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

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 199...

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Autores principales: Donat, Marta, Barrio, Gregorio, Guerras, Juan-Miguel, Herrero, Lidia, Pulido, José, Belza, María-José, Regidor, Enrique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998990/
https://www.ncbi.nlm.nih.gov/pubmed/35410052
http://dx.doi.org/10.3390/ijerph19074371
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author Donat, Marta
Barrio, Gregorio
Guerras, Juan-Miguel
Herrero, Lidia
Pulido, José
Belza, María-José
Regidor, Enrique
author_facet Donat, Marta
Barrio, Gregorio
Guerras, Juan-Miguel
Herrero, Lidia
Pulido, José
Belza, María-José
Regidor, Enrique
author_sort Donat, Marta
collection PubMed
description 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.
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spelling pubmed-89989902022-04-12 Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain Donat, Marta Barrio, Gregorio Guerras, Juan-Miguel Herrero, Lidia Pulido, José Belza, María-José Regidor, Enrique Int J Environ Res Public Health Article 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. MDPI 2022-04-05 /pmc/articles/PMC8998990/ /pubmed/35410052 http://dx.doi.org/10.3390/ijerph19074371 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Donat, Marta
Barrio, Gregorio
Guerras, Juan-Miguel
Herrero, Lidia
Pulido, José
Belza, María-José
Regidor, Enrique
Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain
title Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain
title_full Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain
title_fullStr Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain
title_full_unstemmed Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain
title_short Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain
title_sort educational gradients in drinking amount and heavy episodic drinking among working-age men and women in spain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998990/
https://www.ncbi.nlm.nih.gov/pubmed/35410052
http://dx.doi.org/10.3390/ijerph19074371
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