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Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents

AIMS: The study aims to examine how socio-economic status (SES) among youth is related to binge-drinking and alcohol-related problems using three SES indicators: (i) SES of origin (parental education level), (ii) SES of the school environment (average parental education level at student’s school) an...

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Autores principales: Thor, Siri, Karlsson, Patrik, Landberg, Jonas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011164/
https://www.ncbi.nlm.nih.gov/pubmed/31206150
http://dx.doi.org/10.1093/alcalc/agz044
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author Thor, Siri
Karlsson, Patrik
Landberg, Jonas
author_facet Thor, Siri
Karlsson, Patrik
Landberg, Jonas
author_sort Thor, Siri
collection PubMed
description AIMS: The study aims to examine how socio-economic status (SES) among youth is related to binge-drinking and alcohol-related problems using three SES indicators: (i) SES of origin (parental education level), (ii) SES of the school environment (average parental education level at student’s school) and (iii) SES of destination (academic orientation). METHODS: Cross-sectional data on upper secondary students (n= 4448) in Sweden. Multilevel logistic and negative binomial regression were used to estimate the relationship between each SES indicator and binge-drinking and alcohol-related problems, respectively. RESULTS: Only SES of destination was significantly associated with binge-drinking, with higher odds for students in vocational programmes (OR= 1.42, 95% CI= 1.13–1.80). For the second outcome, SES of destination (rr=1.25; 95%CI=1.08–1.45) and SES of the school environment (rr=1.19, 95% CI=1.02–1.39) indicated more alcohol-related problems in vocational programmes and in schools with lower-educated parents. After adjustment for drinking patterns, the relationship remained for SES of the school environment, but became non-significant for SES of destination. CONCLUSION: Our results suggest that the SES gradient among youth is stronger for alcohol-related problems than for harmful drinking. By only focusing on SES differences in harmful alcohol use, researchers may underestimate the social inequalities in adverse alcohol-related outcomes among young people. Our findings also support the notion that the environment young people find themselves in matters for social inequalities in alcohol-related harm.
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spelling pubmed-70111642020-02-14 Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents Thor, Siri Karlsson, Patrik Landberg, Jonas Alcohol Alcohol Original Manuscript AIMS: The study aims to examine how socio-economic status (SES) among youth is related to binge-drinking and alcohol-related problems using three SES indicators: (i) SES of origin (parental education level), (ii) SES of the school environment (average parental education level at student’s school) and (iii) SES of destination (academic orientation). METHODS: Cross-sectional data on upper secondary students (n= 4448) in Sweden. Multilevel logistic and negative binomial regression were used to estimate the relationship between each SES indicator and binge-drinking and alcohol-related problems, respectively. RESULTS: Only SES of destination was significantly associated with binge-drinking, with higher odds for students in vocational programmes (OR= 1.42, 95% CI= 1.13–1.80). For the second outcome, SES of destination (rr=1.25; 95%CI=1.08–1.45) and SES of the school environment (rr=1.19, 95% CI=1.02–1.39) indicated more alcohol-related problems in vocational programmes and in schools with lower-educated parents. After adjustment for drinking patterns, the relationship remained for SES of the school environment, but became non-significant for SES of destination. CONCLUSION: Our results suggest that the SES gradient among youth is stronger for alcohol-related problems than for harmful drinking. By only focusing on SES differences in harmful alcohol use, researchers may underestimate the social inequalities in adverse alcohol-related outcomes among young people. Our findings also support the notion that the environment young people find themselves in matters for social inequalities in alcohol-related harm. Oxford University Press 2019-12 2019-06-17 /pmc/articles/PMC7011164/ /pubmed/31206150 http://dx.doi.org/10.1093/alcalc/agz044 Text en © The Author(s) 2019. Medical Council on Alcohol and Oxford University Press. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Manuscript
Thor, Siri
Karlsson, Patrik
Landberg, Jonas
Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents
title Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents
title_full Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents
title_fullStr Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents
title_full_unstemmed Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents
title_short Social Inequalities in Harmful Drinking and Alcohol-Related Problems Among Swedish Adolescents
title_sort social inequalities in harmful drinking and alcohol-related problems among swedish adolescents
topic Original Manuscript
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011164/
https://www.ncbi.nlm.nih.gov/pubmed/31206150
http://dx.doi.org/10.1093/alcalc/agz044
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