An analysis of intersectional disparities in alcohol consumption in the US

Dados Bibliográficos

ID4592014
AutoresSophie Bright (0000-0002-8577-5221, University of Sheffield), Christopher Buckley (0000-0002-8430-0347, University of Liverpool), Daniel Holman (0000-0003-4134-6238, University of Sheffield), Glenn Leckie (0000-0003-1486-745X, University of Bristol), George Leckie, Andrew Bell (0000-0002-8268-5853, University of Sheffield), Nina Mulia (0000-0002-5847-9697, Alcohol Research Group), Carolin Kilian (0000-0001-5913-6488, Centre for Addiction and Mental Health), Robin Purshouse (0000-0001-5880-1925, University of Sheffield)
Ano2024
Volume363
Páginas117514
Data de publicação2024-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSocial Science & Medicine (JOURNAL)
Identificadores do periódicoISSN: 0277-9536 • E-ISSN: 1873-5347
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2024.117514
PMID39566226
OpenAlexW4404402883
IdiomaEN
Citações recebidas3
Referências citadas48

Alcohol is one of the leading causes of preventable deaths in the United States (US). Prior research has demonstrated that alcohol consumption and related mortality are socially patterned; however, no study has investigated intersectional disparities in alcohol consumption, i.e., attending to how social positions overlap and interact. In this study, we used an innovative intersectional approach (Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy, MAIHDA) and data from a large nationally representative survey (the National Health Interview Survey, 2000-2018) to quantify inter-categorical disparities in alcohol consumption in the US (proportion of current drinkers, and average consumption amongst drinkers), along dimensions of sex, race and ethnicity, age, and level of education. Our analysis revealed significant intersectional disparities in both the prevalence of drinking and the average consumption by drinkers. Young, highly educated White men were the most likely to be current drinkers and consumed the highest amounts of alcohol on average, whilst racially and ethnically minoritized women with lower education were the least likely to drink and had the lowest levels of alcohol consumption, across all age categories. Notably, we found significant interaction effects for many intersectional strata, with much higher consumption estimated for some groups than traditional additive approaches would suggest. By identifying specific understudied groups with high consumption, such as young American Indian or Alaska Native (AI/AN) men, adult Black men with low education, and older White women with high education, this analysis has important implications for future research, policy, and praxis. This is the first known application of MAIHDA to account for a skewed outcome, highlighting and addressing critical methodological considerations

Alcohol · Alcohol consumption · Consumption (sociology · Environmental health · Ethnic group · Health equity · Intersectionality · Public health · Race (biology · Sociology · Demography · Gender Studies · Homelessness and Social Issues · Medicine · Psychology · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes · Gerontology