ArticleDrug and alcohol dependence2018
Educational differences in alcohol consumption and heavy drinking: An age-period-cohort perspective.
Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 0 citations in OpenAlex.
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- Co-occurrence of habit-forming risk behaviors and their socio-demographic, health status and lifestyle determinants: a population-based cross-sectional study.Archives of public health = Archives belges de sante publique · 2024Article
- Changes in Alcohol Intake by Educational Level Among Older Men and Women in Spain During the 21st Century.Innovation in aging · 2024Article
- Tobacco exposure and alcohol drinking prevalence and associations with hypertension in rural southwest China: A cross-sectional study.Tobacco induced diseases · 2024Article
- Social disparities in alcohol consumption among Canadian emerging adults.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
- Lifetime and past-month alcohol use and related factors among female sex workers in Iran.Brain and behavior · 2023Article
- Widening educational inequalities in mortality in more recent birth cohorts: a study of 14 European countries.Journal of epidemiology and community health · 2023Article
- Diabetes risk among US adults with different socioeconomic status and behavioral lifestyles: evidence from the National Health and Nutrition Examination Survey.Frontiers in public health · 2023Article
- Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundLow socioeconomic status (SES) has been associated with lower alcohol consumption, but also with heavier drinking. To explain this contradictory relationship, we examined SES differences in drinking patterns from an age-period-cohort (APC) perspective.
methodsData are from seven waves of the U.S. National Alcohol Surveys from 1979 to 2010. As a proxy for SES, educational attainment was used. Past-year alcohol volume was calculated from frequency (never-to-every day) and usual quantity (1-2, 3-4, or 5-6 drinks). Past-year frequency of heavy episodic drinking was labelled as total days of 5+ drinks. Gender-stratified APC fixed-effects models were conducted controlling for demographics and adjusting for survey design and weights.
resultsSignificant APC effects by education were found, but the direction varied by alcohol measure. Education and total volume were positively associated across APC. Cross-over effects for age occurred with a positive education-heavy drinking relationship in young adulthood and negative relationship in mid-adulthood. Cohort-by-education effects showed greater heavy drinking among less educated women in 1956-60 cohort and more educated men and women in younger cohorts (post-1976).
conclusionsHigher SES is consistently associated with total volume across age, period, and cohort, but less consistently with heavy drinking. While there are currently significant intervention efforts to reduce heavy drinking in young adulthood, our study suggests the need for age-specific strategies targeting lower-SES groups in mid-adulthood and cohort-specific strategies for lower-SES women in the baby boomer cohort and higher-SES men and women in younger birth cohorts.
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