IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i7p4371-d787371.html
   My bibliography  Save this article

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

Author

Listed:
  • Marta Donat

    (Escuela Nacional de Sanidad, Instituto de Salud Carlos III, 28029 Madrid, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain)

  • Gregorio Barrio

    (Escuela Nacional de Sanidad, Instituto de Salud Carlos III, 28029 Madrid, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain)

  • Juan-Miguel Guerras

    (CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, 28029 Madrid, Spain)

  • Lidia Herrero

    (Instituto Valenciano de Estadística, 46004 Valencia, Spain)

  • José Pulido

    (CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    Departamento de Salud Pública y Materno-Infantil, Universidad Complutense de Madrid, 28040 Madrid, Spain)

  • María-José Belza

    (Escuela Nacional de Sanidad, Instituto de Salud Carlos III, 28029 Madrid, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    These authors contributed equally to this work.)

  • Enrique Regidor

    (CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    Departamento de Salud Pública y Materno-Infantil, Universidad Complutense de Madrid, 28040 Madrid, Spain
    Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
    These authors contributed equally to this work.)

Abstract

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 < 0.05) for prevalence of <21 g alcohol/day (2.9%) and 1–3 HED days (1.4%), and they were negative for prevalences of 21–40 g/day (−1.1%), >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.

Suggested Citation

  • Marta Donat & Gregorio Barrio & Juan-Miguel Guerras & Lidia Herrero & José Pulido & María-José Belza & Enrique Regidor, 2022. "Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4371-:d:787371
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/7/4371/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/7/4371/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. G. David Batty & Abita Bhaskar & Carol Emslie & Michaela Benzeval & Geoff Der & Heather Lewars & Kate Hunt, 2012. "Association of life course socioeconomic disadvantage with future problem drinking and heavy drinking: gender differentials in the west of Scotland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 119-126, February.
    2. Marion Devaux & Franco Sassi, 2015. "Alcohol consumption and harmful drinking: Trends and social disparities across OECD countries," OECD Health Working Papers 79, OECD Publishing.
    3. G. Batty & Abita Bhaskar & Carol Emslie & Michaela Benzeval & Geoff Der & Heather Lewars & Kate Hunt, 2012. "Erratum to: Association of life course socioeconomic disadvantage with future problem drinking and heavy drinking: gender differentials in the west of Scotland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 247-247, February.
    4. Ding Ding & Anna Do & Heather-Marie Schmidt & Adrian E Bauman, 2015. "A Widening Gap? Changes in Multiple Lifestyle Risk Behaviours by Socioeconomic Status in New South Wales, Australia, 2002–2012," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-13, August.
    5. Johan P Mackenbach & Ivana Kulhánová & Matthias Bopp & Carme Borrell & Patrick Deboosere & Katalin Kovács & Caspar W N Looman & Mall Leinsalu & Pia Mäkelä & Pekka Martikainen & Gwenn Menvielle & Maica, 2015. "Inequalities in Alcohol-Related Mortality in 17 European Countries: A Retrospective Analysis of Mortality Registers," PLOS Medicine, Public Library of Science, vol. 12(12), pages 1-31, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Matthias Richter & Emmanuel Kuntsche & Margaretha Looze & Timo-Kolja Pförtner, 2013. "Trends in socioeconomic inequalities in adolescent alcohol use in Germany between 1994 and 2006," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(5), pages 777-784, October.
    2. Eman Mohammed & Ashraf Ewis & Eman Mahfouz, 2014. "Child labor in a rural Egyptian community: an epidemiological study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 637-644, August.
    3. Lidyane V Camelo & Luana Giatti & Jorge Alexandre Barbosa Neves & Paulo A Lotufo & Isabela M Benseñor & Dóra Chor & Rosane Härter Griep & Maria de Jesus Mendes da Fonseca & Pedro Guatimosim Vidigal & , 2014. "Life Course Socioeconomic Position and C-Reactive Protein: Mediating Role of Health-Risk Behaviors and Metabolic Alterations. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-12, October.
    4. Blessing Akombi-Inyang & Md. Nazmul Huda & Aletta E. Schutte & Rona Macniven & Sophia Lin & Patrick Rawstorne & Xiaoyue Xu & Andre Renzaho, 2021. "The Association between Post-Migration Nutrition and Lifestyle Transition and the Risk of Developing Chronic Diseases among Sub-Saharan African Migrants: A Mixed Method Systematic Review Protocol," IJERPH, MDPI, vol. 18(9), pages 1-7, April.
    5. Kai Barron & Charles D. H. Parry & Debbie Bradshaw & Rob Dorrington & Pam Groenewald & Ria Laubscher & Richard Matzopoulos, 2024. "Alcohol, Violence, and Injury-Induced Mortality: Evidence from a Modern-Day Prohibition," The Review of Economics and Statistics, MIT Press, vol. 106(4), pages 938-955, July.
    6. Colin Angus & John Holmes & Ravi Maheswaran & Mark A. Green & Petra Meier & Alan Brennan, 2017. "Mapping Patterns and Trends in the Spatial Availability of Alcohol Using Low-Level Geographic Data: A Case Study in England 2003–2013," IJERPH, MDPI, vol. 14(4), pages 1-15, April.
    7. Schelleman-Offermans, Karen & Vieno, Alessio & Stevens, Gonneke W.J.M. & Kuntsche, Emmanuel, 2022. "Family affluence as a protective or risk factor for adolescent drunkenness in different countries and the role drinking motives play," Social Science & Medicine, Elsevier, vol. 311(C).
    8. Yana C. Vierboom, 2020. "Trends in Alcohol-Related Mortality by Educational Attainment in the U.S., 2000–2017," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 39(1), pages 77-97, February.
    9. Kaushalendra Kumar & Santosh Kumar & Anil Kumar Singh, 2018. "Prevalence and socio-demographic correlates of alcohol consumption: survey findings from five states in India," Working Papers 1802, Sam Houston State University, Department of Economics and International Business.
    10. Carme Borrell & Laia Palència & Lucia Bosakova & Mercè Gotsens & Joana Morrison & Claudia Costa & Dagmar Dzurova & Patrick Deboosere & Michala Lustigova & Marc Marí-Dell’Olmo & Sophia Rodopoulou & Pau, 2021. "Socioeconomic Inequalities in Chronic Liver Diseases and Cirrhosis Mortality in European Urban Areas before and after the Onset of the 2008 Economic Recession," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    11. Barron, Kai & Bradshaw, Debbie & Parry, Charles D. H. & Dorrington, Rob & Groenewald, Pam & Laubscher, Ria & Matzopoulos, Richard, 2021. "Alcohol and Short-Run Mortality: Evidence from a Modern-Day Prohibition," Rationality and Competition Discussion Paper Series 273, CRC TRR 190 Rationality and Competition.
    12. Stina Oftedal & Corneel Vandelanotte & Mitch J. Duncan, 2019. "Patterns of Diet, Physical Activity, Sitting and Sleep Are Associated with Socio-Demographic, Behavioural, and Health-Risk Indicators in Adults," IJERPH, MDPI, vol. 16(13), pages 1-14, July.
    13. Fabrizio Ferretti, 2015. "Unhealthy Behaviours: An International Comparison," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-14, October.
    14. Marjolein Duijvestijn & Saskia W. van den Berg & G. C. Wanda Wendel-Vos, 2020. "Adhering to the 2017 Dutch Physical Activity Guidelines: A Trend over Time 2001–2018," IJERPH, MDPI, vol. 17(3), pages 1-16, January.
    15. Faraz Vahid Shahidi & Carles Muntaner & Ketan Shankardass & Carlos Quiñonez & Arjumand Siddiqi, 2018. "Widening health inequalities between the employed and the unemployed: A decomposition of trends in Canada (2000-2014)," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-22, November.
    16. Emma Beard & Jamie Brown & Robert West & Colin Angus & Alan Brennan & John Holmes & Eileen Kaner & Petra Meier & Susan Michie, 2016. "Deconstructing the Alcohol Harm Paradox: A Population Based Survey of Adults in England," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-17, September.
    17. Oleh Lyubinets & Marta Kachmarska & Katarzyna Maria Sygit & Elżbieta Cipora & Jaroslaw Grshybowskyj, 2021. "Mortality and Alcohol as Its Cause—Comparative Characteristics of the Two Neighboring Countries: Ukraine and Poland," IJERPH, MDPI, vol. 18(20), pages 1-15, October.
    18. Rianne Gelder & Gwenn Menvielle & Giuseppe Costa & Katalin Kovács & Pekka Martikainen & Bjørn Heine Strand & Johan P. Mackenbach, 2017. "Long-term trends of inequalities in mortality in 6 European countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 127-141, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4371-:d:787371. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.