To examine the proportion of self-reported alcohol consumed by different gender and age groups in Brazil over the past year, and to examine whether the “prevention paradox” applies to Brazilian data on alcohol-related problems.
A multistage cluster sample, representative of the Brazilian household population 14 years of age or older (N=3007). The response rate was 66.4%.
The top 2.5% of the drinkers by volume consume 14.9%, the top 5% consume 27.4%, and the top 10% consume 44.2% of all alcohol consumed in Brazil. Men consume 77.8% of the total alcohol, and 18 to 29 year olds consume 40.3%. Individuals below risky drinking guidelines for weekly volumetric intake account for 49-50% of all problem drinkers and 45-47% of all problem types reported. Individuals who do not binge or who binge infrequently (1-3 times/year) account for 50-51% of all problem drinkers and 45-46% of all reported problem types. Most binge drinkers are low volume drinkers.
Consistent with the prevention paradox literature, the majority of drinking problems in Brazil are associated with low or moderate drinkers. Binge drinking better accounts for the distribution of alcohol problems than total volume consumed.
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