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1st Pan American Conference on Alcohol Policies Alcohol, Gender and Culture in Peru: Preliminary epidemiological estimat

1st Pan American Conference on Alcohol Policies Alcohol, Gender and Culture in Peru: Preliminary epidemiological estimates Marina Piazza, MPH, ScD; Inés Bustamante, MPH, MSc Cayetano Heredia University. Outline. Background Objectives Methods Sample characteristics Selected results

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1st Pan American Conference on Alcohol Policies Alcohol, Gender and Culture in Peru: Preliminary epidemiological estimat

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  1. 1st Pan American Conference on Alcohol Policies Alcohol, Gender and Culture in Peru: Preliminary epidemiological estimates Marina Piazza, MPH, ScD; Inés Bustamante, MPH, MSc Cayetano Heredia University

  2. Outline • Background • Objectives • Methods • Sample characteristics • Selected results • Discussion and Comments

  3. BACKGROUND I • From Global Status Report: • Per capita GDP is the lowest of all South and Central America countries except for Bolivia (4470 per person in 2001) • Compare: Brazil = 7070 • Per capita consumption also low at 5.43 L pure alcohol per person/year • Has been fairly stable since the early 1960’s • Unrecorded consumption about +1 Litre • Pattern = 3 out of 4 (considered hazardous)

  4. BACKGROUND II • What is GENACIS in Peru? • Gender, Alcohol, and Culture in Peru measured demographic data, alcohol consumption, and health and social outcomes • Adults residents of Lima • 8.8 million residents (30 % of the population) • All data collected and analyzed by faculty of Cayetano Heredia University

  5. Objectives: This preliminary analysis has two aims: • Present drinking in Peru in terms of the drinking status of the population and the amount of consumption • reasons for not drinking

  6. METHODS I - Sample • Data presented = Lima only • N = 1110 • Age = 18 to 64 • Sample taken from a multistage probability sample • Taken from 1996 Census of Peru, uses Census tracks • Composed of face to face interviews • Within households of Lima • Data presented is (unfortunately) unweighted

  7. Sample Characteristics I

  8. Sample Characteristics I

  9. Results – Drinking Status The percentage of current drinkers for Lima (67%) is higher than the one observed for Mexico (58%) and USA (65%) Lima has a similar percentage of drinkers than the reported by Uruguay As compared to Uruguay, we observed a higher percentage of former drinkers (26% vs. 19.3%) and a smaller proportion of lifetime abstainers (5.8 vs. 12.6)

  10. Annual number of standard drinks

  11. Reasons for not drinking

  12. Discussion I • How does this data compare with previous estimates? • From Global Status Report (2004) • Abstention (2002): • 16.6% (Males) • 23.6% (Females) • A small increase in abstention but data has limitations • Consumption of spirits has been decreasing, with beer on the rise

  13. DISCUSSION II • The occurrence of alcohol use in Lima's community population reaches levels above seen in US and other countries of the region, and presents similar gender epidemiological patterns in the male-female ratio. • Conservative first estimates: given the higher proportion of females in this sample. • Limitations include possible under-reporting due to social desirability, as well as other widely-appreciated sources of error in this type of survey research. • In terms of cultural differences, we look forward to see the results for the city of Ayacucho. • Previous results show that abstention rates tend to be higher in remote regions, closer to 50%

  14. Conclusion • Relatively poor pattern of drinking may combine with moderate per capita consumption to create alcohol-related problems and outcomes, both social and health-related • More analysis needed in coming months, which will be enriched by the new Ayacucho data coming in and a weighting system to better represent the Peruvian population Nonetheless, the results of this preliminary analysis guide the republic's strategy for addressing its goals for a healthy population with respect to use of alcohol.

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