Cultura de masculinidade, consumo de álcool e riscos de câncer: uma pesquisa internacional
DOI:
https://doi.org/10.33448/rsd-v12i6.42217Palavras-chave:
Consumo de bebidas alcoólicas; Cultura; Câncer; Inquéritos e questionários; Latino; Masculinidade.Resumo
Objetivo: Compreender os efeitos culturais subjacentes da masculinidade sobre o consumo de álcool e o risco associado para câncer. Metodologia- Uma pesquisa exploratória online. Os dados foram coletados (2018-2019) de 176 homens residentes em 9 países que responderam a uma pesquisa online em inglês, francês, italiano, português ou espanhol. Os dados sociodemográficos e as respostas às questões fechadas foram compilados como estatística descritiva. As respostas às questões abertas foram analisadas por meio da análise temática com os temas pré-estabelecidos: consumo de álcool e sua aceitação pelos homens nos grupos etnoculturais dos entrevistados; e reflexões sobre evidências científicas sobre o consumo de álcool em alta concentração e risco elevado de câncer. Resultados- A maioria dos entrevistados tinha menos de 30 anos (33,7%). Os resultados das subamostras linguísticas indicam que, entre 10 afirmações, o consumo de álcool faz parte da vida da maioria dos estudantes (18,8%), facilita a aceitação nos grupos sociais (16,9%) e não é reprimido nas reuniões sociais (16,6%). A construção civil (27,5%) foi a principal entre as profissões em que o consumo de álcool é mais comum. Entre os fatores situacionais relacionados ao consumo de álcool, os entrevistados escolheram estresse (18,1%), desemprego ou emprego instável (18,0%) e problemas financeiros (17,9%). As percepções de aceitação do consumo de álcool são influenciadas por valores, crenças e comportamentos tradicionais relacionados à masculinidade e a reconhecida falta de alfabetização em câncer revelou-se como condição promotora de risco para o câncer. Conclusão- O consumo de álcool é normalizado até certo ponto entre homens de diferentes idades e origens. As evidências informam os formuladores de políticas e promotores de saúde à medida que desenvolvem legislação e programação para limitar comportamentos não saudáveis relacionados ao consumo de álcool.
Referências
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
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