2026-06-14T03:43:01Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/145722025-05-08T08:16:01Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322com_20.500.12105_14556com_20.500.12105_2337com_20.500.12105_2336col_20.500.12105_19608col_20.500.12105_19613col_20.500.12105_16969col_20.500.12105_14558
Repisalud
author
Donat López, Marta
author
Barrio, Gregorio
author
Guerras Moreira, Juan Miguel
author
Herrero, Lidia
author
Pulido, Jose
author
Belza Egozcue, Maria Jose
author
Regidor, Enrique
funder
Plan Nacional de Drogas (España)
funder
Instituto de Salud Carlos III
funder
Instituto Mixto de Investigación Escuela Nacional de Sanidad
2022-05-30T12:58:58Z
2022-05-30T12:58:58Z
2022-04-05
Int J Environ Res Public Health. 2022 Apr 5;19(7):4371.
10.3390/ijerph19074371
1660-4601
International journal of environmental research and public health
35410052
http://hdl.handle.net/20.500.12105/14572
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.
eng
Alcohol use
Average drinking amount
Heavy episodic drinking
Educational gradient
Sex
Spain
Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain
research article
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EducationalGradientsDrinkingAmount_2022.pdf
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EducationalGradientsDrinkingAmount_2022.pdf.txt