Pesquisa avançada

(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Environmental characteristics associated with alcohol intoxication among patrons in Brazilian nightclubs

Texto completo
Autor(es): Carlini, Claudia [1] ; Andreoni, Solange [1] ; Martins, Silvia S. [2] ; Benjamin, Miguel [1] ; Sanudo, Adriana [1] ; Sanchez, Zila M. [1]
Afiliação do(s) autor(es):
1 Univ Fed Sao Paulo, Dept Prevent Med, BR-04023900 Sao Paulo - Brazil
2 Columbia Univ, Dept Epidemiol, New York, NY - USA
Tipo de documento: Artigo Científico
Fonte: DRUG AND ALCOHOL REVIEW; v. 33, n. 4, SI, p. 358-366, JUL 2014.
Citações Web of Science: 6
Resumo

Introduction. Few studies have investigated the association between environmental factors and patrons' binge drinking in nightclubs, and such studies are rare in developing countries. Objective. To identify environmental factors associated with binge drinking among patrons in nightclubs in Sao Paulo, Brazil, using a mixed-methods design. Method. The study used a two-stage cluster sampling survey design. Two levels of data were collected: observational data and portal survey data. Individual-level data were collected by a portal survey of 2422 subjects at the entrance and 1822 subjects at the exit of 31 nightclubs. Weighted multilevel analysis was used to investigate the association between patrons' binge drinking (as measured by breath alcohol concentration >= 0.38 mg L-1) at nightclub exit, with environmental-level variables collected through observation and controlled for individual-level data. Results. Pre-drinking was the variable most strongly associated with binge drinking BrAC levels when exiting the venue {[}adjusted odds ratio (aOR) = 5.98, 95% confidence interval (CI) {[}4.37, 8.17], P < 0.001). The environmental variables significantly associated with binge drinking were `all you can drink' service (aOR = 2.44, 95% CI {[}1.03, 0.79]; P = 0.043), two or more dance floors (aOR = 1.92, 95% CI {[}1.16, 3.18]; P = 0.011), and higher sound levels (aOR = 1.04 per each decibel increased, 95% CI {[}1.01, 1.08]; P = 0.048). Data triangulation showed an association between lower alcohol intoxication and ketamine use in three LGBT nightclubs. Discussion. Pre-drinking showed that individual-level characteristics could be more important in binge drinking than the venues' environmental characteristics. Previous studies failed to include pre-drinking in environmental analysis. Conclusion. Environmental control interventions, isolated from individual-level approaches, may have limited efficacy in the prevention of alcohol abuse in nightclubs. (AU)

Processo FAPESP: 12/21258-3 - As baladas como espaços de exposição a riscos: uma investigação etnográfica da violência, sexo inseguro e abuso de álcool e outras drogas nestes ambientes
Beneficiário:Claudia Masur de Araujo Carlini
Linha de fomento: Bolsas no Brasil - Doutorado Direto
Processo FAPESP: 11/51658-0 - Padrões de consumo de álcool e outras drogas em baladas: epidemiologia, etnografia e intervenção
Beneficiário:Zila van der Meer Sanchez Dutenhefner
Linha de fomento: Auxílio à Pesquisa - Apoio a Jovens Pesquisadores