ArticleAddiction (Abingdon, England)2021
Understanding the differential effect of alcohol consumption on the relation between socio-economic position and alcohol-related health problems: results from the Stockholm Public Health Cohort.
Article in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- The risk relationships between alcohol consumption, alcohol use disorder and alcohol use disorder mortality: A systematic review and meta-analysis.Addiction (Abingdon, England) · 2024Pooled it
- Global Burden of Alcoholic Cardiomyopathy in Adults Aged 60 and Older From 1990 to 2021: A Secondary Analysis of Global Burden of Disease 2021 Data.Health science reports · 2026Article
- Associations between life course socioeconomic circumstances and drinking patterns among young and early midlife Finnish public sector employees.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Socio-economic differences in the effectiveness of pharmacotherapy use in alcohol use disorder: A cohort study of 148 626 individuals in Sweden.Addiction (Abingdon, England) · 2026Article
- Level of education, labor-market marginalization, and alcohol-related mortality: a cohort study of Swedish men.European journal of public health · 2025Article
- Hazardous alcohol use: a cross-sectional study of cardiology patients in Sweden.Journal of public health (Oxford, England) · 2025Article
- Smartwatch-Based Ecological Momentary Assessment for High-Temporal-Density, Longitudinal Measurement of Alcohol Use (AlcoWatch): Feasibility Evaluation.JMIR formative research · 2025Article
- The alcohol harm paradox: is it valid for self-reported alcohol harms and does hazardous drinking pattern matter?BMC public health · 2024Article
- Academic orientation and alcohol-related harm among adolescents : Does the inclusion of a disadvantaged group add to the social gradient?BMC public health · 2024Article
- Hazardous alcohol consumption across different industries in Sweden: a pooled cross-sectional study.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Socioeconomic position indicators and risk of alcohol-related medical conditions: A national cohort study from Sweden.PLoS medicine · 2024Article
- Differential Associations of Alcohol Use With Ischemic Heart Disease Mortality by Socioeconomic Status in the US, 1997-2018.JAMA network open · 2024Article
- Is the association between alcohol use and sickness absence modified by socioeconomic position? findings from the Stockholm public health cohort.BMC public health · 2023Article
- Alcohol, Tobacco and Cannabis Consumption on Physical Activity and Physical and Social Self-Concept in Secondary School Students: An Explanatory Model Regarding Gender.International journal of environmental research and public health · 2022Article
- 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
- Educational Attainment and Lifestyle Risk Factors Associated With All-Cause Mortality in the US.JAMA health forum · 2022Article
- Review
- Understanding the differential effect of alcohol consumption on the relation between socio-economic position and alcohol-related health problems: results from the Stockholm Public Health Cohort.Addiction (Abingdon, England) · 2021Article
- Is the theory of collectivity of drinking cultures valid across educational groups?Drug and alcohol review · 2021Article
- Variability Matters.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo test (i) whether the harmful effects of average volume of alcohol consumption (AC) and heavy episodic drinking (HED) differ by socio-economic position (SEP), and (ii) if so, to what extent such differential effects can be attributed to an unequal distribution of harmful levels and patterns of drinking, health, life-style and social factors.
designA longitudinal cohort study with baseline in 2002 or 2006, with record-linkage to national registers.
settingStockholm County, Sweden.
participantsA total of 37 484 individuals, aged 25-70 years, responding to the survey in 2002 or 2006. MEASUREMENTS: The outcome of alcohol-related health problems was obtained from the National Patient Register and Cause of Death Register using the Swedish index diagnoses related to alcohol use. Self-reported information on occupational class (measure of SEP), AC, HED as well as other health-related factors were extracted from the surveys. Average follow-up time was 13.3 years.
findingsDuring follow-up, a total of 1237 first-time events of alcohol-related health problems occurred. After initial adjustments, heavy drinking appeared to be more harmful to individuals with low SEP compared with high SEP (P = 0.001). Differences in HED frequency explained the largest part of the differential effect of AC. Engaging in weekly HED was more harmful to individuals with low SEP (P = 0.031) than high SEP. Differences in AC, together with other factors, explained a large part of the differential effect of HED. Conclusions The greater adverse impact of alcohol consumption on health in Sweden on people with lower socio-economic position may be largely attributable to higher prevalence of heavy episodic drinking, as well as other behavioral and social risk factors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.