The effect of asset-based wealth inequality on problem drinking among rural Thai elders
A prospective population-based cohort study
Bibliographic Data
| ID | 4593140 |
|---|---|
| Authors | Tawanchai Jirapramukpitak (0000-0002-0637-0788, King's College London), Melanie Abas (0000-0003-1716-5584, King's College London), K Tangchonlatip (0000-0002-5672-2219, Mahidol University), Sureeporn Punpuing (0000-0001-7899-5659, Mahidol University) |
| Year | 2014 |
| Volume | 100 |
| Pages | 107-114 |
| Publication date | 2014-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2013.09.025 |
| PMID | 24444845 |
| PMCID | PMC3969272 |
| OpenAlex | W2066390446 |
| Language | EN |
| Citations received | 3 |
| References cited | 34 |
Evidence on the link between income inequality and alcohol-related problems is scarce, inconclusive and dominated by studies from the developed world. The use of income as a proxy measure for wealth is also questionable, particularly in developing countries. The goal of the present study is to explore the contextual influence of asset-based wealth inequality on problem drinking among Thai older adults. A population-based cohort study with a one-year follow-up was nested in a Demographic Surveillance System (DSS) of 100 villages in western Thailand. Data were drawn from a random sample of 1104 older residents, aged 60 or over (one per household) drawn from all 100 villages, of whom 982 (89%) provided problem drinking data at follow-up. The primary outcome measure was a validated Thai version of the Alcohol-Used Disorder Identification Test for problem drinking. Living in areas of high wealth inequality was prospectively associated with a greater risk for problem drinking among older people (adjusted odds ratio 2.30, 95% confidence intervals 1.02-5.22), after adjusting for individual-level and village-level factors. A rise in wealth inequality over the year was also independently associated with an increased risk of problem drinking (adjusted odds ratio 2.89, 95% confidence intervals 1.24-6.65). The associations were not explained by the social capital, status anxiety or psychosocial stress variables. The data suggest that wealth inequality and an increase in inequality across time lead to a greater risk of problem drinking. Efforts should be directed towards reducing gaps and preventing large jumps in inequality in the communities. Further research should investigate the effect of asset-based inequality on various health risk behaviors and its specific mediating pathways
Asset (computer security · Cohort · Cohort study · Demographic economics · Economics · Environmental health · Geography · Inequality · Population · Prospective cohort study · Rural population · Socioeconomics · Sociology · Computer Science · Demography · Employment and Welfare Studies · Health disparities and outcomes · Mathematics · Medicine · Psychological Well-being and Life Satisfaction · Gerontology · Surgery
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| Citations per year | 0.3 |
|---|---|
| Citation span | 2016 - 2022 (7) |
| Highly cited | No |