The socioeconomic profile of alcohol use in Europe: findings from 33 European countries

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The socioeconomic profile of alcohol use in Europe: findings from 33 European countries. / Kilian, Carolin; Manthey, Jakob; Moskalewicz, Jacek; Braddick, Fleur; Matrai, Silvia; López-Pelayo, Hugo; Rehm, Jürgen.

in: INT J ALCOHOL DRUG R, Jahrgang 11, Nr. 1, 01.2023, S. 13-23.

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@article{3161098dd7bc4a6597e9653f918e6fdf,
title = "The socioeconomic profile of alcohol use in Europe: findings from 33 European countries",
abstract = "Background: Alcohol{\textquoteright}s detrimental health effects do not affect everyone equally but accumulate in people with low socioeconomic status (SES). Using data from the 2021 Standard European Alcohol Survey, we explore gender- and SES-specific consumption patterns, and COVID-19 related changes in consumption across Europe.Methods: Cross-sectional population-based survey data from 54,354 adults from 33 European countries plus Spain-Catalonia were analysed. Five alcohol indicators were of interest: prevalence of past-year alcohol use; and, among past-year alcohol users, prevalence of monthly/more frequent risky-single-occasion-drinking (monthly+ RSOD); prevalence of high-risk alcohol use (40+/60+ grams pure alcohol daily for women/men); mean daily grams of pure alcohol consumed; and self-reported consumption changes during COVID-19. Alcohol indicators were age-standardised and decomposed by gender and SES (education attainment), and analysed using regression models with location-specific random intercepts.Results: Across jurisdictions, past-year alcohol use, monthly+ RSOD, and high-risk drinking were all commonly reported, with distinct gender-specific socioeconomic profiles. While high-SES men and women were generally more likely to report past-year alcohol use, monthly+ RSOD and high-risk drinking were more prevalent among currently drinking low/mid-SES compared to high-SES men. No such SES differences in risky drinking were observed among women, however, female alcohol users with high SES reported higher mean daily drinking levels. High-SES women but not men were more likely to both increase and decrease their drinking during COVID-19 compared to their low/mid-SES counterparts.Conclusion: High consumption levels and distinct socioeconomic profiles among men and women highlight the need for effective alcohol policies to reduce health inequalities in Europe.",
author = "Carolin Kilian and Jakob Manthey and Jacek Moskalewicz and Fleur Braddick and Silvia Matrai and Hugo L{\'o}pez-Pelayo and J{\"u}rgen Rehm",
year = "2023",
month = jan,
doi = "10.7895/ijadr.407",
language = "English",
volume = "11",
pages = "13--23",
journal = "INT J ALCOHOL DRUG R",
issn = "1925-7066",
publisher = "Kettil Bruun Society for Social and Epidemiological Research on Alcohol",
number = "1",

}

RIS

TY - JOUR

T1 - The socioeconomic profile of alcohol use in Europe: findings from 33 European countries

AU - Kilian, Carolin

AU - Manthey, Jakob

AU - Moskalewicz, Jacek

AU - Braddick, Fleur

AU - Matrai, Silvia

AU - López-Pelayo, Hugo

AU - Rehm, Jürgen

PY - 2023/1

Y1 - 2023/1

N2 - Background: Alcohol’s detrimental health effects do not affect everyone equally but accumulate in people with low socioeconomic status (SES). Using data from the 2021 Standard European Alcohol Survey, we explore gender- and SES-specific consumption patterns, and COVID-19 related changes in consumption across Europe.Methods: Cross-sectional population-based survey data from 54,354 adults from 33 European countries plus Spain-Catalonia were analysed. Five alcohol indicators were of interest: prevalence of past-year alcohol use; and, among past-year alcohol users, prevalence of monthly/more frequent risky-single-occasion-drinking (monthly+ RSOD); prevalence of high-risk alcohol use (40+/60+ grams pure alcohol daily for women/men); mean daily grams of pure alcohol consumed; and self-reported consumption changes during COVID-19. Alcohol indicators were age-standardised and decomposed by gender and SES (education attainment), and analysed using regression models with location-specific random intercepts.Results: Across jurisdictions, past-year alcohol use, monthly+ RSOD, and high-risk drinking were all commonly reported, with distinct gender-specific socioeconomic profiles. While high-SES men and women were generally more likely to report past-year alcohol use, monthly+ RSOD and high-risk drinking were more prevalent among currently drinking low/mid-SES compared to high-SES men. No such SES differences in risky drinking were observed among women, however, female alcohol users with high SES reported higher mean daily drinking levels. High-SES women but not men were more likely to both increase and decrease their drinking during COVID-19 compared to their low/mid-SES counterparts.Conclusion: High consumption levels and distinct socioeconomic profiles among men and women highlight the need for effective alcohol policies to reduce health inequalities in Europe.

AB - Background: Alcohol’s detrimental health effects do not affect everyone equally but accumulate in people with low socioeconomic status (SES). Using data from the 2021 Standard European Alcohol Survey, we explore gender- and SES-specific consumption patterns, and COVID-19 related changes in consumption across Europe.Methods: Cross-sectional population-based survey data from 54,354 adults from 33 European countries plus Spain-Catalonia were analysed. Five alcohol indicators were of interest: prevalence of past-year alcohol use; and, among past-year alcohol users, prevalence of monthly/more frequent risky-single-occasion-drinking (monthly+ RSOD); prevalence of high-risk alcohol use (40+/60+ grams pure alcohol daily for women/men); mean daily grams of pure alcohol consumed; and self-reported consumption changes during COVID-19. Alcohol indicators were age-standardised and decomposed by gender and SES (education attainment), and analysed using regression models with location-specific random intercepts.Results: Across jurisdictions, past-year alcohol use, monthly+ RSOD, and high-risk drinking were all commonly reported, with distinct gender-specific socioeconomic profiles. While high-SES men and women were generally more likely to report past-year alcohol use, monthly+ RSOD and high-risk drinking were more prevalent among currently drinking low/mid-SES compared to high-SES men. No such SES differences in risky drinking were observed among women, however, female alcohol users with high SES reported higher mean daily drinking levels. High-SES women but not men were more likely to both increase and decrease their drinking during COVID-19 compared to their low/mid-SES counterparts.Conclusion: High consumption levels and distinct socioeconomic profiles among men and women highlight the need for effective alcohol policies to reduce health inequalities in Europe.

U2 - 10.7895/ijadr.407

DO - 10.7895/ijadr.407

M3 - SCORING: Journal article

VL - 11

SP - 13

EP - 23

JO - INT J ALCOHOL DRUG R

JF - INT J ALCOHOL DRUG R

SN - 1925-7066

IS - 1

ER -