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Gender Equality, Drinking Cultures and Second-Hand Harms from Alcohol in the 50 US States

Author

Listed:
  • Katherine J. Karriker-Jaffe

    (Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA)

  • Christina C. Tam

    (Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA)

  • Won Kim Cook

    (Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA)

  • Thomas K. Greenfield

    (Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA)

  • Sarah C.M. Roberts

    (Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, Oakland, CA 94612, USA)

Abstract

Background: Gender inequality and cultures of binge drinking may increase the risk of second-hand harms from alcohol. Methods: Using the 2014–2015 National Alcohol Survey and 2015 National Alcohol’s Harm to Others Survey (N = 7792), we examine associations of state-level gender equality measures (contraceptive access, abortion rights, women’s economic equality) and binge drinking cultures (rates of men’s and women’s binge drinking) with individual-level indicators of second-hand harms by drinking strangers and partners/spouses. Results: In main effects models, only male binge drinking was associated with greater odds of harms from drinking strangers. There were significant interactions of gender equality with male binge drinking: High male binge drinking rates were more strongly associated with stranger-perpetrated harms in states low on contraceptive access or abortion rights compared to states high on these measures. Conversely, male binge drinking was more strongly associated with spouse/partner-perpetrated second-hand harms in states with more economic equality, compared to states lower on this measure. Conclusions: Detrimental effects of high male binge drinking rates may be modified by gender equality. Targeted interventions may reduce alcohol-related harms experienced by women in states with high rates of male binge drinking. Restrictions in access to contraception and abortion may exacerbate harms due to men’s drinking.

Suggested Citation

  • Katherine J. Karriker-Jaffe & Christina C. Tam & Won Kim Cook & Thomas K. Greenfield & Sarah C.M. Roberts, 2019. "Gender Equality, Drinking Cultures and Second-Hand Harms from Alcohol in the 50 US States," IJERPH, MDPI, vol. 16(23), pages 1-16, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:23:p:4619-:d:289268
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    References listed on IDEAS

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    Cited by:

    1. Lorraine Greaves, 2020. "Missing in Action: Sex and Gender in Substance Use Research," IJERPH, MDPI, vol. 17(7), pages 1-7, March.
    2. McKetta, Sarah & Prins, Seth J. & Hasin, Deborah & Patrick, Megan E. & Keyes, Katherine M., 2022. "Structural sexism and Women's alcohol use in the United States, 1988–2016," Social Science & Medicine, Elsevier, vol. 301(C).

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