnaires in a sample of testicular cancer survivors. Psycho-Oncology, 22, 233-237. 10.1002/pon.2052
Smith, J. A., Watkins, D. C., & Griffith, D. M. (2020). Equity, gender and health: New directions for global men’s health promotion. [Editorial]. Health Promotion Journal of Australia, 31(2), 161–165. https://doi.org/10.1002/hpja.337
Sørensen, J. B., Tayebi, S., Brokhattingen, A., Gyawali, B. (2022). Alcohol consumption in low-and middle-income settings. In: Patel, V.B., Preedy, V.R. (eds) Handbook of substance misuse and addictions. (pp.1-20). Springer. https://doi.org/10.1007/978-3-030-67928-6_59-1
Teese. R. Van Doorn, G., & Gill, P. R. (2023). Prospective associations between traditional masculinity and cannabis, hard drug, and alcohol use in Australian emerging adult men. Personality and Individual Differences,200, 111877. https://doi.org/10.1016/j.paid.2022.111877
Tremblay, G., & L’Heureux, P. (2011). The genesis of the construction of the male identity. In J. Laker (Ed.) Canadian perspectives on men and masculinities. pp. 13-31. Don Mills, ON: Oxford University Press.
United Nations Department of Economic and Social Affairs, Population Division (2020). International Migration 2020 Highlights (ST/ESA/SER.A/452). Retrieved from https://www.un.org/en/desa/international-migration-2020-highlights
U. S. Department of Health and Human Services. (2015 December). Alcohol and the Hispanic community. http://pubs.niaaa.nih.gov
van de Luitgaarden, I. A. T., Bardach, A. E., Espinola, N., Schrieks, I. C., Grobbee, D. E., & Beulens, J. W. J. (2022). Alcohol-attributable burden of cancer in Argentina. BMC Public Health, 22(1), 124. https://doi.org/10.1186/s12889-022-12549-7
Verdon, B. (2015). La sexualité à l’épreuve du vieillissement. À propos d’altération et d’altérité [Sexuality in the face of aging. About alteration and otherness]. In M. Janin-Oudinot, M.-C. Durieux, & L. Danon Boileau (Eds.), La sexualité masculine (pp. 153-171). Presses universitaires de France.
World Health Organization. (2018). Global Status Report on Alcohol and Health 2018. Geneva: Author. https://www.who.int/publications/i/item/9789241565639
Wooldridge, T. (2023). Boys and their muscles: The paternal object in muscle dysmorphia. The Psychoanalytic Study of the Child, 76(1), 123-139. https://doi.org/10.1080/00797308.2022.2057773
Zanchetta, M. S, Monteiro, M. S., Gorospe, F. F., Pilon, R. S., & Peña, A. (2010). Ideas of masculinities in Latin America and their influences on immigrant men’s attitudes toward health: prostate cancer prevention, an analysis of the literature. Journal of Men’s Health, 7(3), 259-269. https://doi.org/10.1016/j.jomh.2010.04.002
Zanchetta, M. S., Taher, Y., Fredericks, S., Waddell, J., Fine, C., & Sales, R. (2012). Undergraduate nursing students integrating health literacy in clinical settings. Nursing Education Today, 33(9), 1026-1033. 10.1016/j.nedt.2012.05.008
Zanchetta, M. S., Felipe, I. C. V., Spezani, R., Finamore, V., & Bergeron, C. (2021). Homens lusófonos, consumo de álcool e riscos de câncer: Sob a influência cultural da masculinidade. Research, Society & Development, 10(7), e29410716530. https://doi.org/10.33448/rsd-v10i7.16530
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Margareth Santos Zanchetta; Veronica Finamore; Ingryd Cunha Ventura Felipe; Christian Marie Bergeron; Alessar Nazzal
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.