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Protective and risky behaviours: collective management of alcohol consumption

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ALLCOOL - raising awareness and action research on heavy episodic drinking (HED) among low income youth and unemployed graduated young adults in Southern Europe - is an action-research project where a consortium of stakeholders in 3 South European countries (Portugal, Spain and Italy) aim to tackle Heavy Episodic Drinking (HED) among youth. This research aims to increase knowledge about HED, focusing on sociodemographic differences.

This research has been developed using a combination of qualitative and quantitative methodology approach, including 372 questionnaires and 2 Focus Groups held among youth aged 18-29, as well as 1 Group Interview to professionals. In this post, we sum up some of the main results related to the protective and risky behaviours youth from Tarragona (Spain) carry out.

The results reveal 8 of the 19 analysed protective behaviours are carried out often or always by more than 50% of respondents, while just 3 protective behaviours are put into practice by less than 35%. The most frequent behaviours are oriented to serious harms reduction. By contrast, those with a lowest frequency are mainly related to limiting the amount of consumed alcohol. Nevertheless, protective behaviours are less frequent if we focus on people who has experienced HED episodes. Data show people who has completed a HED episode in two or less hours carry out less frequently all the protective behaviours than those who have taken more than 2 hours.

The youth group that put into practice more protective behaviours is women aged 24-29 years old

Data show social position is not an explanatory variable of protective behaviours. On the contrary, there are significant differences in terms of age and sex. As age increases, young people progressively incorporate protective behaviours. People aged 24 to 29 years old carry out more frequently all the protective behaviours than those aged 18-23 (16 percentage points difference). Respondents state some of the protective behaviours, such as drink slowly or avoid mixing different types of drinks, are learned as they get older. They incorporate these protective behaviours once they have experienced their negative consequences.

Regarding sex, women tend to carry out all the protective behaviours more frequently than men, regardless of social position or age (12 percentage points difference). Therefore, the population group that put into practice more protective behaviour is women aged 24-29 years old. In fact, women carry out protective behaviours to a greater extend as age increases. Consequently, differences between men and women are not reduced with age, but expanded.

A collective drinking culture: collective management of alcohol consumption and negative consequences

While in northern drinking cultures, the management of alcohol consumption and its negative consequences is an individual responsibility, in Tarragona young people manage consumption problems collectively. Then, the responsibility doesn’t lie with the individual, but with the peer group.

According to quantitative data, three out of five most usual protective behaviours are related to taking care of friends, such as making sure you go home with a friend, or having someone who let you know when you have drunk too much. Thus, the most usual protective behaviours are, mostly, group strategies that allow young people to manage the risks of alcohol consumption collectively. Besides these behaviours, interviews’ participants mention many other strategies they put into practice to stop friends from drinking too much or to take care of them when they are already drunk. For instance, taking their beverage away, telling them there is no drink left, walking the person to his/her home, or being at their side while they recover.

It should be noted that not all collective practices they perform are necessarily appropriate. However, the fact that most of them are carried out in group indicates there is a collective logic in the Spanish drinking culture. These data show alcohol consumption and, specifically, protective and risky behaviours need an analysis framework focused on the collective. That is, to understand why youth tend to carry out some protective behaviours we shouldn’t focus on individual actions. People don’t act solely based on rational decisions, nor consider which are the benefits and risks of undertaking an action individually. By contrast, they act collectively.

Finally, in Tarragona youth drink in a collective manner. Consequently, the management of the consequences do not fall to the individual that suffers them, but on the peer group that assumes the responsibility. Considering the collective culture of drinking may help us to understand and intervene in alcohol consumption in an effective and appropriate manner.

The context can determine whether a protective behaviour is performed

The less common protective behaviours are related to reducing de amount of alcohol consumed alternating it with water or other non-alcoholic beverages, or putting extra-ice in it. Qualitative data reveal that young people are aware of the benefits and importance of these protective strategies. Furthermore, most respondents claim that they usually drink water once they return home to avoid having a hangover. Nonetheless, it is not usual to do so when they are partying. One factor that may influence the low presence of this behaviour is the material and structural characteristics of nightlife context, such as the expensive price of the water in nightclubs or the lack of drinking fountains.

To sum up, Tarragona’s youth is aware of the benefits of carrying out protective behaviours, but there are different factors influencing whether they are carried out. Protective behaviours are more present among women and they increase with age. One last determining factor is the relevance of the group in the drinking culture, since the collective protective behaviours are the most present.

80% of Catalans with mental disorders have been discriminated in some area of their life due to their mental health state

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On September 30th we presented the study 'Stigma and discrimination in mental health in Catalonia 2016' at the Palau de la Generalitat, ceremony presided over by the Hon. Ms. Neus Munté, Minister of the Presidency of the Generalitat of Catalonia.

The study is the result of an investigation conducted by Obertament, the Autonomous University of Barcelona and Spora Sinergies, and developed with the collaboration of Obra Social ”la Caixa" and Janssen, in order to explore and identify psychosocial factors that are related to stigma and discrimination faced by people with a mental disorder in Catalonia.

How do we approach violence within homosexual couples?

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One of the historical struggles of the feminist movement has been denouncing violence against women, accounting for the socio-cultural system which promotes and reproduces inequalities between men and women. Moving male violence from the private and invisible field to the public sphere, as a social and common problem that we must confront as a whole, has been one of its victories.

This struggle has been accompanied by far-reaching theoretical production in the search for an explanatory framework to account for the gear that maintains and reproduces inequality and violence: the patriarchal social structure. Also, the theoretical and academic discussion has been incorporated in the various declarations and policy frameworks at international, national and regional level, with consequent changes in the terms and explanatory frameworks. We note terms such as "violence against women", which appears in the declaration proclaimed by the United Nations Assembly in 1993; the term "domestic violence", included in the Spanish legislation in 2003, to make way for the term "gender violence" a year later in the Organic Law 1/2004, and the term "male violence" (violencia machista) collected in the Catalan legislation through the Law 5/2008.

The package, regulatory and legal frameworks that have been deployed in recent years are an example of the strong momentum that have taken public policies in the fight against this kind of violence. Similarly, the creation of services and resources aimed at addressing such situations -from prevention to care and recovery of those women affected by this problem- account for the institutional will to find an answer.

However, the strong association of male violence to patriarchy could leave out of the focus other types of violence, which would call into question the basis of this premise. We refer to the violence exercised in the field of homosexual couples, whether they are both women or men, both cis or trans . What explanatory framework can help us understand the violence within sex-affective relationships, especially when they are not exercised by "the man" or against "the woman"? The theoretical debate on this axis offers diffuse answers to this problem, which appears as an emerging need to be more visible.

Can we assume that patriarchy runs through power relations beyond sex-gender system, impregnating the whole society on hierarchical codes under the supremacy of the androcentric model of the white man? Or would it be better to reject the explanation that violence is only an expression of patriarchy, to understand it as a phenomenon that emerges within sex-affective relationships without distinction of gender, in which a drift occurs towards relations of domination and violence?

Beyond patriarchy, the heteronormative family model formulated under the idea of ​​romantic love can open other conceptual doors. Building relationships where possession, exclusivity and jealousy have a place, as synonyms for love, also involves mechanisms of coercion of freedom of each one. In this sense, the heteronormative-couple-and-romantic-love model can transcend the gender axis to fit into a relational dynamics. And homophobia can have an impact while increasing the vulnerability of those people affected by this problem, as a double victimization.

The fact is that the lack of a theoretical framework hinders the articulation of public resources and the ability to respond appropriately. Different LGTB groups are claiming for the visibility of this problem, which now finds itself with no support on a legal and institutional level, and are bringing forth the concept of "intra-gender violence" as a new starting point to define these situations.