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Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain

Bibliographic Data

ID15460403
AuthorsMiguel Ángel Díaz López (0000-0002-6323-2779, Instituto de Salud Carlos III), Gregorio Barrio (0000-0002-6257-3213, Instituto de Salud Carlos III), Juan Miguel Guerras (0000-0001-6708-3291, Instituto de Salud Carlos III, corresponding author), Lidia Herrero (0000-0002-7368-666X, Institut d'Estadística de Catalunya), Jose Pulido (0000-0001-8487-7384, Universidad Complutense de Madrid), María José Belza (0000-0003-4816-7750, Instituto de Salud Carlos III), Enrique Regidor (0000-0002-2374-9861, Universidad Complutense de Madrid)
Year2022
Volume19
Issue7
Pages4371-4371
Publication date2022-04-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19074371
PMID35410052
OpenAlexW4223569666
LanguageEN
References cited57

Alcohol-related harm decreases as socioeconomic position increases, although sometimes the opposite happens with alcohol intake. The objective was to know the educational gradient in monthly measures of drinking amount and heavy episodic drinking (HED) among people aged 25−64 years in Spain from 1997−2017. Such gradient was characterized with the relative percent change (PC) in drinking measures per year of education from generalized linear regression models after adjusting for age, year, region, marital status and immigration status. Among men, the PCs were significantly positive (p 40 g/day (−6.0%) and ≥4 HED days (−3.2%), while among women they ranged from 3.6% to 5.7%. The gradient in prevalences of >40 g/day (men) and >20 g/day (women) was greatly attenuated after additionally adjusting for HED, while that of ≥4 HED days was only slightly attenuated after additionally adjusting for drinking amount. Among women, the gradients, especially in HED measures, seem steeper in 2009−2017 than in 1997−2007. Educational inequality remained after additional adjustment for income and occupation, although it decreased among women. These results can guide preventive interventions and help explain socioeconomic inequalities in alcohol-related harm

Alcohol · Environmental health · Harm · Injury prevention · Marital status · Occupational safety and health · Poison control · Population · Psychiatry · Psychological intervention · Socioeconomic status · Suicide prevention · Alcohol Consumption and Health Effects · Chemistry · Demography · Health disparities and outcomes · Medicine · Psychology · Social Psychology · Substance Abuse Treatment and Outcomes · Gerontology

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