ArticleSocial science & medicine (1982)2023
Structural sexism moderates work and occupational risks for alcohol consumption and binge drinking among US women, 1989-2016.
Article in Social science & medicine (1982), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- The association between macro-level structural discrimination and alcohol outcomes: A systematic review.Social science & medicine (1982) · 2025Pooled it
- Effectiveness of a nurse-led telephonic brief intervention to reduce risky alcohol use among women in primary care in Brazil: a randomized controlled trial.Archives of women's mental health · 2026Trial
- Restrictive abortion policy climate is associated with increased depression symptoms among women in the United States: Findings from a 25-year longitudinal study.SSM. Mental health · 2026Article
- Genetic evidence links alcohol, coffee, cheese, and anxiety to GERD risk: A Mendelian randomization study.Medicine · 2026Article
- Macro-level determinants of gender differences in the prevalence of major depression and alcohol use disorder in the United States and across Europe.Journal of affective disorders · 2025Article
- Risk factors for harmful alcohol consumption among employees and intervention strategies used in the workplace: current state of knowledge based on a literature review.Frontiers in public health · 2025Review
- Trends in binge drinking in the United States by LGBTQ+ identity, gender, and age, 2014-2022.Alcohol, clinical & experimental research · 2024Article
- Structural Stigma, Racism, and Sexism Studies on Substance Use and Mental Health: A Review of Measures and Designs.Alcohol research : current reviews · 2024Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundPeople in the labor force and in high-status careers consume alcohol at high rates. State-level structural sexism (sex inequality in political/economic status) is inversely related to alcohol use among women. We examine whether structural sexism modifies women's labor force characteristics and alcohol consumption.
methodsWe surveyed frequency of alcohol consumption in the past month and any binge drinking in the past two weeks among women ages 19-45 in Monitoring the Future from 1989 to 2016 (N = 16,571) in relation to occupational characteristics (including employment status, high-status career, and occupational gender composition) and structural sexism (measured using state-level indicators of gender inequality) with multilevel interaction models controlled for state-level and individual confounders.
findingsWorking women and women in high-status occupations had higher risks of alcohol consumption than non-working women; differences were most pronounced in lower-sexism states. At the lowest sexism levels, employed women consumed alcohol more frequently (2.61 occasions of use in past 30 days, 95% CI 2.57, 2.64) than unemployed women (2.32, 95% CI 2.27, 2.37). Patterns were more pronounced for frequency of alcohol consumption than binge drinking. Occupational gender composition did not influence alcohol consumption.
interpretationIn lower sexism states, working and having a high-status career are associated with increased alcohol consumption for women. Labor force engagement extends positive health benefits to women, but it also confers specific risks, which are sensitive to the broader social context; these findings contribute to a growing literature suggesting that alcohol risks are changing in relation to shifting social landscapes.
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